The doctor won’t see you now – the NHS is in crisis | Letters

Your Publisher (September 22) and the opinion piece by Rachel Clarke (Instead of helping desperate NHS doctors like me, Thérèse Coffey stays in the boot, 22nd September) demonstrate how conservatives continue to mismanage and impoverish the state’s health and social care. George Osborne’s failed austerity economy, with grossly insufficient labor and training supply, has led to a toxic escalation of costly taxpayer reorganization/marketing/outsourcing/privatization. This is not going to be reversed by Thérèse Coffey’s laughable “ABCD” agenda, which is not based on new investment.

I was on an 18 month waiting list for laser surgery on my prostate. Informed of the little hope of surgery in the medium term, I opted for private treatment, saw a urologist within a fortnight, and had surgery soon after. Surprisingly, a week later, my local hospital contacted me and offered me the surgery with the same surgeon and private hospital in an attempt to turn around the backlog. This urologist has a double National Health Service and private consulting: expensively trained by the state, but now allowing the private sector to offer desperate retirees like me a very expensive alternative. I would suggest that all NHS trained doctors, nurses and consultants be salaried state employees and not be allowed to work as a second job. So we can return to Bevan’s original vision of free, first-class health provision regardless of status and income.
philip wood
Kidlington, Oxfordshire

Before rashly promising to free up GP appointments in England by using pharmacists and physiotherapists in practices (No one should wait more than two weeks to see their GP, Coffey to say, September 21), Thérèse Coffey would do well to ask her Scottish Government counterpart why the Primary Care Improvement Fund (which is allocated to this type of work) is spent so little on almost all areas of the Scottish health boards Scotland.

There are not enough of these health professionals to fill such positions, and anyone who does will leave a job vacant in their wake elsewhere. It really is a simple math problem. The plan is impossible to implement without a significant expansion in the number of all health professionals.
Dr Pilar Murphy (GP)
Ellon, Aberdeenshire

Unfortunately, the results of the King’s Fund survey were not surprising (Two-thirds of GPs in training in England plan to work part-time, study says, 18 September). Those in the British Medical Association’s survey of around 650 GP trainees across the UK last year were just as harsh, with just 16% saying they would work seven or more four-hour sessions a week after qualifying. , and only 6% said they intended to work full-time for their entire career.

The desire to work flexibly is multifaceted, and clinicians who choose this route should be supported, including those with care commitments. However, the stress of working late, working through lunch, even bringing work home, is the reality that doctors-in-training see. A six-session week is now actually full time, with sessions getting longer as pressures on general practice mount. Many will feel that the only way to manage their workload and protect their well-being is to limit their hours.

Unless there are improvements in training, recruitment, retention and support for gps Throughout their careers, there will be one big loser: the patients, who are already struggling to get the care they need.
Dr Euan Strachan-Orr
Chairman, BMA GP Apprentice Committee

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