GP brings forward their retirement plan in looming crisis for profession, they say that they spend their time at doctor's office from 8:45 am to 6:30 pm. They said that 10 year ago they spent less time in the doctors office. But today there is more patient than before and a GP earn more money than before. It is easy to solve this problem, do a part time job for GP.
Only partitioned work hours of medical practitioners, part-time (5 hours) of work will be sufficient to carryout a decent salary, and the computer system that has the NHS can provide good service to the public. Thus, the bottleneck of the GP would improve and so will not be retiring early.
What is happening now that each nurse cares for 8 patients, also can be solved by partitioning the work schedule to part-time thereby alleviating its heavy work, opening up opportunities for volunteering to be part of the solution of problem, besides you have to creating new job descriptions of care nurse giving less responsible, with a short and easy course to meet the training needs to cover existing in the health system in the UK. This can be done if hourly wages are high, and not harm the economies of each individual family nurse or physician.
This is a logical consequence of the growth of the system, today there are more population living in the UK than 10 years ago and therefore are more patients to meet and work systems to make them more productive have to decrease professional to be adapted to the existing reality of the economic crisis which we live, so does the computer systems to be updated and upgraded software and hardware.
All this said above is further complicated with increasing life expectancy, that is, people live more years and therefore are more elderly patients seeking consultation with the GP, this is part of the problem than comes the demographic analysts saying that Europe is doing with more old people than young population, and the birth rate is lower by the crisis, in short that less young people work, pay taxes and social security traded, and more people are getting older or senior and experiencing changes in their workplaces, but the worst is that more people are getting old and retirement age and the system of economic balance between inputs and outputs of the audit health system, as the system of tax breaks to pensioners who have more people paying social security than people are paying to NHS for their work.
David Cameron's cuts are leading NHS towards catastrophe, says Britain's top doctor.
Thousands of patients are being put at risk by the drop in
GP funding which could have “disastrous” consequences for the nation’s
health
Crisis: Dr Clare Gerada fears for the National Health Service
Guardian
Britain's top doctor will today accuse David Cameron of leading the
NHS towards a “catastrophe” as alarming new figures show GPs face a
£400million “black hole” in funding.
Dr Clare Gerada, chair of the
Royal College of GPs, will hit out at the Prime Minister for ruthlessly
slashing the primary care budget while simultaneously ordering family
doctors to open surgeries seven days a week.
Thousands of patients
are being put at risk by the drop in GP funding which could have
“disastrous” consequences for the nation’s health, Dr Gerada will say at
the annual RCGP conference.
The Tory-led coalition is cutting £20billion from the NHS budget with 21,000 staff axed in just the last three months.
Earlier
this week Mr Cameron announced that every GP practice should open for
business in the evenings and at weekends. The RCGP says the Government
must train 10,000 more GPs if surgeries are to cope.
Shock new
figures obtained by the RCGP and seen by the Daily Mirror show funding
for GPs has fallen to £8,459million in 2013 from £8,865million in 2010.
The
data, from the Health and Social Care Information Centre, reveals for
the first time how primary care funding has been slashed by £406million
in the last three years.
Speaking at the annual RCGP conference in Harrogate today, Dr
Gerada will call for an “emergency package” of funding from the
Government to ensure patient care is “safe and sustainable”.
Dr
Gerada said: “Our figures should send out a warning to Government and
the rest of the NHS that we will soon have a catastrophe on our hands if
urgent action is not taken to reverse the decline in funding for
general practice and provide GPs with an appropriate amount to spend on
each patient every year.
“For years politicians, health
professionals and patients alike have been saying that we must shift the
centre of gravity of the health service away from hospitals, with more
care delivered to patients closer to home, and a greater focus on
prevention.
"But these figures show that we are in fact moving in the opposite direction.
“GPs
are keen to do more for their patients but we are heaving under the
pressure of ever increasing workloads and diminishing resources,
including a chronic shortfall of GPs.
"Some of us are routinely
working 11-hour days with up to 60 patient contacts in a single day and
this is not safe or sustainable, for patients or GPs.
“We simply cannot do more without the funding and resources to back it up.
“We
are working our hardest to make sure that patients are not affected but
the status quo is no longer an option. We must have an emergency
package of additional investment for general practice to protect GP
services and protect our patients from cuts to their care.”
She
added: “General practice is the most cost effective and efficient arm of
the health service - GPs keep the rest of the NHS stable and secure.
"Once general practice starts to crumble, the entire NHS will follow with disastrous consequences for our patients.
“In August this year, the Government announced an additional £500million over the next two years for A&E departments.
"What
we need is our fair share of funding - at least 10% of the entire NHS
budget and at least 10,000 more GPs - so that GPs can provide more
services for patients in their communities.”
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The NHS at 65
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Mr Cameron announced earlier this week at the Tory Party
conference that GP surgeries would open between 8am and 8pm seven days a
week and patients could access services via email, telephone and Skype.
Dr
Peter Carter, chief executive of the Royal College of Nursing,
yesterday said the Government must plug the funding gap if it wanted the
new proposals to work.
He added: “Urgent investment has long been
needed in general practice and treating more patients in primary care
settings can decrease burden on other struggling services.
"However
any extension of services needs to be effectively resourced to equip
GPs and nurses working in general practice with adequate tools to cope
with demand.”
Labour’s Shadow Health Secretary Andy Burnham said:
“The Prime Minister has spent all year trying to blame the 2004 GP
contract for problems in primary care and A&E. But these figures
tell the real story and expose Cameron’s spin.
“People are
struggling to get appointments because Cameron siphoned billions out of
frontline services to pay for a reorganisation no one wanted. On his
watch, GP surgeries are shutting their doors earlier because he cut the
funding for evening and weekend opening agreed by Labour.
“These figures are embarrassing for a Prime Minister who got elected on a promise not to cut the NHS.
"They
make a mockery of yet more promises he has made on GP access in
Manchester this week and show he simply can’t be trusted on the NHS.”
Health Secretary Alex Neil said a review had
been ordered of Scottish NHS IT systems after a failure forced a major
health board to cancel hundreds of appointments.
Mr Neil told MSPs the major IT problem with servers at NHS Greater Glasgow and Clyde had been resolved.
He was responding to a question from Scottish Labour health spokesperson Neil Findlay on 2 October 2013.
Hundreds of outpatient appointments and a number of operations had to be postponed on Tuesday after computer systems failed.
The computer failure has affected staff access to clinical and administrative systems.
The health secretary said: "I can report that NHS Greater
Glasgow and Clyde have now been able to resolve the problem with the
server and incrementally reloading users back on to the system.
"It would appear that no data appears to have been lost.
"Around 50% of users now have access to the system, and the remainder should have access by later this evening.
"The servers were now reloading, no data had been lost and
50% of users now had access to the system with hopes the remainder would
have access by evening."
Mr Neil said NHS Greater Glasgow and Clyde were contacting
all patients affected and that they would receive treatment as soon as
possible.
He said there would be a robust review of IT systems and backup systems across the health service.
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