The wonder that are GPs
The utter overhaul of our NHS has left me more or less speechless.
This represents a 100% overhaul of the NHS and in effect passes power for some very complicated managerial activities and a £80 billion budget to our nations GPs.
I have so many questions to ask I might burst but for now I think I should let one suffice and it is this:
Why is it that GPs are more trusted than any other public servant?
Is it the white coat? The slightly musty smell that accompanies them? The fact that you only see them when you’re vulnerable? The quaint inflexibility of their hours? The fact they provide sicknotes or can sign the back of passport photos? I just don’t get it.
GPs are not managers or strategists and yet are being entrusted with huge responsibility and money and as far as I can work out have little skills to do so? Surely that wouldn’t happen in any other field?
And aren’t we meant to dislike high paid civil servants at the moment?
But no, we can’t let a commissioning expert be paid £40,000 to establish need in a local area and then commission for the good of the community. Instead what we need is a GP paid £100,000 with no managerial or strategic experience to do it for us.
Somehow, ever since Aneurin Bevan stuffed GPs mouths with gold to buy their support for the NHS GPs have got both rich and powerful without any hint of their popularity failing.
However, the logic that ‘my GP is always really nice when I see him for my 8 minute consultation therefore I want him to commission complex health services worth an annual £80 billion’ doesn’t wash with me.
More details are needed and I await to be convinced. In the meantime I will sit here and ponder the everlasting popularity of GPs and why local government employees aren’t treated the same.