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dinsdag 15 augustus 2017

RCGP: CCG underspend incredibly frustrating - money for general practice must be spent on general practice

CCG underspend incredibly frustrating - money for general practice must be spent on general practice

"If hospitals are reliant on general practice shoring up their finances, it is a completely unsustainable situation.  

 "GPs and our teams – who make the vast majority of NHS patient contacts – are dealing with a workload that has risen 16% over the last seven years, with a decline in resources over the last decade and a workforce that has not risen at the same pace. To channel resources elsewhere just exacerbates the problem.

"Ultimately, what is best for our patients – and the wider NHS – is a robust, properly-funded general practice service that allows us to keep our patients safe, and out of hospital except when absolutely necessary. 

"We need money earmarked for general practice spent on general practice, and we need the pledges in NHS England's GP Forward View – including £2.4bn extra a year for general practice, and 5,000 more GPs – delivered in full and as a matter of urgency."


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RCGP will continue to push for longer GP training programme despite Review recommendation

"It has been the position of the College for many years that GP training should be a minimum of four years in length. This was reconfirmed at our governing Council meeting in February, and the idea of a '3+1' model - whereby an additional year could be undertaken after the mandatory CCT training programme - was rejected, so we are disappointed with the outcome of this report today.

"General practice has the broadest curriculum, but the shortest specialty training programme – a paradox that has been widely recognised and the educational case for our calls for four-year training have previously been accepted, including by the original Shape of Training Review and the Tooke report 'Aspiring to Excellence'.

"We have serious concerns that a '3+1' model would not offer a consistent and appropriate training experience, nor sufficiently prepare qualifying GPs for new models of general practice, the ongoing move of services from secondary care to the community, and the increasingly complex needs of the patient population – in the way that an enhanced four-year training programme would.

"We have the utmost confidence in our current trainees and newly qualified GPs, but with the changing landscape of general practice, we want our future GPs to be as confident to practise independently as possible – and it is our view that extending GP training by at least a year is the best way to do this.

"The College will continue to argue strongly that the length of mandatory GP training should be increased for all trainees to a minimum of four years. We will be responding fully to all aspects of the report in due course."


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Changes in duration of courses of antibiotics are options for further exploration, says RCGP
She said: "Growing resistance to antibiotics is a serious threat to the long-term health of our patients across the country, and worldwide.

"In the UK, GPs and other prescribers are always looking for ways to reduce patients' use of antibiotics – and as these two studies show, issuing 'delayed' prescriptions, and changing the standard duration of courses of antibiotics are important options for further exploration.

"Both studies provide valuable insight as we look to what should be considered best practice when prescribing antibiotics for patients with bacterial throat infections. It is important that the results are taken on board, along with those of other emerging clinical studies, as guidelines are updated and developed in the best interests of our patients and public health as a whole.

"However, our advice to patients will remain the same – once a GP has recommended a course of antibiotics then patients should take the full course of antibiotics, as specified by the healthcare professional who prescribed them. If and when clinical guidelines do change, it should be the behaviour of the prescribing healthcare professional that changes – not the patient.

"The College has worked with Public Health England to develop the TARGET antibiotics toolkit to support GPs and our teams in the appropriate prescribing of antibiotics."
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