GP spend share at lowest point in a decade ift.tt/SDzVQq5

Dear @wesstreeting It’s past midnight. I’m not only on a non-working day, but I’m actually on annual leave. Partners work unseen, without fanfare or remuneration, for the best interests of our patients. I am pausing now whilst the caffeine-machine boots, to point out how little you recognise of what we do. You really need to protect partnerships, for the sake of the wider NHS. You will never find anything as cost effective as us. If I was an NHS employee, my leave would be spent in garden centres, pottery painting, at theme parks and sleeping. Instead it’s an opportunity to catch up on prescribing protocols, a new CDM & medication review process to harness best practice, and a variety of other things that enhance patient care and best use of resources. Annual leave is simply an escape from clinical commitment (partly, we are still contacted about it), to provide a space we can fill with other stuff. You really, really, REALLY need to support GP partners. There is no cohort who are better value than us. Give us a contract we can work with. You really really don’t want to lose us. Honest.

Watch a bank holiday land on a GP practice. 1,346 tasks. 65 seconds. 1 second = 10 real minutes. The first hour is *insane*. You'll miss us when we are gone. @Parody_RCGP

In 1 week, it will be national policy to bounce 1/4 of GP referrals.

This should worry every GP. Hospital-led GP contracts = loss of independence, loss of voice, loss of the partnership model. This isn’t integration it’s absorption.

Has it ever occurred to you both that the reason we are more likely to be referred could be due to racism at the GMC? That you have both discounted the loyal service many of us have given to the #NHS ? Both Labour & Tories have plundered other nations to recruit doctors & nurses

🧵 GPs are asking straight forward questions about the change on Advice & Guidance to a single point of access system. I have asked the Goverment about: ▶️ clinical responsibility ▶️ evidence base ▶️ where patients are recorded on waiting lists To name a few No answers 👇 1/6

Facts vs Fiction

Over 300 of you have pushed this team to the peak of Kilimanjaro with very very kind donations and wishes And they did it. The NHS crew is over 90% of its target.Please help with the last push. If you are thinking of donating, do it today, do it now. now justgiving.com/team/thenhs-c…

General practice is vital to a healthy NHS. Yet, it is on the verge of total collapse. Our new report shows why GPs – and the vital role they play in our health system – must be valued. Read more 👉bma.org.uk/valueofagp #endGPunemployment

Great chart below/right from @TheIFS about ridiculous tax cliff at £100k cuasing *obscene* marginal tax rates. But you can draw a very similar chart (left) for higher earning doctors affected by the stupid & ill-conceived #taper which is **really damaging** waiting list recovery @wesstreeting @RachelReevesMP Doctors want to help with waiting lists, but they cannot #PayToWork RT if you want government to finally #ScrapTheTaper

Example 101 of NHS Referral forms being a way of restricting care to patients. Would a consultant to consultant referral be blocked for this? Why are GP referrals being blocked? (We don't use referral forms unless helpful ala collective action)

Our recent survey revealed 1 in 5 GPs in England plan to change their career because they can’t find work - write to your MP and urge them to support changes that will allow more GPs to work in the NHS. ✍️Write to your MP now by using our tool activism.bma.org.uk/page/166…

'If the ‘powers’ do not recognise the effectiveness of partnership model in general practice, I worry that may well backfire.' Dr Kamal Sidhu scrutinises the details of the new GP contract and asks just how helpful it will actually be for general practice buff.ly/SeyMnZb

'If the Secretary of State really wanted to support general practice, he would support the House of Lords amendment to reimburse the National Insurance costs completely like they’re doing for other NHS bodies' buff.ly/BhK8mRY

Collective action will now be aimed at ICBs rather than the Government, with GP leaders advising practices to continue at a local level despite the new contract deal. buff.ly/DBsrXAS #GPcontract #GPcollectiveaction #NHSdisputes #NHSEngland

If grassroots GPs are telling @doctor_katie "this is going to break us", the time for collective action in general practice is surely NOW. Make sure you are involved to protect your practice, your staff and your patients. bma.org.uk/our-campaigns/gp-…

GP funding per patient less than annual hamster insurance, LMCs warn gponline.com/gp-funding-per-… #GPnews @BMA_NI

Fascinating. NHSE have assessed worst case scenario of GP Collective Action. Stopping non-contractual work could cost the NHS £570m in the first 4 months. Extrapolated - @NHSEngland have just admitted General Practice is doing £1.7billion of non-contractual work every year

NHS consultant may have to leave UK after Home Office denied teenage son's visa inews.co.uk/news/health/nhs-…