Future GP workforce plans for London
The Mayor of London, Sadiq Khan commissioned The King’s Fund and Nuffield Trust to undertake an independent analysis of sustainability and transformation plans (STP) in London.
The full 98 page document is availableonline. The most relevant section for London GPs is the section on workforce reproduced below (P73 in the report).
What might this mean for the workforce?
For NHS providers, staff pay costs make up around 65 per cent of operating expenses. It is therefore inevitable that a substantial element of the £3.4 billion savings plans for London will be found through a reduction in expenditure on staff, at least when set against the ‘do-nothing’ scenario.
STPs are in the early stages of working out the impact their savings plans will have on the shape andsize of their future workforce.
Analysts working on STPs in London indicated to us that the figures cited in their planning documents were highly tentative and in places incomplete.
One London STP–North West London–did not provide us with any workforce estimates as the figuresit had provided NHS England in October were being corrected as this report was being drafted.
Across the four STPs that were able to include some early estimates, the reported impact of their combined savings plans was to reduce, in absolute terms, whole-term equivalent staffing numbers between 2016/17 and 2020/21 by 1.4 per cent, or slightly more than 2,000 staff.
This included 3,800 fewer registered nurses, midwives and health visitors (a reduction of 7 per cent against the 2016/17 level) and 600 fewer hospital doctors and dentists (a reduction of 3 per cent).
These reductions would be partially off-set by a projected one-third increase in GP and GP support staff (3,670 extra WTEs). Some STPs are likely to seek to manage these reductions in qualified clinical staff byincreasing thenumbers of trained health care support staff working in the community.
In other workforce news NHS England has announced it intends to recruit 600 overseas GPs by April
2018 in eleven areas including South East and North East London.
Last updated : 19 Sep 2017
Medical records one-off payment (19 Jul 2017)
Practices should have received a £250 payment alongside their contractual payment by the end of June 2017. If you have not received this payment or you have any queries relating...Violent patients – a step-by-step guide to safeguarding staff (19 Jul 2017)
After a mental health inpatient made a death threat against a GP in a London practice. Londonwide LMCs' medical director Dr Vicky Weeks shares the advice she gave the team....Premises update July 2017 (18 Jul 2017)
This month’s update include advice on: London policy for accessing financial support for service charges and premises running costs How to plan a premises relocation Lease negotiations Transitional funding...Vacancies on BMA committees (18 Jul 2017)
There are vacancies on the following: Armed forces committee Civil and public services committee Private practice committee Forensic and secure environments committee Committee of medical managers ...Flu campaign preparation and best practice (18 Jul 2017)
Ellie Roberts, a practice manager on secondment to Londonwide LMCs, looks at why practices need to bite the bullet and get started on their flu campaign now. The flu campaign...Ballot on willingness to consider closing lists as industrial action (18 Jul 2017)
At May’s LMC conference the following motion by Tower Hamlets LMC was passed: That conference believes that the GP Forward View is failing to deliver the resources necessary to sustain...Locum and salaried GP handbooks (18 Jul 2017)
The locum GP handbook provides advice and guidance on all aspects of locum work, including on starting out as a locum, setting up as a business and establishing a contract for...New primary-secondary care interface guidance (18 Jul 2017)
GPC (England) has produced new guidance on the interface between primary and secondary care in collaboration with NHS England, NHS Improvement, NHS Clinical Commissioners, Royal College of General Practitioners, Royal...CCG proposals for GPs to restrict access to OTC prescriptions (18 Jul 2017)
This page has been updated to remove advice which stated schemes proposed by Clinical Commissioning Groups (CCGs) which involve GPs assessing patients’ ability to pay for over-the-counter medicines and asking...What they said about the GP Essential Toolkit conference (05 Jul 2017)
Our first Essential Toolkit for GPs on Tuesday 4 July, 2017 was a huge success. See some of the top tweets from speakers and attendees below: ...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...
