Longer GP opening hours branded wasteful 'PR exercise' by doctors

Published on Thursday 12 March 2009 20:55

THE practice of making GPs open their surgeries for longer hours must be urgently reviewed, doctors' leaders said yesterday after the scheme was branded a "PR exercise".

A British Medical Association (BMA) conference heard that extended hours were a waste of NHS resources.

The head of Scotland's GPs, Dean Marshall, called for the Scottish Government to urgently evaluate the policy.

He accused ministers of relying on politically driven targets when they should be focused on policies backed up by evidence that they worked.

Nicola Sturgeon, the health secretary, defended the policy, saying there was demand from patients for extended hours.

Dr Marshall, addressing the BMA's Scottish local medical committees conference in Clydebank, questioned whether the longer hours were really improving access for patients who would struggle to see them during a normal working day.

"So far, anecdotal evidence suggests that in urban areas, appointments are filled by those who could come during the day – the elderly, the unemployed, the long-term sick – while in rural areas, appointments are not taken up and GPs sit in empty buildings waiting for a 'demand' that doesn't exist," he said.

"In these difficult financial times is it really appropriate for us to be wasting resources on what is effectively a PR exercise?"

Dr Marshall also criticised plans to remove health visitors working in GP surgeries – doctors in Glasgow had already successfully campaigned for the plan to be put on hold there.

He also expressed concern over the failure of the vaccination programme for cervical cancer to deal with girls who had already left school, saying the programme should have been organised nationally rather than passed down to health boards.

Dr Marshall also said he wanted doctors and patients to play a part in deciding the future of general practice.

"I am not sure we can always reconcile the two, but by raising the debate it will demonstrate clearly the reality of providing a comprehensive service within a limited budget," he said.

The conference also heard from GPs concerned about the demands on practices at a time of limited resources.

Dr Tommy Malloch, a GP in Ayrshire and Arran, said it would be irresponsible for a government to finance health initiatives at a time of recession.

He said: "The consequences of this recession is that there may be mass unemployment, debt default, social disintegration, and all that will have an impact and demand on our services which still remains seeing patients."

Ms Sturgeon defended the measures the Scottish Government had put in place to improve access for patients.

"Thousands of working people are now benefiting from improved GP access," she said. "The decision to offer extended opening hours is taken voluntarily by the surgery and the fact that 60 per cent of practices are now offering this service shows quite clearly there is demand."

Other debates backed by doctors yesterday included calls for patients to receive cancer treatments appropriate for them regardless of their ability to pay a top-up fee.

Dr Tricia Donald, a Lothian GP, said: "We feel that all patients should be able to have access to these alternative treatments if their clinician feels they may have the possibility to benefit."

The BMA also backed calls for further safeguards and audits on patients' emergency care summaries – electronic records of basic health information – to make sure they were not accessed inappropriately.

MSPs APPROVE PLANS FOR ELECTED HEALTH BOARDS

MSPs last night approved plans for the first direct elections to health boards.

The Health Board (Membership and Elections) Bill will also see 16- and 17-year-olds being able to vote in elections for the first time.

Nicola Sturgeon, the health secretary, welcomed the move as a "boost for democracy".

The public will now be able to stand for and vote in health board elections for the first time next year in two yet-to-be-chosen pilot areas.

The results will be studied before Holyrood decides whether to extend them.

"Elected health boards will give power back to local people," Ms Sturgeon said. "They represent a major boost for democracy and accountability.

"They are the best way of ensuring that boards will no longer be able to ride roughshod over community opinion, as has happened in the past. The voices of people whose taxes pay for the NHS will now have to be listened to and acted upon."

Elected members – including councillors and those directly elected by the public – will form a majority of health board members. The remainder will be health service professionals.

Labour health spokeswoman Cathy Jamieson said the party was behind the Bill.

"There are communities who feel their views have not been adequately represented by health boards in the past," she said. "That is what we need to change when this Bill is implemented."