Sadly The Labour Party policies reduced GP access, they haven’t listen to GPs about how to improve it, imposed a contract that wouldn’t work & left patients with little choice They are still lying to the public, seeing more general practice appts is not better access to GPs
More houses means more people in an area. The growth in GP numbers hasn’t matched population growth In fact governments have cut the spending by 20%
There are no specialists in GP practices other than GPs The average number of patients / GP has increased from 1800 to 2300 so there are fewer GPs per head of population The amount paid to practices/ person has fallen 20% in 10y The average income has also fallen 20-25% There are unemployed GPs
The number of GP practices in England fell from 7,686 in 2015 to 6,359 in 2025, while the number of homes rose by around 2m over the same period As a result, the number of homes served per average GP practice rose from 3,066 in 2015 to 3,976 in 2025.
National debt is owned by ‘us’ for the most part! Investment in order to be more productive as a nation reduces the long term debt by increasing productivity Prevention of inflationary pressures is key, but investing in available resources eg unemployed workers makes sense
National Debt is us, it’s our savings, is it really a problem when we spend it? Not the NHS Again! Podcast youtu.be/mOmMzj5Ji3o?...
Where’s the money? Can we afford the NHS? In this eye-opening episode, former bond trader Vince Gomez joins the conversation to reveal the true mechanics of government spending, debunking myths about national debt & the real power of money creation @keepournhspublic.bsky.social @thedauk.bsky.social
Most of us will face the reality of end-of-life care — yet our healthcare system treats palliative care as an after thought, funded mainly by charities. Why is something so essential still so undervalued and patchy across the UK? The shocking truths and what must change. 👇🏼 youtu.be/22BzLBmPL_k?...
Single Patient Record that is accessible from multiple organisations in NHS Before SPR there needs to be serious thought about what & how much info is needed. An expanded summary care record should be enough? If not a notification anytime your record is accessed & by whom, sent to your NHS App?
Most of us never think about social care — until it's too late. Rachel Tomlinson from ‘End Social Care Disgrace’ exposes how this overlooked system is costing lives, hundreds of billions, and society’s future.
WORKING IN A HEATWAVE NHS What's it like working in your hospital right now? A red extreme heat warning is in force across 🏴 & 🏴 Tell us what conditions are really like — DAUK will write to the Department of Health with the findings Survey👇🏼 dauk.org/heatwave-sur...
LABOUR 2.0 We need less spin of data & more real solutions to ‘Bring back the family Doctor’ & ‘Cut waiting lists’ Labour manifesto pledges Wes has failed @andyburnham.bsky.social So many solutions not being listened to
Black hole of medical student funding: NHS trusts have failed to account for over £400m meant for training future Drs. More than £1.7bn intended for training medical students was given to trusts in 🏴 from 2020-23 But £400m remains unaccounted for😳 www.bmj.com/content/393/...
Designing care around the patient is vital in reforming healthcare in the UK Silo working & budgets creates a Magic Roundabout of care not a journey Eg immunisation of the willing means budgets split between providers, it doesn’t incentivise reaching the vulnerable unvaccinated
Labour’s 2nd Year Report Could do a lot better! When people voted, they expected waiting lists to come down because more people were being treated not just removed from waiting lists! Full episode here👇🏼 youtu.be/-9GVg165b0E?...
NOT THE NHS AGAIN! Labour’s 2nd year report - Could do a lot better! In this episode, the hard truths behind waiting lists, private sector profiteering, & the urgent need for genuine funding Tired of the spin this episode is your wake-up call youtu.be/-9GVg165b0E?...
Looking at one small part of practice “performance” doesn’t take into consideration all the other factors and work being done. Until a full picture of workload and workflows is available, it’s wrong to use this as a way to measure & worse still “performance manage” practices
The most important slides at NHS ConfedExpo were these ones delivered to a group of GPs in a small meeting room Focus on Access means less continuity But less continuity reduces access Patients suffer Can’t see a GP blame MPs @skinnock.bsky.social @nhsconfed.org
There are already 6300 Neighbourhood centres in the community within walking distance of 85% of the population, in a city like Manchester people can access hospitals relatively easily. Rural communities need local access.
What are we trying to invent here? Is it outpatients in the community or is it actually community care? A mixed up approach, going on here, & I’m concerned that we are missing something in terms of what we already have, and how do we integrate that better www.pulsetoday.co.uk/news/premise...
The ‘right drift’ in the NHS from Community to Hospital has been relentless for the past decade Primary care - GPs, Dentists, Pharmacies has seen it’s share of NHS budget fall to 8%, dealing with 90% of patient contacts NHS trusts less productive, Primary care more productive🤷🏻♂️
Independent prescribers - 72% are Drs It’s important that training, supervision & defined scope of practice is clear Drs have by nature of their training had wider/broader scope, knowledge & training in seeing undifferentiated (undiagnosed) patients www.nuffieldtrust.org.uk/sites/defaul...
Single Patient Record is it needed? Or actually do we really need a more detailed Summary Care Record which is already available? There are some advantages but also many disadvantages, most people don’t need access to all your GP records Either way NO to Palantir in either (Holiday birdsong)
Entrusting the future to AI and in particular Palantir Don’t do it!
NOT THE NHS AGAIN! Magic or is it? Tony Blair in the news is a reminder that the Blair Govt were responsible for PFI, with hospitals, schools left with huge payments for years. 70% more costly than Govt borrowing! PFI & PPP (Public-Private Partnerships) youtu.be/VA2_ojbgS-4?... @weownit.org.uk
Curiously, the people redesigning NHS employment models are rarely redesigning their own terms and conditions. In every NHS reform, insecurity seems to travel downward. myemail.constantcontact.com/Even-more.ht... @roylilley1.bsky.social
You could be on the other side of the street from another GP surgery and not be able to offer a service, just because you’re in a different ICB It’s a lottery, depending on which part of the country you’re in! It could be you! 🤞🏼 www.pulsetoday.co.uk/analysis/spe...