{"id":32570,"date":"2014-10-22T10:24:43","date_gmt":"2014-10-22T09:24:43","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=32570"},"modified":"2014-10-23T10:40:06","modified_gmt":"2014-10-23T09:40:06","slug":"the-bmj-today-stop-reviewing-gp-crisis-and-plan-a-solution","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/10\/22\/the-bmj-today-stop-reviewing-gp-crisis-and-plan-a-solution\/","title":{"rendered":"The BMJ Today: Stop reviewing GP crisis and plan a solution"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/04\/30\/zosia-kmietowicz-leaping-out-of-inequalities-the-power-of-imaginative-play\/zosiak\/\" rel=\"attachment wp-att-16707\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-16707\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/04\/zosiak.jpg\" alt=\"\" width=\"160\" height=\"120\" \/><\/a>Two articles just posted on <a href=\"http:\/\/www.bmj.com\/thebmj\">thebmj.com<\/a> focus on general practice\u2014the crisis that is engulfing it, how it suffers at the hand of political promises, and what action can preserve its future.<\/p>\n<p>Veronica Wilkie, professor of primary care at the Institute of Health and Society at Worcester University, <a href=\"http:\/\/www.bmj.com\/content\/349\/bmj.g6274\">compares the current crisis to that in 1950<\/a> when JS Collings, an Australian researcher who had observed 55 practices, attacked general practice for being outdated, rarely satisfactory, and a potential danger to public health.<!--more--><\/p>\n<p>Two recent reviews concluded something that most GPs don\u2019t need to be told: that there are too few GPs in the UK to meet patient demands. But Wilkie makes a pertinent observation: \u201cThat students and trainees who witness stressed, burnt out GPs, who feel isolated and unsupported, are unlikely to choose general practice.\u201d<\/p>\n<p>Wilkies calls for an end to reports on the current problem. What is needed is \u201ca coherent plan for workforce development in primary care,\u201d which is based on a robust analysis of modern day general practice activity.<\/p>\n<p>Stephen Gillam, a GP in Luton, <a href=\"http:\/\/www.bmj.com\/content\/349\/bmj.g6268\">reviews the many strategies<\/a> that have attempted to ease the pressure on primary care. He blames the dissatisfaction in the profession on a lack of government understanding of GPs\u2019 workload that can\u2019t be filed simply under acute or chronic or immediate or long term conditions. He pleads for understanding on both sides: for GPs to continue to adapt and innovate, and for politicians to listen to experts, \u201cavoid populist gimmickry,\u201d and to increase workforce numbers.<\/p>\n<p>New developments at the National Institute for Health and Care Excellence (NICE)\u2014the UK\u2019s independent body for deciding on what drugs should be funded by the NHS\u2014have raised concerns in some. <a href=\"http:\/\/www.bmj.com\/content\/349\/bmj.g6387\">Deborah Cohen reports<\/a> that a new minister has been given responsibility for the organisation and his remit is to accelerate innovation. His post falls under the departments of business and health, and the worry is that industry interests will have undue influence on NICE\u2019s decisions, increasing costs for the NHS without proven benefit for patients. It\u2019s something to watch.<\/p>\n<p><em><strong>Zosia Kmietowicz<\/strong>\u00a0is assistant news editor\u00a0at <\/em>The BMJ<em>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Two articles just posted on thebmj.com focus on general practice\u2014the crisis that is engulfing it, how it suffers at the hand of political promises, and what action can preserve its [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/10\/22\/the-bmj-today-stop-reviewing-gp-crisis-and-plan-a-solution\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-32570","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: Stop reviewing GP crisis and plan a solution - 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