Written evidence submitted by Dr Sebastian Morton (FGP0165)


               What are the main barriers to accessing general practice and how can these be tackled?

               The main barriers are a growing population with increased elderly and a declining GP workforce. ARRS roles help but ultimately GPs hold the responsibility for making decisions / prescribing and managing primary care.

              To what extent does the Government and NHS Englands plan for improving access for patients and supporting general practice address these barriers?

              It increases pressure on a dwindling workforce which has been u see attack from the right wing media.

              What are the impacts when patients are unable to access general practice using their preferred method?

              Government or NHSE need to have an honest discussion with public about access and funding and the necessary taxation. It is not possible to meet demand based on desire rather than need with current funding for primary care.

              What role does having a named GPand being able to see that GPplay in providing patients with the continuity of care they need?

              Evidence supports continuity of care but one cannot maintain continuity of GP whilst also using other roles such as PA / paramedic etc under the ARRS.

               What are the main challenges facing general practice in the next 5 years?

               Ageing population, growing population, dwindling GP numbers, keeping pace with medical advances within the NHS budget

               How does regional variation shape the challenges facing general practice in different parts of England, including rural areas?

               Under current funding arrangements inner city GP practices can be less well funded than rural practices this affects the level of staffing and as such services surgeries can offer

               What part should general practice play in the prevention agenda?

               A significant role alongside other team members within primary care

               What can be done to reduce bureaucracy and burnout, and improve morale, in general practice?

               Agree funding over several years to give certainty and the ability to plan. Dont blame GPs for a failing healthcare system which they are striving to prop up.

               How can the current model of general practice be improved to make it more sustainable in the long term? In particular:


               Is the traditional partnership model in general practice sustainable given recruitment challenges, the prioritisation of integrated care and the shift towards salaried GP posts?

               Yes the partnership model should stay it is an efficient model to maximise the output / service provision with limited funding available. Let GPs get on with the job they know.

               Do the current contracting and payment systems in general practice encourage proactive, personalised, coordinated and integrated care?

               Yes. PCNs and ICS have increased the ability to work across systems

               Has the development of Primary Care Networks improved the delivery of proactive, personalised, coordinated and integrated care and reduced the administrative burden on GPs?

               There is a degree of bureaucracy involved in running PCNs which if reduced would free up GP time.

               To what extent has general practice been able to work in effective partnerships with other professions within primary care and beyond to free more GP time for patient care?

               The additional roles are useful and help provide more holistic care and provide a link with other services. Care coordinators, social prescribers and physician associates are particularly useful


Dec 2021