Are local GPs going down hill or are their hands tied ?

Soldato
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Are local GPs going down hill or are their hands tied ?

I have a lot of issue with the local GPs, its beyond annoying and getting worse, I just wanted to see how things are in other areas.


It's really a big issue when you have someone with severe health issues.It's really a big issue when you have someone with severe health issues.

This is first hand experience.


You cant make appointments,
Soon as the GP opens the phone get turned off so it seam your calling a dead number but if you phone 5 mins before opening time it works fine, this is normally the same everyday for 2 hours.

When the phone does ring no one picks up.

if someone does pick you get told no appointments are available call back tomorrow when we open.

if you do manage to get a appointment its at least 2 weeks to see a nurse, 4 weeks to see a doctor.

By that time you will either be in a worse condition or no longer need to be seen.

Nurses cant prescript anything so you would need to make another appointment to see a doctor if you need anything.

You can only be seen for 1 issue at a time if you have more then one issue you need to make another appointment ( same issue again). I dont see the point because it take the same amount of time, if not more.

Most of the experienced doctors are only working part time or retired.

in most cases you regret needing a appointment and bare with it hoping it would go away rather then ringing the GP.


If your on long term medication, you need to make a appointments to get a renewal.


At this point most of the staff seem like they have no interest.

I dont see why they would do this, If a patient goes to the emergency it cost them each time.

I also dont know what they dont add new features like having quick call or even video call with patient for the non urgent matters, Im assuming some of the issues can be solved over the phone.


I know this seam more like a rant but what are your thoughts, is it as bad in your area and do you think its the GPs or the rules.
 
Sounds like your GP

We had similar but moved to a new area and my wife has found the GP to be excellent. Repeat prescriptions are handled over the phone/online and appointments can usually be got same/next day if needed.
 
Which area of the Country?
I was wondering about all areas but for me its Yorkshire.

Sounds like your GP

We had similar but moved to a new area and my wife has found the GP to be excellent. Repeat prescriptions are handled over the phone/online and appointments can usually be got same/next day if needed.

I did assume it but with all the news, I was not sure if its just our area or every area.
 
That's just your practice.

All GP surgeries struggle with phones - basically limited by number of people to answer + cost of multiple lines

by July GPs are meant to offer a proportion of appointments bookable online
 
Most GPs surgeries a massively over subscribed with patients, they get paid per patient (something like £146 per year on average) so it pays them to keep as many people on their books as possible, there seems to be no control on how many patients a GP surgery can "sign up".

This is quite an interesting site

https://digital.nhs.uk/data-and-inf...tistical/patients-registered-at-a-gp-practice

it shows my local surgery has 12376 registered patients so they are copping nearly £2 million a year, no wonder it's so hard to see a doctor ;)

I think there is also a big problem with retiring GPs and GPs that only want to "locum" as the pay is so good!

http://www.pulsetoday.co.uk/partner...tes-to-14k-a-day-in-one-area/20037049.article

https://www.telegraph.co.uk/news/nh...50-per-cent-more-than-payroll-colleagues.html

HEADRAT
 
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Most GPs surgeries a massively over subscribed with patients, they get paid per patient (something like £146 per year on average) so it pays them to keep as many people on their books as possible, there seems to be no control on how many patients a GP surgery can "sign up".

This is quite an interesting site
https://digital.nhs.uk/data-and-inf...data-hub/patients-registered-at-a-gp-practice

it shows my local surgery has 12376 registered patients so they are copping nearly £2 million a year, no wonder it's so hard to see a doctor ;)

I think there is also a big problem with retiring GPs and GPs that only want to "locum" as the pay is so good!

http://www.pulsetoday.co.uk/partner...tes-to-14k-a-day-in-one-area/20037049.article

HEADRAT
I think my GP may have the same issue, I see some people I know for the other side of the town at the GP.

also you first link give
We can't seem to find the page you're looking for
Error code 404
 
OP I have a lot of the same issues.

I have been with the same surgery for the last 30 years and just seen it get worse and worse over the last 6 to 8 years. It has got to the point where I am looking for a new practice in the area.

When I was younger it was all full time GPs the last 3 or 4 times I have been I have seen a locum. Additionally there seems to be no onsite nurses anymore, so need blood taken you have to take a further trip to the local hospital. In the early 2000s this was always done on site.

For someone who can't drive (medical) this is a pain.
 
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You need to consider the fact that 8:30, phones on and everyone is phoning straight away for an appointment that day. The phones aren't being turned off, they are being DOS'd

I'm on long term meds, Codeine and Sulfasalazine, all done online, 2 working days before they are ready at the GP's, 3 if they go to a pharmacy. Once a year I have to go in and give bloods, and they are tested for 24-26 things each time. Then I can get more prescriptions renewed.

Waiting times can be a 'mare, often running late and getting an appointment can vary but it depends on the season and how many old folk are in there because they are lonely.
 
Ours has finally after years figured out that making front desk receptionists handle both walk in appointments and phone appointments disrupts both systems, so now one office does phones, one office does front desk. Online still doesn't work. Call on the day for an "emergency" you can usually get an appointment 50% of the time but any scheduled appointment is usually a 2 week wait. Even better they've put up "privacy" glass (post office/bank style) when speaking to the receptionist so the only way you can talk to them in the surgery is to shout your condition really loudly so everyone can hear it.

They tried to recruit for new doctors, insisted on regular late and weekend requirements for all applicants for low GP wage and surprisingly didn't get anyone applying. Brand new health centre built within the last 5-6 years and already over subscribed.
 
You need to consider the fact that 8:30, phones on and everyone is phoning straight away for an appointment that day. The phones aren't being turned off, they are being DOS'd

Agreed, we have a system at our GP where there is a "morning surgery" between 08:30 and 12:00 where you can just "rock up" and ask to see at Doctor same day.

I've found the best approach is to arrive in person around 09:30 (phone is always clogged),so there's no queue, you don't have to wait in the surgery and the receptionist just gives you a time to come back before 12:00... SIMPLES!
 
My GP has changed over the last 10 years.

Used to be you could call up and expect to get an appointment within a week or so. Now it's 3/4 weeks. There's no less doctors there (about 10 of them, it's a large practice). They're not understaffed. It seems efficient and well run. I can call up and get an emergency appointment but that needs to be before 10am. Preceded by a call back from a doctor to ascertain if they actually want to see you or not.

There are also telephone appointments that are easier to get than face to face. My guess is that the population around where I live is getting older and putting pressure on them. There's also been some housing developments within a 3-4 mile radius and no-doubt some of them have been taken on. And yes, of course no new surgeries have opened.
 
I know this seam more like a rant but what are your thoughts, is it as bad in your area and do you think its the GPs or the rules.

That's likely just **** organisation on the part of the GP practice tbh...

Yes GPs are overstretched but that isn't an excuse for not sorting out basic things like that. The phone issue ought to be resolved by putting people into a queue... this works well at the practice near my parents... phone lines open at 8am on the dot, FIFO, you phone up during that peak time and you're told "you are number 10 in the queue" etc.. one receptionist just answers the phone and books appointments. Other receptionist deals with the queue of people who've turned up in person. Simples...

Contrast with the **** show at my London practice, two receptionists dealing with a queue of people who have to turn up in person, and generally need to turn up anywhere from an hour or 30 mins in advance even in winter and stand in a line outside (doesn't matter if some jobsworth receptionists are there from 7-ish onwards that door doesn't get unlocked until 8am... the 80 yr old with flu had better just wrap up warm and if they want to sit down then try to make use of the brick wall by the flower. bed. Sometimes the phone gets picked up in between dealing with the queue of people, this seems to happen at random, often the phone is just left to ring though.

One positive change to the London practice is that you can now book one of a limited number of appointments online, these are released in the evening the day before and go rather quickly... unfortunately I suspect some elderly patients aren't going to use that service and will just queue up outside when a simple phone system would massively reduce the need to have sick people standing around for 30-60 minutes not even able to sit in the waiting room or use a toilet.
 
We have about 80 appointments open up every morning. Including 1 week ahead. So you can have same day or 1 week ahead depending on preference. They open at 8am. They are gone by 805.

We have a duty doctor to manage the overflow as well as the hub. Anything urgent you will be seen by the dd.
 
Are local GPs going down hill or are their hands tied ?

I know this seam more like a rant but what are your thoughts, is it as bad in your area and do you think its the GPs or the rules.

Sounds like where i live.... could very well be talking about my doctors.

I would say it is a classic case of over worked under funded with X number of doctors covering a number of patients which is double what it should be ideally. The doctors who do stay have so little time they are more likely to come accross as uncaring and also are so over worked they dont spent the time they probably should on a case by case basis... none of which really helps us. (actually all things considered I think our doctors do pretty well on the bedside manner to be honest)

So yeah.. I think our local GP has gone down hill so much as to be bordering on not be fit for purpose. I generally do not blame the doctors individually. I also do not see it getting better any time soon....

1 think which is annoying however.... Our GPs has a digital display which counts the numbers of missed appointments each month and the number is disgracefully high. It is so easy to cancel an appointment but the fact that so many just get missed really makes things worse and there is no excuse for. Am sure that is not helping things either..
 
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