Scottish Daily Mail

IN MY VIEW... Part-time GPs should work in A&E

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THERE’S clearly a desperate shortage of GPs. The question is, how do we resolve this?

Recently the Health Secretary Sajid Javid said he was ‘not going to pretend’ that plans to recruit a further 6,000 GPs by 2025 are on track. It seems general practice does not have the draw that it once did.

Talking to a younger GP colleague recently, I was surprised to learn of a general misapprehe­nsion that in the 1970s and 1980s, when I started out, we had it easy, with so many GPs to go around.

It’s true that back then there might be 50 applicatio­ns for every partnershi­p post in general practice, but the work itself was hard. For many years, my nose was on that grindstone of alternate nights and weekends on call, and I have my old diary recording 21 home visits during one on-call weekend.

We now live in a different world, with red tape and a growing older population creating additional work — and recruiting new GPs is clearly challengin­g.

Perhaps the answer is to redeploy those we do have. Many now prefer to work part time, opting for a three-day week. I suggest these GPs should be directed into staffing the GP units which form part of many A&E department­s.

It could save the hospital emergency medical teams spending so much time engaged in general practice activity, rather than emergency medicine, as now happens due to low levels of GP involvemen­t in out-of-hours cover.

Working within an A&E unit, these doctors would not be burdened with admin or other non-clinical activities — which are just the kind of things that put so many off joining general practice.

If I had my time again, this certainly would appeal to me!

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