FAMILY DOCTORS ARE BACK…TO SOLVE A&E CRISIS

By DAVID WOODING
TRADITIONAL family doctors will to make a comeback under plans to tackle the A and E crisis.
GPs will be relieved of box-ticking chores and given more time to care for patients.
Health Secretary Jeremy Hunt hopes it will divert A THIRD of people away from over-stretched casualty departments.
Up to 6.5 million people go straight to hospital because they can’t see their GP, chemist or paramadic.
But Mr Hunt believes the return of old-style family practitioner responsible for their patients 24/7 will ease the pressure.
ImageReforms to be unveiled this week will put GPs “back in the driving seat” of health care.
From next April, old and vulnerable patients will be guaranteed a “named” GP who knows their medical history.
It is the first step towards tearing up Labour’s controversial contract which he blames for queues outside A&E units.
The right will be rolled out to other groups over the next four years.
In an exclusive interview with The Sun, Mr Hunt said; “Since 2004, we’ve made it easier and easier to get into A&E and harder to go and see a GP.
“The average wait in an A&E is 50 minutes. Compare that with how hard it is to get an appointment with your GP when you phone up.
“It’s not because GPs aren’t working hard, it’s just that Labour changed the nature of their job.
“Now they are only responsible for people on their list when their doors are open. Once they close up shop it’s someone else’s job.”
Mr Hunt also wants to phase out targets will force GPs to take a certain number of blood pressure readings or ask people how much many they smoke or drink – whatever their ailment.
He said: “I’m not joking. They get paid by asking people on their list a series of questions and the taxpayer pays them. This is what the contract introduced.
“You get the situation where a patient comes in with a fever and the GP says I need to ask you 16 other questions. That’s got to change. You’ve got to feel when you see your GP that the GP is there for you and is looking at the whole of you.”
He stressed: “It’s not about saying GPs must work harder, it’s about changing the structure which makes it impossible for them to be the family doctors they wanted to be when they joined the profession.
“If you go to a GPs’ surgery now, it is like a mini A&E and some feel they are fending off the hoards at the gate and the moment the phone lines open there is a whole queue of people trying to get through.”
The pressure on GPs has in turn led to people going straight to casualty for out of hours problems that could be dealt with by a family doctor.
Seven in ten unplanned admissions are over-65s. They also take up more time because some have multiple conditions which a family doctor could deal with quicker.
Hospitals also feel the pressure on bed space because consultants are less willing to release a patient unless they are sure they have got care at home.
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Mr Hunt added: “There is a group of patients who most of the time probably shouldn’t be going to A&E at all and these are the people who we’d look after much better if we proactively supported them so they didn’t need to go to hospital in the first place.
“Labour’s GP contract changes in 2004 destroyed the personal link between patients and their GPs by abolishing named GPs. As a result we have too many forgotten old people being pushed from pillar to post between hospital, social care and their GP surgery.
“That is the biggest single thing we can do to make A&E sustainable going forward.”
Mr Hunt said his aim was to tackle health issues outside hospitals as well as inside.
He has introduced Ofsted-style ward inspections to prevent a repeat of the Mid-Staffs scandal.
But he added: “It is also about people being left alone who actually need our NHS to be there for them. This is what will transform the NHS in the long run and make it a sustainable organization.
“The changes I will announce next week will mean there is someone looking out for you them the whole time, someone from the NHS who is there for these people.”
But last night doctors’ leaders warned the plan would fail without extra funding.
Mike Pringle, president of the Royal College of General Practitioners, said: “They are overwhelmed by the workload they are expected to deliver.
“We have got to start to build general practice, not blame it, not victimise it.
“We have to invest in it if we are going to solve these problems. And I am sure the Secretary of State recognises that.”
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1,000 matrons jobs go

By DAVID WOODING

A THOUSAND matrons have vanished from hospitals in the past three years – despite David Cameron’s pledge to give them more clout.

NHS figures show that one in six of the top nursing jobs have gone since Labour’s last year in power.

It emerged just months after the PM promised to have more figures of authority on the wards.

Mr Cameron said:  “Nursing needs to be about patients not paperwork. People want to see a figure of authority on the ward. Call them a matron, a ward -sister, or a team leader.”

But official figures show the number of modern matrons has fallen from 5,035 to 4,157 between 2009 and August this year.

Community matron numbers were down from 1,552 to 1,391 over the same period, according to statistics published in the Commons.

Labour said the figures were a blow to moves to improve leadership and cleanliness on wards.

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Shadow health minister Andrew Gwynne (pictured above) said: “David Cameron promised to back matron, but he’s sacked matron instead.

“A formidable matron on a hospital ward goes a long way to reassure patients. They lead the nurses and make sure wards are spotless. Yet the Prime Minister’s spending cuts have cost the NHS a thousand matrons.

“Without strong leaders on the wards patients will pay the price. Ministers are taking unacceptable risks with standards of patient care. They cannot continue to ignore the warnings from nurses’ leaders.”

A Department of Health spokesman said: “The NHS needs senior nurses to lead patient care at ward level. We want to see more of that – not less. But this data is wrong, as it doesn’t take account of four different types of senior nurses.  Looking at matron numbers alone is simplistic.
“We want to free up nurses’ time so they can spend it with patients – not with paperwork.”