Meeting the London Challenge Dr Michelle Drage, MBBS, FRCGP Chief - - PowerPoint PPT Presentation

▶
meeting the london challenge
SMART_READER_LITE
LIVE PREVIEW

Meeting the London Challenge Dr Michelle Drage, MBBS, FRCGP Chief - - PowerPoint PPT Presentation

Apr 08, 2024 130 likes •407 views

Meeting the London Challenge Dr Michelle Drage, MBBS, FRCGP Chief Executive Londonwide Local Medical Committees www.lmc.org.uk Welcome Thank you and well done for making the time to come. Its invaluable to have over 300 of you

slide-1
SLIDE 1

www.lmc.org.uk

Dr Michelle Drage, MBBS, FRCGP Chief Executive Londonwide Local Medical Committees

Meeting the London Challenge

slide-2
SLIDE 2

www.lmc.org.uk

Welcome

  • Thank you and well done for making the

time to come.

  • It’s invaluable to have over 300 of you here

from across so many roles in general practice.

slide-3
SLIDE 3

www.lmc.org.uk

I’m looking forward to seeing everyone engage: @LondonwideLMCs #GPStateOfEmergency (more later) Facebook.com/LondonwideLMCs Photos in the exhibition hall #teamlmc Thunderclap (more via email)

Get involved

slide-4
SLIDE 4

www.lmc.org.uk

Why am I so pleased you’ve found the time?

Clinical workload up in the last 7 years

16%

London practices with a GP vacancy

?

29%

slide-5
SLIDE 5

www.lmc.org.uk

The London Challenge

  • Workforce pressures – 39 practices out of 644

responding to our recent survey are considering closing in the next three years.

  • Rising population – by 2020 the population of

London will be 9.2 million, up 500,000 on 2014.

  • Increasingly unhealthy patients, with multi-

morbidity that was confined to people in their 60s and 70s, being seen in people in their 40s and 50s.

  • High levels of economic deprivation and

accompanying social factors driving ill health.

slide-6
SLIDE 6

www.lmc.org.uk

The national challenge

  • 37% of English practices have a GP planning on

retiring in the next 12 months and 9% have one considering leaving UK general practice.

  • 10% of English practices believe they are

financially unsustainable.

  • 600 GP training places left unfilled, around 20%
  • f those offered last year.
slide-7
SLIDE 7

www.lmc.org.uk

The NHS position

  • Not enough money: the £8bn that’s been

announced just keeps the NHS standing still.

  • Not enough support services: £200m cut from

public health last year and council spending down 23% per head since 2009.

  • Not enough joiners, putting the future of the

GP model in question.

slide-8
SLIDE 8

www.lmc.org.uk

Five Year Forward View

"Over the next five years the NHS will invest more in primary care, while stabilising core funding for general practice nationally over the next two years…" Published October 2014

slide-9
SLIDE 9

www.lmc.org.uk

The impact on GPs

The Commonwealth Fund’s 2015 international survey of general practitioners found that in the UK:

  • 95% of GPs find general practice extremely, very
  • r somewhat stressful.
  • 22% of GPs have been made ill by the stress of

work in the last 12 months.

  • 70% of GPs find it very or somewhat difficult to

coordinate care with social services or community providers.

slide-10
SLIDE 10

www.lmc.org.uk

What’s the effect on the front line?

“Boiling Frogs”

The changing role of general practice and its impact:

‘If you take a frog and you stick it in some very hot water it will jump out, it won’t like it. If you take the same frog and you stick it in a pan of water and you just very, very slowly warm it up, it will adapt to the change, to the point that […] you can actually just boil the water and [...] because it’s so well used to adapting, it won’t realise that it’s actually dying!’ (GP6) ‘A lot of GP meetings that I used to go to they used to go on about “boiling frogs” and they said they keep on increasing the workload on GPs who are adapting to the point where they all crack and then say “That’s it, I’ve had enough!”.’ (GP6)

slide-11
SLIDE 11

www.lmc.org.uk

Put simply, we face

Decreasing funding Increasing patient numbers Decreasing GP numbers

slide-12
SLIDE 12

www.lmc.org.uk

#GPStateofEmergency

slide-13
SLIDE 13

www.lmc.org.uk

  • Patients risk losing their GPs unless pressures on

general practice are dramatically eased.

  • General practice is at breaking point, that’s not safe

for patients or staff.

  • Visit www.GPSOE.org.uk for emergency resources

that will help you through the #GPStateofEmergency.

#GPStateofEmergency

GPs in London and across the country declare a #GPStateofEmergency

slide-14
SLIDE 14

www.lmc.org.uk

Look inside your lanyard We’re at Arsenal’s home ground, so who do we want to show the Red Card to?

#GPStateofEmergency

slide-15
SLIDE 15

www.lmc.org.uk

Bullying bean counting bureaucracy

#GPStateofEmergency

slide-16
SLIDE 16

www.lmc.org.uk

Over inspection

#GPStateofEmergency

slide-17
SLIDE 17

www.lmc.org.uk

Indemnity costs

#GPStateofEmergency

slide-18
SLIDE 18

www.lmc.org.uk

What can GPs do?

Push back against non-core demand Focus on what’s immediately necessary for care

Get patients

  • nboard

#GPStateofEmergency

slide-19
SLIDE 19

www.lmc.org.uk

What are Londonwide LMCs doing?

See more at www.GPSOE.org.uk and on our stand.

Providing resources

#GPStateofEmergency

slide-20
SLIDE 20

www.lmc.org.uk

Representing London GPs to other decision makers in health and care

slide-21
SLIDE 21

www.lmc.org.uk

Red cards at the ready!

#GPStateofEmergency

slide-22
SLIDE 22

www.lmc.org.uk

Stoked-up demand

#GPStateofEmergency

slide-23
SLIDE 23

www.lmc.org.uk

Secondary care dumping

#GPStateofEmergency

slide-24
SLIDE 24

www.lmc.org.uk

Letting down patients

#GPStateofEmergency

slide-25
SLIDE 25

www.lmc.org.uk

Letting down our loved ones

#GPStateofEmergency

slide-26
SLIDE 26

www.lmc.org.uk

#GPStateofEmergency

Thank you!

#GPStateofEmergency

Thank you!