It was always possible to see a GP the same day for an emergency and to make an appointment within a reasonable timescale for non-emergencies.
Nowadays... it seems the NHS is almost an emergency-only service.
I think it is a good thing that patients are being redirected to other professionals, such as prescribing nurses and pharmacists, when appropriate. GPs don't need to see everyone.
Also, fantastic that we have Urgent Treatment Centres (UTCs) or Walk-in Centres (WICs) or Minor Injuries Units (MIUs). These offer an alternative to A&E.
People can turn up without an appointment for urgent medical help for non-life-threatening conditions when you can't get a GP appointment, like sprains, cuts, infections, and minor head injuries, without needing an appointment.
But still, often you need to see YOUR local GP for an ongoing condition:
- You don't need to see them that day, but that same week would be ideal.
- You don't want to see the locum who you will never see again.
- You do need to see a doctor and not a different clinical person (such as a PA or nurse)
The ONLY way this is going to be fixed is by employing more GPs. There have to be more NHS budget ringfences to employ more GPs.
It isn't that GPs need more pay (although I'm sure they would like more) it is that there aren't enough GP posts being funded. Across the country, there are qualified GPs who are unemployed. They'd love a job. They trained for years to be qualified.
There are unemployed GPs: this is a scandal.
In September 2015, there were 50.2 GPs for every 100,000 people in England. This had fallen to 43.3 for every 100,000 people by December 2024
So there used to be 5 GPs for every 10,000 people and now there are only 4.
It's as if every village or small market town has lost one of its doctors.
Another way of looking at it is that every GP used to have 1,992 registered patients, and now they each have 2,309.
And that means every GP's workload has increased by 16% in theory, though, as they have a team to help them, it isn't so straightforward, but the responsibility does ultimately lie with the GP.
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Many GPs choose to work part-time. But many would like to work more hours.
If we add them all up together to get full-time equivalents rather than the number of people, then there are actually fewer GPs working today than there used to be, even though we have a bigger population.
There were 29,364 FTE GPs in September 2015 and 28,516 today.
How Many More GPs Do We Need?
There isn't a definitive figure about how many GPs we need.
On the one hand, the cases they see and manage are more complex than ever, and the BMA recommends they see no more than 25 patients per day.
On the other hand, there are other professionals seeing patients (nurses and pharmacists, for example). It's clear we need to step things up, perhaps with an immediate increase of 500 GPs, with a further 500 as quickly as possible.
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Additional notes:
It's not all about funding.
Attracting GPs to jobs and keeping them is an issue.
GPs are just as frustrated by the system as patients. They want to be family doctors, offering continuous care and getting to know their patients (like what used to happen). That's what attracted them to the job.
Today's NHS offers them a poor working life, with lower job satisfaction than they expected, which is why many of them leave or want to leave.













