The Daily Telegraph

GP appointmen­ts go unused at weekend

Doctors call for rethink amid scandal of unused slots despite widespread increase in waiting times

- By Laura Donnelly HEALTH EDITOR

More than one in four GP appointmen­ts are unused at weekends, amid a “shocking” failure of policies to improve access to family doctors, an investigat­ion has found. Research from areas offering such access shows that 37 per cent of Sunday appointmen­ts are unfilled, along with 24 per cent of Saturday slots. There is also concern that GP practices are failing to tell patients that they could have out-of-hours appointmen­ts.

MORE than one in four GP appointmen­ts are unused at weekends, amid a “shocking” failure of policies to improve access to family doctors, an investigat­ion has found. Ministers have repeatedly promised to expand opening hours of GP surgeries, so that working people are able to get appointmen­ts during evenings and weekends.

But the research from areas offering such access shows 37 per cent of Sunday appointmen­ts are unfilled, along with 24 per cent of Saturday slots, and 23 per cent of weekday evenings.

This means around half a million appointmen­t slots have been left empty since April while GP waiting times rise, with a quarter of patients facing a wait of at least a week. Family doctors said the findings showed that the policy, at a time of growing GP shortages, was a “ridiculous luxury” which was making it harder for patients to get an appointmen­t during the week.

In 2014, David Cameron, the then prime minister, said every patient should be able to get a GP appointmen­t in their local area between 8am and 8pm, seven days a week, later making it an manifesto pledge.

But the policy – which is due to be rolled out nationally today – has sparked a backlash from many family doctors, who say it is costing vast sums and leaving them spread too thinly.

There is also concern that GP practices are failing to tell patients that they could have out of hours appointmen­ts.

The new investigat­ion by Pulse, comes from Freedom of Informatio­n disclosure­s from 80 of 210 NHS clinical commission­ing groups (CCG), which are responsibl­e for GP services.

The lowest take-up was in NHS Thanet CCG, in Kent, with just three per cent of available appointmen­ts taken up on Sundays, since April. In Greenwich, south London, less than 20 per cent of slots were taken on Sundays, with 21 per cent taken in Blackpool, 25 per cent in Isle of Wight and 26 per cent in Morecambe Bay.

By 2020-21, more than £500million a year is due to have been spent on schemes to expand access.

Dr Richard Vautrey, BMA GP committee chairman, said: “Because it has become a political must-do, everybody is jumping. Sensible CCGS are under pressure to maintain a service that really isn’t good value for money. That is ridiculous so I think we really do need to see much more common sense and pragmatic flexibilit­y”

Prof Helen Stokes-lampard, chairman of the Royal College of GPS, said: “To find out so many evening and weekend appointmen­ts unfilled due to lack of demand is shocking.”

An NHS England spokesman said: “Patients want quicker access outside traditiona­l surgery hours, and are increasing­ly prepared to vote with their feet to get it.”

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