The NHS winter crisis and the Prime Minister’s run-in with GPs
The NHS winter crisis and the Prime Minister’s run-in with GPs
The weekend of 14 January saw general practice and Theresa May come to blows over claims about the impact of GP opening hours on accident and emergency attendances. This story broke as the Government sought to quell reports of a ‘humanitarian crisis’ in the NHS and tensions between NHS England’s Chief Executive and Number 10 Downing Street. We have produced a timeline of recent events for those who would like a reminder of who said what and when:
Friday 6 January
The Red Cross reports that the NHS faces a humanitarian crisis, citing among other indicators the fact that two patients died on trolleys in Worcestershire Royal Hospital.
Sunday 8 January
Theresa May gives a keynote interview to Sky News, downplaying the crisis and reiterating her claim that the NHS has had more money than it asked for (see 11:30 into this clip).
Monday 9 January
Jeremy Hunt makes a statement to the House of Commons on mental health and NHS performance, citing “unprecedented demand” and listing the Government’s measures for handling the crisis, including “temporarily releasing time for GPs to support urgent care work”.
Wednesday 11 January, 05:00
The Times carries a front-page story reporting a rift between Number 10 Downing Street and Sir Simon Stevens, the Chief Executive of NHS England, citing sources who say Stevens “lacks enthusiasm”.
Wednesday 11 January, 12:00
At Prime Minister’s Questions Theresa May continues attributing the NHS’s problems to factors other than money, saying: “There are always extra pressures on the NHS during the winter but, of course, we have at the moment those added pressures of the ageing population and the growing complex needs of the population.”
Wednesday 11 January, 16:00
Later that afternoon Simon Stevens appears before Parliament’s Public Accounts Select Committee, saying that claiming the NHS is getting more money than it asked for is “stretching it” and uses an analogy comparing the complexity of the NHS to the simplicity of the criminal justice system (Theresa May’s previous ministerial brief was at the Home Office).
Thursday 12 January
Simon Steven’s remarks lead many newspaper front pages and news bulletins, the crisis of demand on NHS services continues.
Saturday 14 January
Number 10 briefs journalists that the lack of GPs providing extended opening hours is causing patients to go to A&E because they cannot get GP appointments at a convenient time. They say that the Government will cut funding to GPs who are not providing extended access. This is the lead item on several Saturday newspaper front pages.
Sunday 15 January
GPs and opposition politicians take to traditional and social media to rebut the Government’s claims, many GPs voice their upset at being scapegoated by the Prime Minister:
- Jeremy Corbyn, the Leader of the Opposition, cites a recent visit to a GP surgery in his constituency on the Andrew Marr show (see 45:25 into this clip). This visit was arranged by Londonwide LMCs as part of our work to raise London MPs’ awareness of the challenges general practice faces.
- Dr Helen Stokes-Lampard, Chair of the RCGP appears on ITV’s Peston on Sunday to defend the profession (see 17:30 into this clip, free registration required)
- Dr Sarah Wollaston, Chair of the Health Select Committee and a former GP, appears on Sky New’s Sophy Ridge show, saying GPs are working very hard and disputing Theresa May’s claim that the NHS has had more money than it asked for.
- Dr Chaand Nagpaul, Chair of the BMA’s GPC, appears on BBC News saying “GPs already work 24/7, 365 days a year”.
Monday 16 January
Dr Stokes-Lampard and Dr Wollaston’s comments are widely reported. Through the start of the week GPs and the medical professional continues to express their anger at the Government’s remarks and contest the factual basis of them, including:
- Dr Michelle Drage, Chief Executive of Londonwide LMCs
- Cumbria LMC
- Dr Mark Porter, Chair of the BMA
- Dr Zoe Norris, Chair of the GPC Sessional Subcommittee, BMA
Wednesday 18 January
The Department of Health says that they do not hold records on A&E attendances resulting from people not being able to get a timely GP appointment, in response to a written question by an opposition MP.
Last updated : 26 Jan 2017
Premises update January 2019 (23 Jan 2019)
Our main update this month concerns Rent Agreement Letters. The rest of this item re-iterates advice provided in previous premises updates, which remains relevant to practices in NHS Property Services...Final pay control for 1995 pension scheme (23 Jan 2019)
The government introduced an employer's charge for pensionable salaried pay rises which are over the allowable amount, for employees who are members of the 1995 pension scheme. We are aware...Practices instructed to begin ordering licensed flu vaccines for next winter (23 Jan 2019)
In November NHS England, Public Health England and the Department of Health and Social Care wrote to practices instructing them to begin ordering currently licensed flu vaccines. In January NHS...GP Partnership Review recommendations published (23 Jan 2019)
Throughout it’s recommendations the Review’s findings broadly support the investment in workforce and other central planks of NHS England policy. We have summarised the recommendations which fall outside existing policy....Tips of the month January 2019 (22 Jan 2019)
We provide weekly tips based on common queries which come through to us from London GPs and practice teams. These are shared via social media and collated for...Tackling loneliness and social isolation this Christmas (19 Dec 2018)
This time of year can see the problems loneliness and isolation at their worst for many people, the consequences of which are often seen in GP consultations. Zaidee O’Dell, Compassionate Neighbours London...NHS England Practice Manager Development Coaching and Mentoring Support – expression of interest (19 Dec 2018)
NHS England has commissioned ‘Beyond Coaching’ to provide coaching and mentoring support to practice managers who are playing a key role in supporting practices experiencing challenges, assisting change/improvement in general...Londonwide LMCs' December 2018 newsletter (19 Dec 2018)
GP representation required on the Independent Group Advising on the Release of Data (IGARD) (18 Dec 2018)
NHS Digital is recruiting specialist members to join IGARD, an independent group that considers applications for health and care data. IGARD advice ensures compliance with the relevant law and ethical...Ipsos Mori interim report on the independent evaluation of Babylon GP at Hand (18 Dec 2018)
The interim report of Ipsos Mori’s independent evaluation of Babylon GP at Hand mostly covers the methodology and data sources which the evaluation will use. It does not provide any...Guidance
We provide expert guidance for practices in our guidance section, as well as an archive of other materials you may find useful.
GP Support
Contact our GP Support team if you need help or advice.
The team provide professional and pastoral support to GPs and practice teams on a broad range of issues.
follow us on...
