Help Sitemap Home Skip Navigation Contact Us Disability Statement

 
 
Thursday, 16th October 2008 Change Date

Premium Article !

Your account has been frozen. For your available options click the below button.

Options

Premium Article !

To read this article in full you must have registered and have a Premium Content Subscription with the The Scotsman site.

Subscribe

Registered Article !

To read this article in full you must be registered with the site.

BMA warns of health crisis as Scotland faces shortage of GPs



Click on thumbnail to view image
Click on thumbnail to view image
Click on thumbnail to view image
Click on thumbnail to view image
Click on thumbnail to view image

Published Date: 24 April 2008
SCOTLAND is heading for a health crisis, with too few doctors being trained to replace those retiring or leaving the profession, medical leaders warned yesterday.
The British Medical Association (BMA) Scotland said one in five GPs were planning to retire in the next five years. In addition, half of family doctors report low morale, meaning many are tempted to leave the profession.

The warning came as GPs
from across Scotland meet in Clydebank today to discuss their concerns about the future of general practice. In a briefing paper, the BMA said Scotland would face a severe shortage of GPs in the next five years unless action was taken now.

The BMA said that GPs' workload had increased significantly in the past decade and was set to increase further with the Scottish Government's plans to provide more services in primary care.

The organisation said that demand for GP appointments were soaring, but despite this the number of doctors had only increased by 1 per cent in ten years. The BMA also said that as almost half of GPs are women, early retirement might see many leave in the next few years.

A growing number of GPs are now working part-time. A survey last year showed that 31 per cent of GPs described themselves as working part-time. So while there are 4,231 GPs practising in Scotland, this equates to only 3,782 full-time equivalents.

The BMA warned that a growing number of doctors were likely to choose to work part-time in the future, but training places for GPs did not reflect this. It said that while the trend was partly driven by more women in general practice, the number of men wanting to work flexible hours was also increasing.

The Royal College of GPs estimated in 2004 that a 30 per cent increase in GPs was needed in future to cope with demand – amounting to an extra 1,200 GPs in Scotland. By 2012, it is thought that the country will be short of at least 750 GPs.

Dr Dean Marshall, chairman of the BMA's Scottish GPs committee, said: "General practice is the cornerstone of the NHS and it is essential that Scottish Government recognises the importance of planning a GP workforce for the future."

However, Nicola Sturgeon, the health secretary, said: "The Scottish Government values the dedication of our GPs and they are offered a very attractive working package.

"We have robust GP workforce plans in place to retain and recruit doctors, so that we have enough to meet the demands of the NHS."





The full article contains 439 words and appears in The Scotsman newspaper.
Page 1 of 1

  • Last Updated: 23 April 2008 9:36 PM
  • Source: The Scotsman
  • Location: Edinburgh
  • Related Topics: Health of the NHS
 
1

Charles Linskaill,

Edinburgh 24/04/2008 00:27:13
We are in a "Crisis" now are we not,? never mind facing one!

And furthermore, there IS NO resolve and Wont be a resolve!!

GPs have put their ,..'Foot-Down' and WONT be budged!

So'be'it!, The Doors of Change will now open!, what have I told you all,?

There IS and Always WILL be an, 'Allan Sugar', 'Tom Farmer'
At the door to make a fortune out of this!

The Days of our Gps are numbered, mark my words!

They are bringing on their own demise, and for what,?

£100k per annum not enough,?

Tesco, Asda, Sainsbury, Morrisons,..'QUICK DOCTOR'

Yep they will all be Offering us a Health Care System that will siut all very soon!

NOT Forgetting,

GPs..'ON-LINE'.. 24/7!!

Mark My Words! GPs have opened the Doors to the 'Band-Wagon'!
2

Charles Linskaill,

Edinburgh 24/04/2008 00:35:45
correction detail #1.

"Health Care System" Should read,
*family at home Health care System*

Hospitals and all the staff that work in them, cannot be classed as our problematic,,

"I need medical advice now before taking Baby to the Hospital"

As it were!
3

Charles Linskaill,

Edinburgh 24/04/2008 00:51:31
Take this scenario!

Mother with young Baby/Child

5.30pm (1730hours)

Baby develops a Rash and not to well!

Anxious Mother needs and Wants Advice!

Anxious Mother has no means of transport, bus journey to Hospital 1hour away!

Anxious Mother, is young, and feels foolish to phone NHS 24/7 for something that might be nothing!

Anxious Mother, has a telephone, she just wants to pick it up and dial her own GP for Advice!

She trys!

She gets the GPs receptionist!

(Doctors still working in the Surgery)

Anxious Mother, is told by GPs receptionist,

"Sorry It is out of Hours, we cant Help"

Baby/Child Dies! It turned out to be Meningitis!

And this scenario is an innuendo of what the Problem is that we all face!
4

fife runner,

24/04/2008 06:39:01
#3 my wife had the same scenario although not the outcome. went to GP for advice as we could not get an appointment when our son ran out of medicine (fault 0f GP ) Stood at the desk 0830 and was told no one available but GP standing in the back of the office. My wife pleaded to no avail. Got script eventually when I kicked up merry hell.

Different GP. Visit to my mum. Son took not well. My mum's doc gave him appointment within two hours. No queue great. This GP opens Saturdays and one night a week. At our GP no evening or Sat work and lonf queues. Somne surgeries cannot cope. Our GP rural and my mums in Glasgow .
5

jms,

hull 24/04/2008 09:17:58
Charles Linskaill,

Do you think your comments are relevant to this article?

As far as I can see the story is about a potential shortage of GP's. Your comments appear to be about out of hours working.

6

Charles Linskaill,

Edinburgh 24/04/2008 10:01:48
jms @#5,

"Do you think your comments are relevant to this article?"

Answer; Yes I do!

If we look over the past few years, time and time again, if we can believe the News, it appears to be that our GPs are totally exasperated in the job they do.

So what are we being told,?

Well we can presume, like in this article, GP's want to give up serving the public, and wont be replaced, as no-one it appears wants to train to become a GP.

I am 'highlighting' this in the continuous decline we all are witnessing,

re: from above article,

"A growing number of GPs are now working part-time."

This may well be one of the problems that causes situations I talk about as was for our poster @#4.

So again,..'YES' the whole situation is of relevance as in my posts.
7

Dr JS,

Aberdeen 24/04/2008 12:48:12
Charles Linskaill

The number of GPs who work part time is increasing. This again is as a result of the poor work force planning our beloved government is famed for. In a recent estimate some 60-70 per cent of medical graduates are female. They prefer increasingly to work part time/ flexible hours in order to allow them to have families.

Our problems come down once again to funding. We need to pay to train MORE, doctors to be able to cope with the increasingly complex medical problems an ageing population brings. It seems ludicrous that medical graduates are unemployed, after the taxpayer has paid £250 000 to train them, as highlighted by last years MTAS fiasco.

This government seems to think that a university trained graduate can be replaced by less qualified staff and the same standards and outcomes can be achieved. They cannot.

The real source of the "missing billions" in our NHS, is not doctors salaries (which depite being generous I agree, form a tiny, insignificant proportion of the budget) but the endless costs of PFI hospitals, independent treatment centres, management consultancy firms, NHS IT system, choose and book, NHS (re) direct and the soon to be "DARZI clinics".

I read this morning in a GP rag that a new "polyclinic" costing nearly 1 million pounds will take 5 years to reach a list size of 5000!! and another may only see 2 patients per day for the first year of opening!!! And also they will be opening in areas where local surgeries still have open lists (ie there is no demand whatsoever for them!)

For £100k per annum a Gp will see around 6000 patients per year. look at the economics my son, and you will see, its next to impossible to beat real value for money.


8

Dr JS,

Aberdeen 24/04/2008 13:15:09
Charle Linskaill

with regards to your earlier posts 1, 2 and 3. What utter nonsense, sir!

The reason patients have difficulty getting appointments, is because the government has artificially manipulated the appointment system. this has totally ruined the service many practices were able to provide. Previously in my surgery you could book well in advance, and now due to political interference have to ring at 830am on the day. The results? endless lines of patients waiting outside for an appointment and non stop ringing phones that we struggle to answer. Thank you NU Labour, another job well done!

This situation has been created to provide the wonderful solution of a "private NHS". It will fail however because the "big boys" have failed to consider one critical element. Primary care is currently worth peanuts. The government were paying GPs like myself £6000 per annum to work 24/7/365, ie less than £10/hour! This is why the private providers are struggling to provide the same service when winning out of hours contracts. Because it doesnt pay, and they are in it for the money/ shareholders etc etc
9

Dr JS,

Aberdeen 24/04/2008 13:22:29
Your scenario in post 3

This is why we need MORE doctors not less. Patients want to be able to talk to real, medically qualified, university trained, high calibre graduates.

NHS direct has a rather pitiful triage system that costs more money for a patient to talk to a nurse (approx £25 according to newspaper reports) than to see a GP face to face (approx £11 per consultation)
Train more Gp's not LESS!

Ive worked with a so called advanced nurse consultant in out of hours work, and they really are only capable of dealing with the most minor of ailments, which they cherry pick. Anything that requires in depth medical expertise they will happily bump off to the doctor. To top this off they see less patients than we are able

Do the maths, sir and you will see quite clearly where good value lies. pay peanuts and get monkeys!!


10

Charles Linskaill,

Edinburgh 24/04/2008 13:46:43
Dr JS, @#7/8/9,

Thankyou for the enlightenment on what we dont hear,

I am glad my comments 'sparked' enough annoyance/anger to get the story from, as it were, 'the other side'.

Your comments are very interesting indeed, yes and I do know the saying,

"peanuts and get monkeys!!"

Regards,

C Linskaill.
11

fife runner,

24/04/2008 13:48:43
what about my comment at no 4. is no one of you docs going to answer it.
12

fife runner,

24/04/2008 13:50:06
trouble getting GPs . Is it possible it is a closed shop and the lack of numbers being kept artificially high so they can get more money?
13

Charles Linskaill,

Edinburgh 24/04/2008 14:08:43
I referred to your comment fife runner @#11,

Albeit I am not a Doctor and cant answer your question, I too have been on the receiving end of requiring urgent help and finding it impossible without at a last resort, say dialing 999, which lets face it! not many of us want to do, if it is not clear to us,
'Is-It'?..'Is-It-Not'? an emergency situation!

I think this is one area where problems can lie, unless you are the, 'brassed Necked' type and dials 999 for say,..'toothache'

Anxious young mother @#3 however was not 'brassed necked'

She stuck to the rules! and lost her Baby!

And this is my concern to the matter, whether it be hours or lack of Doctors, the problem needs,

'URGENT RESOLVE'!!
14

Dr JS,

Aberdeen 24/04/2008 14:22:36
Fife runner

If you are unhappy with the service you have recieved from your GP you can do several things.

1. I would be inclined, were I in your situation to make a formal complaint to your practice. This would I am sure be swiftly dealt with and the issue resolved.

2. you are also able to re- register with another practice if you feel that the service you recieve is below par.

Let us however, not have a blinkered view and tarnish an entire profession, because of one episode where a gp behaved inappropriately.

Take our beloved politicians for example, just because a few of them have "their hands in the till" with regards to false expenses claims, are they all dishonest!! I read recently that our MSPs have voted overwhelmingly to withold access to their expenses because of widepread abuse, fraudulant claims etc etc

These are the same folks that are able to spin their way out faliure and use doctors as scapegoats for all of the NHS woes. Come on folks wake up and smell the coffee!




15

Charles Linskaill,

Edinburgh 24/04/2008 14:28:35
I am sure Nicola S has the peculator on. ;-)
16

Charles Linskaill,

Edinburgh 24/04/2008 14:31:27
Oops **Percolator**
17

MacDougallN,

Glasgow 24/04/2008 15:36:01
Nicola S is the harbinger of DROSS
18

Rodger the Leith lodger,

edinburgh 24/04/2008 21:56:00
I hear (within the NHS) that GPs know a little about a lot, but not much about anything.

If so, why are they there and why 100k a year?
19

Worried Scot,

24/04/2008 23:07:29
Can I just ask of the people that seem to think that GPs should work 24/7 how many of them work during office hours AND out of office hours AND at weekends?

If you have an emergency, phone 999. If you can wait 'til you can see a GP then wait. Where's the trouble?

The scenario in #3 is ridiculous. If she phoned NHS 24 they would recommend a visit to a hospital to check out the rash - better safe than sorry. Same applies to phoning NHS 24 - that's what it's there for!

I'm not a doctor, and to be honest I think GPs are overpaid but that's not my call. But I'm not at all surprised at the low morale - they can't win!
20

Charles Linskaill,

Edinburgh 24/04/2008 23:29:50
Worried Scot @#19,

From a Doctor at #9..."Quote"

"NHS direct has a rather pitiful triage system that costs more money for a patient to talk to a nurse (approx £25 according to newspaper reports) than to see a GP face to face (approx £11 per consultation)
Train more Gp's not LESS!"

Plus the fact Anxious young Mums Journey(Visit) to Hospital was 1hour away!

It is not as you put it, "ridiculous" as you may think!
21

Worried Scot,

24/04/2008 23:39:29
Sorry Chuck, you're right. Let's make all doctors, everywhere, work constantly so that whinging b******s like you can be reassured that everytime you have a cold you can rush straight to your GP, no waiting, no appointments, nothing. It should be like Tesco, open 24 hours?

"Train more GPs" - good thinking. Pay more people £100k a year to sit about with a prescription pad, good use of resources methinks! Pillock.
22

Charles Linskaill,

Edinburgh 25/04/2008 00:03:54
Like the jackal who mocks his prey, you use fear to intimidate. The weakness of the jackal is his arrogance, and arrogance is the downfall of anyone who subverts the truth.
23

Suzi B,

25/04/2008 17:38:45
Hmmm, let me do the maths.
Part time workers earning full time wages......no wonder GP's all want to cut their hours! Nice work if you can get it!
24

Goody2Shoes,

EDINBURGH 09/05/2008 20:24:39
Full time GP's already work a 4.5 day week (& half a day for paper work) They are paid very well at £96000pa plus all the rest. For that amount of money doctors should be working 24/7/365
25

fife runner,

14/05/2008 14:57:50
my mother's GP opens one evening and on Saturdays in Glasgow practice. Gave up well paid consultants job. It can be done by caring docs.
26

fife runner,

14/05/2008 15:00:27
#14 did complain and first letter back was full of platitudes. No reply to my second letter. I live in rural area and it is not so easy just to change.
27

fife runner,

17/05/2008 06:08:42
#3 that scenario met my wife as she stood at 0830 one morning in our surgery. GP standing in the back office and receptionist refusing to let her speak with the doc.

 

Comment on this Story

 

In order to post comments you must Register or Sign In

 
 
 
  

 
 

Today's Vote

Should gastric band ops to aid weight loss be available on the NHS?
Yes, this surgery will save lives
Yes, as long as it’s not a cop out for the obese
No, these people are responsible for their weight

Featured Advertising



Sister Newspapers:
Press Complaints Commission

This website and its associated newspaper adheres to the Press Complaints Commission’s Code of Practice. If you have a complaint about editorial content which relates to inaccuracy or intrusion, then contact the Editor by clicking here.

If you remain dissatisfied with the response provided then you can contact the PCC by clicking here.