David Blackburn

The return of the family doctor?

Ministers have described the deal on GP contracts, negotiated by the government and the British Medical Association (BMA), as a return to the days when GPs were family doctors. Certainly, it is a step in that direction. The contract, which will come into force next April, revives the personal link between doctor and patients aged 75 or over, and makes GPs responsible for out of hours care. The Department of Health says that GPs will also be:

  • offering patients same-day telephone consultations;
  • offering paramedics, A&E doctors and care homes a dedicated telephone line so they can advise on treatment;
  • coordinating care for elderly patients discharged from A&E;
  • regularly reviewing emergency admissions from care homes to avoid unnecessary call-outs in future; and
  • monitoring and reporting on the quality of out-of-hours care.

The contract has also burnt a significant amount of red tape in GPs’ surgeries by transferring £290m from box-ticking to essential services.

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