90% of GP trainees to shun full-time clinical work (Pulse: 5 May 2016)

Only one in ten GP trainees expect to be doing full-time clinical work in five years’ time, a major report from the King’s Fund think-tank has revealed.

The report – Understanding pressures in general practice – also claims that the crisis in general practice has been ‘invisible’ for policy-makers due to failure by the DH and NHS England to collect data.

Its analysis of 30 million patient contacts from 177 practices found that the number of consultations since 2010/11 had grown by 15%, echoing a recent study published in the Lancet.

GP leaders said that the lack of data on general practice had led ‘many to turn a blind eye to the ever-worsening crisis’ in the profession.

The report comes two weeks after NHS England released its ‘General Practice Forward View’, which committed to devoting more than 10% of the NHS budget into general practice.

The King’s Fund welcomed NHS England’s proposed measures, but warned that general practice was in a crisis.

It pointed to an increase in demand and a reduction in funding, as well as a recruitment crisis.

And it warned that the recruitment crisis could get worse, as a survey of 318 trainees revealed they were shunning a full-time career in general practice – and not only because of family commitments....read more

 

GPs still in favour of mass resignation despite support package (Pulse: 29 April 2016)

Almost half of GPs are still willing to submit undated resignations, despite the multibillion-pound ‘Forward View’ announced by NHS England last week.

A Pulse survey of 524 English GPs found that 45% would still support mass resignation from the NHS due to the current state of general practice, while a further one in four are undecided.

This is only a small decrease on the 49% who said that they would be willing to resign their contracts in December 2015.

The Special LMC Conference in January voted for the GPC to canvass support for submitting undated resignation letters if the Government fails to implement a ‘rescue package’ for general practice within six months.

Last week, Pulse exclusively revealed that the GPC was still considering the threat of mass resignation following the announcement of the General Practice Forward View, which committed £2.4bn extra funding a year by 2020 plus a £500m support package.

Today’s poll reveals that GP support for the so-called ‘nuclear option’ is maintained, with the percentage of GPs ruling mass resignation out decreasing from 35% in December to 29% today....read more

 

NHS looks to India for GPs in attempt to make up shortfall (The Guardian: 7 April 2016)

The NHS is looking at recruiting GPs from India in an attempt to tackle the serious shortage of family doctors.

Health Education England, the NHS’s training and recruitment agency, has signed a memorandum of understanding with the Apollo Hospitals chain in India about lending clinical staff between them.

GP leaders said the initiative amounted to “an admission of failure” by ministers to develop enough homegrown staff and that it cast doubt on their pledge to increase the number of GPs by 5,000 by 2020.

It also led to warnings that bringing in doctors who had not been trained in the UK could pose a threat to patient safety.

HEE, which is currently recruiting GPs, provided few details about the link-up.

Dr Ramesh Mehta, the president of the British Association of Physicians of Indian Origin, told the doctors’ magazine Pulse, which revealed the move, that his contacts in India had told him HEE is keen to hire “as many GPs as possible”....read more

 

Staff shortages spark CQC warning for mental health trust (The Nursing Times: 23 March 2016)

North Staffordshire Combined Healthcare NHS Trust has been given an official warning about community mental health services for young people, after inspectors found there were not enough staff to provide quality care.

The trust’s child and adolescent mental health services (CAMHS) community provision was rated “inadequate” by the Care Quality Commission following an inspection of all core services in September last year.

Inspectors found staffing levels in community CAMHS were “not safe” because of staffing shortages in various disciplines, including nursing, with “excessively long” waits for treatment.

“There were not enough consultant psychiatrists, nurses, psychologists, or therapists,” said the CQC report. “We found staff on maternity or long-term sick leave were not replaced by temporary staff.”

Inspectors also found risk assessments of young clients were not always completed or safety plans put in place...read more

 

Junior doctors to withdraw emergency care in escalation of action (Pulse: 23 March 2016)

Junior doctors will fully withdraw their labour, including emergency care, in an escalation of their industrial action, the BMA has announced – the first instance of this ever happening in the NHS.

A statement from the BMA said that the 48-hour industrial action planned for 26 April will now change to full withdrawal of labour between 8am and 5pm on 26 and 27 April. This will follow earlier action – a 48-hour walkout on 6 April – which will continue as planned.

The chair of the BMA’s junior doctor committee Dr Johann Malawana said the Government had left them with ‘no choice’.

The committee had planned earlier this year to withdraw all emergency cover, but did not go through with the action as talks with the Government were progressing...read more

 

Hospital shuts beds after CQC raises staffing ratio concerns (HSJ: 21 March 2016)

Southend University Hospital Foundation Trust has been forced into significant bed closures after inspectors raised concerns about staff ratios and its stroke services, HSJ has learned.

The Care Quality Commission’s final report on the trust is not due until next month, but concerns raised by inspectors in preliminary feedback in January were set out in a report from the trust’s February board meeting.

The report said the CQC had raised “concerns over the trust’s ability to maintain registered nursing staffing levels to the ratio as indicated in [the National Institute for Health and Care Excellence] guidance”.

The report added: “While all of the issues noted by the CQC are important the CCG and partners have agreed that the priority areas for immediate action are bed capacity, staff to patient ratios and maintaining safe effective stroke services.”

The report also revealed the trust’s lead commissioner, Southend Clinical Commissioning Group, called an “emergency health care system meeting” just days after inspectors visited...read more

 

Alarm raised over trust's 'risky' proposal to run A&E without specialist consultants (HSJ: 21 March 2016)

Health leaders in Yorkshire are considering options for running an emergency department without dedicated consultants.

Scarborough Hospital, which is run by York Teaching Hospital Foundation Trust, has long struggled to recruit emergency medical consultants, commonly known as A&E consultants, and is exploring options to make its services sustainable.

Senior clinicians believe a new model can be devised whereby patients could initially be seen by “advanced clinical practitioners”, who have typically trained as nurses or paramedics, but then passed on to the specialty consultant in the relevant department more quickly.

The Royal College of Emergency Medicine has raised concern over the proposal, describing it as a “highly risky strategy”...read more

 

Health minister admits Government risks not delivering on GP recruitment goal (Pulse: 21 March 2016)

700 community staff to be transferred twice in months (HSJ: 18 March 2016)

Hospital staffing crisis as 40% of consultant posts remain vacant (The Guardian: 15 March 2016

Warning overseas recruitment is only a 'stop gap' for nurse shortages (Nursing Times: 10 March 2016)

Health trusts reveal thousands of doctor and nursing positions lie vacant (The Independent: 29 February 2016

Junior doctors defy health secretary with three 48-hour strikes (The Guardian: 23 February 2016

NHS Bosses Plan to sell Temp Agency (The Morningstar Online: 23 February 2016)

NHS staff survey: more staff working extra hours (HSJ: 23 February 2016)

We're not surprised half our psychologist colleagues are depressed (The Guardian: 18 February 2016)

Implement junior doctor contract or lose funding, hospital bosses warned (Pulse: 17 February 2016)

The number of doctors applying to work abroad surged by 1,000 per cent on the day Jeremy Hunt imposed new contract (The Independent: 17 February 2016

Liverpool NHS jobs face the axe because of community health funding cuts (Liverpool Echo: 17 February 2016)

Seven-day NHS may not cut death rates, say Hunt's own officials (The Guardian: 16 February 2016)

Revealed: GP training targets in doubt as applications tumble 5% (Pulse: 10 February 2016)

Higher number of HCAs linked with increased mortality, says study (HSJ: 9 February 2016)

Hospital death rates rise if fewer nurses are on wards, says new research (The Independent: 9 February 2016)

Junior doctors' strike to go ahead next week after talks fail (Pulse: 1 February 2016)

Mass GP resignations 'likely' as union urges LMCs to back crisis conference vote (GP Online: 27 January 2016)

More than a quarter of trusts asked to breach agency cap (HSJ: 26 January 2016)

NICE experts called for minimum staff ratios in leaked guidance (HSJ: 20 Janaury 2016

A&E departments may be too short-staffed 'almost half the time', says report (Independent: 20 January 2016)

Industrial action: junior doctors provide emergency-only care (BMA: 12 January 2016)

All NHS staff support the junior doctors’ strike action (The Guardian: 12 January 2016)

London nurse shortage 'critical' as vacancies rise to 10,000 (Nursing Times: 7 January 2016)

GPs under 50 leaving profession due to fear of burnout, NHS study finds (Pulse: 7 January 2016)

Junior doctors and Government to hold fresh conciliation talks (Pulse: 6 January 2016)

New wave of practice closures could mean 25,000 patients lose their GP (Pulse: 6 January 2016)

Directors to review NICE chief's decision not to release staffing guidance (Nursing Times: 5 January 2016)

Junior doctors in England to strike next week after talks break down (The Guardian: 4 January 2016)

Higher ratio of nurses per hospital bed linked to fewer patient deaths (Nursing Times: 18 December 2015)

Half of GPs willing to resign NHS contracts (Pulse: 10 December 2015)

Number of ambulance staff quitting almost DOUBLES leaving NHS facing crisis (The Mirror: 10 December 2015)

Almost half of junior doctors left NHS after foundation training (The Guardian 5 December 2015)

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