Yes, though that was reversed some time ago. One effect was to divert leaders from direct patient care. In practice the PCTs had little real say, as they were obliged to fund NICE approved treatments… (View Post)

NHS productivity is improving again, but undeniably an issue (though on this I perhaps the legal profession has plenty of lessons to learn too!). Gimmicks like doing a lot of routine operations over … (View Post)

I did mention that in my first comment, that due to shorter patient stays, hospital staff have transferred lots of post op care and rehabilitation to General Practice, often without the resources suc… (View Post)

There are many sides to the crisis in General Practice. As a hospital practitioner I do understand some of it, but not all. One of the more bizarre features to the crisis is that fully trained GPs ca… (View Post)

A bit more data here. Over 1000 fewer WTE GPs over the last decade, and average list size increase of 319 per GP over that decade and 44% of appointments the same day. https://www.bma.org.uk/advice-a… (View Post)