It is well-known that the NHS is in crisis and little is being done to remedy it, lack of staff, abundance of patients, lack of funding and a major crisis in Social Care for similar reasons, but the Social Care crisis could be much more serious than that in the NHS. However, while the Government and all previous Government have been prepared to look at the NHS, but by doing so, they have in some respects added to the crisis, the Social care crisis is totally with the Governments due their considerable inactions and apparent indifference to Social Care.
But, while Social Care is a major factor in the NHS, lets just look at Primary Care and GP practices.
I should mention that Dentistry is also a problem and could well be as bad, if not more so than GP practices for trying to find a NHS Dentist is like ‘looking for a needle in a Haystack’, which could well be so for GP practices if the problems can’t be sorted.
There is a major shortage of GPs and newly qualified doctors are reluctant to become GPs, in fact many, while qualifying in the UK, leave the UK when qualified. This is due to the finance of GP salaries and GP surgeries and the stresses caused within practices.
Trying to obtain GP appointment even virtually by telephone, let alone face to face are very difficult and this is causing a massing of patients for GPs attending A&E instead, causing even more lengthy delays in A&Es making it impossible to meet ‘targets’, especially the 4 hour wait and thereby creating problems for ambulances having to wait outside hospitals as they are unable to transfer their patients into A&E.
But GPs in short supply in GP practices are not the only problems as obtaining other staff are also problems, as there are insufficient receptionists, practice nurses and others. So major stresses for all concerned.
Then with practice expenses increasing, not only staff salaries, but there are also energy price increases and price increases for products used in the surgery, such as cleaning and PPE and others.
In fact, instead of stating the problems, it could be easier to state what is going right or not a problem.
Well, just the NHS, as with all the problems the NHS is still better than health services in other countries, especially as it is, mostly free at the point of delivery, with the exceptions of Dentists, Opticians and prescriptions, but they are still heavily subsidised.
The NHS was and still is a great concept and one that we need to maintain and have much less privatisation, which is creeping into the NHS.
But the Government, when we eventually have one, needs to sort out the finances, before the NHS and also Social Care disintegrates into nothing.
Source: Huge rise in GP expenses could make some practices unviable within two years | The BMJ