Two weeks ago we asked our RGPAS (Rural GP Association of Scotland) members to provide feedback to the Committee in order to identify the latest views, opportunities and concerns about the new GP contract in Scotland.
Our members responded positively and rapidly. 66 responses were obtained over the week (over 50% response rate), the majority of which included considerably constructive comments. Members were aware from the outset that all responses would be anonymised and published, and we are pleased to make this version available for download today.Download the RGPAS March 2018 Members’ Survey on the new GP contract (PDF)
We believe that this represents an accurate snapshot of the current views about the contract and its anticipated impact on Scotland’s rural communities. Chair of RGPAS, Dr David Hogg, wrote this blog a few weeks ago outlining why our Scottish Government needs to pay more attention to these concerns.
The RGPAS Committee and its members stand ready to engage positively with the Scottish Government to help provide the perspective that seems to have been sorely lacking in the negotiations leading up to the new contract being agreed by our leaders in the central belt of Scotland.
We have summarised some of the outcomes below.
Here’s some quotes from the survey…
Our cluster lead has essentially hoovered up all our services to the central area where he and the other big practice are based. We no longer have physios and they tried to remove our health visitor. They are currently attempting to remove our vaccine service. The contract and the health board are a disgrace.
There is an overall sense of planning blight making it difficult to prepare for the upcoming retiral of 4 out of 10 partners by 2021 , after 3 years of waiting for a new contract to see no additional investment is having a negative impact on the practice.
Just the sense that the future is uncertain. Our practice nurse who runs an asthma clinic for us was really worried that some mainland based service would render her redundant.
It has indirectly contributed to my decision to leave my current role as a Salaried Rural GP
Yes, practices feeling unsettled, people thinking about retiring, Health Board getting even more anxious about resources, and threatening non core contracts
Impact on service planning
I am already aware that at least one IJB with a significant rural component has openly come out and stated that it feels that it will be unable financially to support/enact the changes proposed by the new contract. Although there is recognition that the stated goals of shifting work to the rest of the MDT to enable the GP to deal with complex generalism are unlikely to happen in the same way in rural practices as in suburban and urban practices there is still no clear communication about how funding for any work that is retained by such rural GPs (by necessity) may be obtained. There is no confidence that existing or proposed future enhanced services will be supported or financed.
No. In fact despite the future promises of that HB will provide all these new services, they are busy slashing things like smoking cessation.
No further cuts to date but cuts to our practice have already taken place over the last 3 years
Helping to define priorities for the rural SLWG
We used the opportunity to ask our members what they saw as the priorities for the Short Life Working Group to focus on, and there is a considerable range of constructive answers to this question. These comments will be summarised by the RGPAS Committee and we will seek to do what we can to listen to these concerns and represent them to Scottish Government. You can read all of the responses in the full copy of the survey.