Soon we will publish our vision for the next decade, the Next Stage Review, led by the eminent surgeon Lord Darzi.
Well OK, he may not know much about GP services – but he is a respected surgeon – and believe me, this is all about the Knife ! (my little joke)
We want to create GP-run health centres that open from eight till eight, seven days a week. No current GP practices will be closed.
Just physically re-located to a different building and submerged within a vastly larger practice. Yeah, OK, fair cop, we're closing them. If you insist.
Most important, our 150 GP-run health centres will offer patients appointments and walk-in services without registration, so families can make use of them while they remain registered with their existing GP.
Or indeed not registered at all: “transitory populations”, you know …
In some major cities, such as
Yes, interesting, isn’t it - a spontaneous, grass-roots movement – probably something to do with the estuarine climate. “And who are these clinicians and managers in
That might be achieved by bringing several GPs into a single building or they may be 'virtual', with GPs in their existing practices collaborating more closely.
Several ? well actually, several dozen GPs: these shiny new
communes clinics will have patient-rolls of 50,000, you know. ‘Bringing’ ? yes, you know, as in “I am bringing these turkeys to market …”
I will insist that such decisions are taken in consultation with local people and driven by clinical evidence of what works.
But mostly whatever Lord D decides (which, let’s face it, is more or less the same as clinical evidence!), since the early consultations were *ahem* disappointing.
Controversy may well be caused by some GPs, worried that they themselves will lose out. But we have made clear that they are not going to lose funding in this process.
Indeed, taking our cue from Aneurin "I-stuffed-their-mouths-with-gold" Bevan, we intend to bribe them, as usual. Or bully them. I don’t mind which.
The Tories’ plans would make it harder to see a GP.
Well, not harder than now: harder than when we force the buggers to stay open. “My own GP ?” – no no, not your own GP, a GP, there will be loads of ’em wandering around ! The idea of a GP who actually knows you is very elitist, we can’t have that.
The scaremongering and misleading claims we have seen from the Tories, and sadly from the BMA, should have no place in the crucial debate about our health service.
Indeed, Jacqui has suggested we make it illegal for Tories and the BMA to say anything at all. Just a small amendment to her Terrorism Bill, apparently …