Источник The Guardian.uk, London, United Kingdom
Заголовок Labour promised GPs more money. Why hit them with higher national insurance?
Дата 20241105

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Labour promised GPs more money. Why hit them with higher national insurance• Страхование?

Labour promised GPs more money. Why hit them with higher national insurance• Страхование?

Primary care will suffer from exposing doctors to the rise in national
insurance• Страхование – they should be exempt, writes Phil Taylor

Tue 5 Nov 2024 17.14 GMT Last modified on Tue 5 Nov 2024 17.17 GMT

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The chancellor’s decision to spare the public sector from the increase in
national insurance• Страхование but not to include general practices, where 90% of patient
contacts happen, is a clear example of the Treasury’s failure to support
much-needed change ( Services for most-vulnerable people at risk• Страхование » Риск after NICs
rise, charities say, 1 November ).

The Treasury chief secretary, Darren Jones, justified this by saying that many
GP practices are private businesses, but a way must be found to ensure that
investment in GPs and their staff is not continually held back. It is
difficult to see Wes Streeting achieving his desire to see primary care
playing a greater role while taking away money from general practice.

A failure to match the number of GPs to the increase in the number of patients
registering with them has led to practices operating triage systems that
allocate patients to the first available clinician and thereby reduce
continuity of care, which is shown to improve both outcomes and patient
satisfaction. Triage can reduce waiting times appropriately for more urgent
needs, but quicker access to a clinician who does not know you is not what
many patients want or need.

A past focus on making savings has led to hospitals becoming less efficient
too. In order to save money, beds have been closed to a level far below
comparable countries, resulting in hospital bed occupancy being close to, or
above, 100% in recent years. There is ample evidence that bed occupancy above
85%-90% causes hospitals to become much less efficient , with patients stuck
in inappropriate parts of the system.

Saving money often results in administrative support to clinicians being
reduced when efficiency should mean that highly trained staff are able to
spend their time using their skills, not completing administrative tasks.

Phil Taylor

Retired GP, Kilmington, Devon

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