This site is intended for health professionals only

GPs claim out-of-hours care has “deteriorated” under PCTs

2 November 2007

Share this article

The majority of GPs believe that out-of-hours care has deteriorated since primary care trusts (PCTs) took control of the service in 2004, according to a new study.

Under a new contract which was brought in that year, family doctors were allowed to opt out of providing round-the-clock care for patients if they agreed to take a £6,000 annual drop in wages.

But the system – which sees PCTs use a mixture of in-house teams, cooperatives and private firms – has come in for repeated criticism.

The research, carried out by Pulse magazine, reveals that 60% of 880 GPs surveyed believe the standard of services has slipped over the last three years, while just over one in 10 (12%) said they think services have improved.

And almost half (44%) of GPs questioned said patients have complained to them about out-of-hours care in the last year.

Meanwhile, the poll found that the workload of those GPs working out-of-hours has gone up 75% since PCTs took over.

A separate study of more than 3,000 patients also found that one in five received “poor” or “very poor” care the last time they sought help out-of-hours.

Some 47% said their care was “good” or “very good”, but almost half of patients surveyed said they feel “less safe” since PCTs took over, compared with 7% who feel safer.

Richard Hoey, deputy editor of Pulse, said: “The government keeps insisting out-of-hours care is improving, but that’s not the message we’re getting from doctors or patients.”


Copyright © PA Business 2007