You can download the RGPAS response here.
More comment to follow.
You can download the RGPAS response here.
More comment to follow.
Tickets for the 2018 GURRMS (Glasgow University Remote & Rural Medicine Society) are set to go on sale for students tomorrow evening. Following on from the highly successful GURRMS 2017 conference that was held on Islay last year, GURRMS 2018 is set to take place in Portree on the Isle of Skye, at the Aros Centre from 23-25 March, and another action-packed and stimulating programme is taking shape.
I caught up with the chair of GURRMS, James McHugh, this afternoon to find out more about how plans are coming together. Once again a full range of speakers has been organised, and the committee are busy sorting out finances and logistics to ensure that this year’s event runs smoothly. Kudos to them given that these guys are also coming up to their final exams, with the stresses and time involved with that.
Full details will be announced over the next while on the GURRMS Facebook page, and tickets are due to become available in the next day or so. Last year’s event sold out within hours and so be sure to keep an eye out for the tickets being launched.
GURRMS 2018 is receiving financial support from RGPAS (the Rural GP Association of Scotland) along with a number of other funding streams, and RGPAS has been keen to support and encourage student activities like this, so we’re delighted to see plans take shape so promisingly.
We wish the best of luck to GURRMS in running their second conference, and we’re looking forward to meeting students who are keen to find out more about rural practice – see you in Skye!
Last night’s BMA Scotland webchat with the Scottish GP Committee (SGPC) about the new GP contract was an opportunity for GPs across Scotland to engage with our negotiating team to find clarity, response and reassurance (where possible) about the new contract.
We appreciate the time that our SGPC colleagues took out of their evenings in order to provide this session, which you can view here https://www.bma.org.uk/connecting-doctors/my_working_life/p/gpcontractwebchat
RGPAS wishes to respond to an SGPC comment last night in relation to the map that has been published in the last few weeks showing which practices stand to gain from the proposed workload allocation formula. Concern was expressed that the originally published map was incorrect, as red dots had been used to indicate practices who will see no difference and no additional funding compared with their 2017 funding.
And so we are very happy to issue a revised map which makes this correction – see the map above.
The green dots indicate GP practices that will gain additional funding – or maintain current funding – and the red dots indicate practices which will see a fall in their allocated income as a result of the proposed formula. These red practices will – in Phase One of the proposals – require ‘protected income’ to keep their funding in line with 2017 funding as otherwise they would see drops of up to 85% in funding for patient care.
We’re surprised that this clarification is required, not least as we see very little difference between the maps.
There are significant concerns about the way in which the workload allocation formula has been devised, and from the graph below it can be seen that there is an obvious skew against rural practices.
This, however does not tell the whole story – our Deep End GP practice confreres – who represent the GP practices serving the most deprived communities in Glasgow – have expressed their own concerns and surprise that health inequalities do not seem to be adequately addressed by the proposed contract.
Meantime, RGPAS remains committed to representing the needs of its members, and the wider needs of rural GP practices in Scotland and their communities. Several weeks ago we published our official response to the new contract, including positive ways that we firmly believe RGPAS can assist with the process of further negotiation and shaping the future of Scottish primary care. You can download the report ‘Looking at the Right Map’ by clicking the image on the right.
Rural GPs can join RGPAS here: http://www.ruralgp.scot/join (£20 per annum membership).
You can view our letter to Cabinet Secretary Shona Robison (response awaited).
Here’s some recent news coverage regarding RGPAS concerns:
The Rural GP Association of Scotland (RGPAS) today publishes its response to the Scottish GP contract proposals. Following much discussion on our members’ email discussion group, RGPAS videoconferences and wider engagement on social media and contract roadshows, we have collated the opportunities and challenges that we believe to exist in the proposals.
We recognise that a new vision for the future of Scottish primary care is vital. We are keen to collaborate and inform the development of these plans in order that Scotland’s rural communities (at least 18% of the Scottish population) are represented appropriately.
You can read the GP contract proposal at the BMA Scotland website.
You can find out more about RGPAS at www.ruralgp.scot
Dr Patrick Byrne, consultant at the Belford Hospital in Fort William, was involved in hosting a visit from a delegation from the Philipines. This article featured in Lochaber Life Magazine earlier this month. It has been reproduced here with the kind permission of Iain Ferguson of the Write Image (picture credits to Iain too).
The Belford Hospital continues to punch above its weight on the national and international stage, welcoming a delegation from the Philippines a few weeks ago. The visit was part of a week-long study tour to the UK by Presidents and delegates from the Philippine Royal Colleges of Physicians, Surgeons, Paediatricians and Obstetricians and Gynaecologists, alongside officials from the Philippine Ministry of Health.
Teaching & training for most healthcare providers in the Philippines tends to be concentrated in the largest hospitals in cities, ignoring the district and rural locations. This is in contrast to the UK where every hospital has a role to play and sometimes the best experiences and training is to be found in the smallest facilities, where one-to-one supervision from consultant teachers is often the norm, not the exception. The purpose of their study tour was to learn from UK practices, specifically how supporting and investing in rural hospitals leads to a more efficient healthcare system across the region, and the country.
Led by the immediate Past President of the Royal College of Surgeons, Mr Ian Ritchie (who has family ties to Corpach), the delegates specifically requested to see an example of good training in a small hospital of approximately 100 beds. Mr Ritchie replied, “I can bring you to a 34-bed hospital where training and patient care is not just good, but excellent”. The importance of this visit, was underlined by the presence of the most senior NHSH personnel – Prof Elaine Mead (Chief Executive Officer), Mrs Gill McVicar MBE (Director of Operations) and Dr Emma Watson (Director of Medical Education).
Each, in turn, reiterated the importance of consultant-led services and training at Belford Hospital, both now and going forward. However, it was Miss Alison Bradley, a former Belford trainee, now a senior surgical registrar in Glasgow, who captivated and inspired everybody, proving that rurality is no impediment to ambition; quite the opposite, in fact, as she explained the details of her PhD research into pancreatic cancer.
Mr Ritchie said, “It was very clear to all who visited that numbers of beds is not an indicator of good training, it is that key relationship between a trainer and a trainee which, in Fort William, you all demonstrate to a very high degree. The high point was certainly the Belford.” In her letter of thanks, on behalf of the College of Paediatrics, Dr Cynthia Daniel echoed this, adding “I am certain with you and the rest who share the same passion for training and service, Belford Hospital should be safe for the next 150 years and beyond”.
GPs, GP Trainees, Foundation Year Doctors, Locums and Practice Managers across Ayrshire and Scotland.
To promote our fantastic GP community, provide CPD and raise the profile of practices within the Ayrshire and Arran locale.
We are proud to welcome BMA’s Chair of the Scottish GP Committee, Dr Alan McDevitt, who will be discussing the ongoing contractual negotiations and will provide information on the current conversation with regard to the progress of the debate. 5 CPD credits are available to any practitioner who attends the event and participates in the educational workshops.
Once again, we hope to welcome both new and experienced rural health professionals, and we have a stimulating programme lined up to cover a wide spectrum of topics which are relevant to rural general practice in Scotland. You can view information, statistics and feedback from previous conferences here.
This year, conference registrations should be made online. Until September 1st, registration will be restricted for current RGPAS members. After September 1st, registration will be open to all.
The cost of conference registration is £130, which includes catering (including Thursday lunch for RGPAS members attending the morning event), the conference dinner and wine on the Thursday evening. There are no single-day tickets and we hope that this is seen as excellent value for a 2.5-3 day conference.
Trainees can register for £65 (half price), and students who are successful in achieving a student scholarship will be asked to pay a nominal £10 registration fee.
Accommodation should be booked directly with the Craigmonie Hotel (01463 231 649) – unless you wish to stay elsewhere – and special rates are available on mentioning that you are attending the RGPAS conference.
Never have I been to a conference so friendly, so relaxed, and so full of life.
Read more in student Catherine Lawrence’s conference review…
More details about our 2017 Student Conference Scholarships are available here.
0930 Registration for RGPAS morning
1000 RGPAS members update :: Dr David Hogg (Chair, RGPAS)
1030 The Scottish Rural Medicine Collaborative :: Ralph Roberts (Chair, SRMC)
1100 The New GP Contract :: Dr Andrew Buist (Deputy Chair, BMA Scottish GP Committee)
1130 Open Discussion
1230 Lunch (provided to members attending above session)
1300 Main Conference Registration
1330 Main Conference Welcome & welcome to students :: Dr David Hogg & Dr Catherine Todd
GPs don’t do OOH any more do we? (Session Chair: Kate Dawson)
1345 BASICS Scotland Update :: Dr Ben Price (Assistant Medical Director, BASICS Scotland)
1415 NHS24: Challenges and Opportunities :: Dr Anna Lamont (Associate Medical Director, NHS 24) and Billy Togneri (Clinical Service Manager, NHS24)
1445 Sponsors’ Spot 10 mins each for Eden Medical, Head Medical and Novacor
1515 Coffee Break
1530 ScotSTAR: Update on Service Development :: Dr Drew Inglis (Associate Medical Director, ScotSTAR)
1600 The SAR helicopter service in Scotland: what has changed? :: Duncan Tripp (Winchman Paramedic, Bristow Search & Rescue)
1630 Open Discussion
1700 Rural LGBTQ+ :: Dr Thom O’Neill (Paediatric Clinical Research Fellow, Edinburgh) including update on latest RGPAS work
1740 The Echo Project :: Dr Jeremy Keen (Consultant in Palliative Medicine, The Highland Hospice)
1930 Conference Dinner at the Craigmonie Hotel
After Dinner Speaker: Tom Morton “The Rural Doctor’s Wife (!)”
0815 Breakfast Mentoring Session (Students/New Doctors)
0900 Rural Emergency Medicine Update :: Dr Luke Regan (Emergency Physician, Raigmore Hospital)
0930 Remote Practice: Is it really reward without risk? Do patients sue rural doctors? :: Dr Gordon McDavid (Medicolegal Adviser, Medical Protection Society)
1000 Realising Rural Realistic Medicine in Remote Practice :: Dr Kath Jones (Clinical Director, NHS Highland North & West)
1100 Realistic Research:Why Every Rural GP Should Consider Research :: Prof Phil Wilson (Director, Centre for Rural Health, Inverness)
1330 Pecha Kucha Sessions
1500 AGM – all welcome – agenda items to Dr Susan Bowie (Secretary) by 24th October
1930 Dinner in Inverness (Shapla Restaurant – TBC)
0930 Looking Forward
(Updated: 22/10/17) In replacement of the EMRS clinical update session, we are delighted to run a session dedicated to GP mentoring, dealing with the stresses of practice, and steps to developing a peer-support or co-mentoring network within RGPAS. We will also be exploring other ‘next steps’ for RGPAS too. Full details about this session will be released very soon.
0930 Visit to Bristow Search & Rescue Helicopter Base, Dalcross, Inverness Airport
Transport leaves Craigmonie Hotel sharp at 0930. This session is aimed at students and trainees, however if rural GPs wish to attend this, we will endeavour to meet demand for this.
1230 Conference Close
If you wish to book lunch directly with the hotel, please contact reception staff.
This video has just been released by NHS Education for Scotland about life as a surgeon in the Shetland Isles….
Aberdeen University Medical School have just released this video to report on a project which enabled first year medical students to experience rural general practice. A new initiative by the University, made possible by a donation from Mr Joe Officer, saw 14 first year medical students taken on a two day adventure to Cairngorm national park and the surrounding area, to speak to those working in rural practices and to see first-hand the benefits of living and working in the countryside.
It’s increasingly recognised that career advice is essential for the earlier stages of medical school. Role modelling and creating career aspirations early on can be hugely helpful to students who are thinking about their future career options. As exposure to rural general practice tends only to be available in the later stages of medical school, this project highlights some of the reactions of students who were given the opportunity to learn more about Rural GP earlier on in their careers.
It’s pretty eye opening just how much can be done in a rural setting when you have a purpose built GP hospital
Kudos to Aberdeen University for recording the experience in such a vibrant and professional manner, and to the students for giving such articulated reflections and comments through the video too. Maybe this is something that could be rolled out on a wider level?
The Scottish Rural Medicine Collaborative (SRMC) is a programme funded by the Scottish Government’s GP Recruitment and Retention Fund. The programme – chaired by Ralph Roberts (Chief Executive of NHS Shetland) – is about developing ways to improve the recruitment and retention of GPs working in a rural setting across ten Health Board areas in Scotland – Grampian, Highland, Orkney, Shetland, Western Isles, Dumfries & Galloway, Ayrshire & Arran, Fife, Tayside and Borders. Also involved are NES, NHS HR Directors, RCGP Scotland and Rural GP Association. They are now looking for assistance from the rural health community in Scotland……
The SRMC Programme Board have agreed that the programme will work in the six project areas outlined above and are looking for the following people to support this work:
RuralGP.com is run voluntarily to bring together relevant articles from around the UK (and the world). We actively encourage participation and are happy to include relevant articles.
Since November 2012, RuralGP.com has been generously supported by a donation from RGPAS which has greatly enhanced the speed and connectivity of the site.
See more in our new gallery.ruralGP.com