'Tightly controlled' budgets mean GP practices can spend money on a social prescriber or a pharmacist, but not on more doctors, nurses or new buildings.
GPs say they want a “clean break” from NHS England funding bureaucracy so they can have more freedom to improve patient care, and tackle shortages in their own ranks.
– GP practices working together with community, mental health, social care, pharmacy, hospital and voluntary services in their local area – with strict budget criteria. “Areas within a one mile radius, never mind the whole of England, can have extremely different health population needs. Trying to stipulate from NHSE head office which type of staff can be employed in rural Lincolnshire or inner city Sunderland is ridiculous, yet it is what is happening. It’s extremely problematic.
The same report warns that the NHS is on course to have around 27,100 qualified, permanent FTE GPs by 2030/31, around 10,700 less than what it says would be needed – a shortfall of over 1 in 4 GP posts.
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