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New GP Standards Announced for Wales

holyshedballs profile image
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Peter Russell. New GP Standards Announced for Wales - Medscape - Mar 20, 2019.

New GP standards have been introduced in Wales in the light of recent survey results which suggested a decline in public satisfaction with services and increased concerns about the ease of making appointments.

The Welsh Government said that people in Wales deserved to know what to expect when they sought advice on health and wellbeing.

The Royal College of General Practitioners (RCGP) Wales welcomed the results that showed most patients were satisfied with the services offered by their GP despite "difficult circumstances" in which rising patient demand outstripped capacity.

Patients' Expectations 'Not Being Met'

Vaughan Gething, health minister for Wales, said: "I know GPs and their practice teams are under pressure to meet demand but I also know people's expectations on GP access are not currently being met."

The Welsh Government said a recent national survey showed that 86% of patients were satisfied by their GP practice services in 2017-18, a fall of 4% on the figure for 2016-17.

Also, 42% of participants found it difficult to make an appointment at their practice in 2017-18, an increase from 38% in the previous year.

New Standards

The set of standards unveiled today for Wales said that:

People should receive a prompt response when they phone their GP practice

Practice telephone systems should be able to handle calls without patients having to call back to get through

Bilingual information on local and emergency services should be available when patients contact a practice

Information on how to get help and advice should be available

The right care at the right time should be offered in a 'joined up' way, based on patient needs

Patients should be able to contact a GP practice in a number of different ways

There should be an option to email a practice to request a non-urgent consultation or a call back

"Today’s announcement is not about putting additional pressure on our GP services, it is about them delivering a level of service patients in Wales should expect as a minimum," Mr Gething said. "For many practices across Wales, the standards I’ve announced today will already be in place, but for others this will be a journey of improvement.

"Over time I would like to see these standards developed further so that services are continually improving for the citizens of Wales."

GP practices in Wales, and their local health boards, have been told they must comply with the standards by March 2021, the RCGP said.

Financial support to help them achieve those goals would be announced in due course, the Welsh Government said.

RCGP Called for Increased Funding

Dr Peter Saul, joint chair of RCGP Wales, commented: "GPs always strive to deliver the highest standard of patient care and we are proud that the overwhelming majority of patients (86%) are satisfied with the service that they receive from their family doctor."

However, RCGP Wales said the current situation was also "concerning" for those working in the service, with 31% of GPs saying they were so stressed they felt unable to cope at least once a month, and 72% fearing that working in general practice would deteriorate over the next 5 years.

Despite sharing the minister's vision for improved GP services, this would only be achieved if funding for general practice in Wales rose to 11% of the total Welsh NHS budget, up from 7.3%, it said.

The spending boost "would mean that there would be enough GPs and members of the extended practice team in place to ensure that patients are able to receive the care that they need when they require it", RCGP Wales said.

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holyshedballs profile image
holyshedballs
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If my GP practice in England could follow half of those guidelines it'd be an improvement. Unless so I'll you need to see a dr that day you cannot now phone for a GP to phone you back. You have to fill in an online form, which I did a few days ago after 48 hours of continuous, awful pain. I received an email reply---- telling me to phone to request a GP call me to discuss it. No actual appointment to be seen and gave up trying to get through on the phone.

I hate all these guidelines everywhere whether they are good or bad is irrellevent to me. It is state control of our services and I should be decideding if my GP is doing a good service not some gove tick box. I should have a say in my care and I should be able to mark my GP after every visit and decide how good he/she was. Surgerys should decide in conjunction with their patients what their goals are. I hate the guidline espcailly Nice making decisions about my health and my children healths all decided my invisable unaccountable people who never get to see the consequences of their actions. Anarchist rant I know but just the word 'guidelines' is enough to set me off. back to my book on stoicism and some mindfulness practice. Deep breaths, deep breaths.

holyshedballs profile image
holyshedballs in reply to

in a way you can mark your GP good or bad.

You can give compliments and complaints direct to the surgery,

to the Care Quality Commission, the Clinical Commissioning Group, the Parliamentary and Health Ombudsman and the General Medical Council.

The CQC won't investigate the complaint directly but will log it and enquire about the handing of the complaint during their next inspection of the surgery. not ideal I admit but the CQC will give the surgery a score and recommendations.

The GMC will look at all complaints about a doctor when they are due for re-validation. Again its not an immediate solution but may affect the doctors registration

in reply toholyshedballs

I dont want to stand out by making complaints. I want it to be standard you visit a doctor you come out and pug marks out of 10 in a computer screen. I realise I can give feed back and fight exhausting fruitless battles if I want too. There is little point if a doctor is following beurocratic guidelines anyway. How can I complain about a doctor following nice guidelines and be taken seriously. Hate the system.

serenfach profile image
serenfach

Two local practices here in Wales have closed, and the patients shared out amongst the remaining practices. My surgery was already under strain and then they had 1600 extra patients shoved on them. Appointment times are about 7 week wait, much longer if you want to see "your" GP who has some idea of your past medical history.

You can phone between 8.30 and 9 to get an "emergency" appointment, but the phone lines are always engaged. When you finally get through they say all the slots are booked.

Last weekend there were NO GPs on duty and the only A+E was also shut due to lack of staff. This hospital covers around 384,000 people.

They are building a new "hospital" in Cardigan, having shut the old one. The new one will not have any beds. You could not make it up!

holyshedballs profile image
holyshedballs in reply toserenfach

What a state to be in. I think that The NHS is in such a mess in general and your situation is shocking.

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