Over one third of GP practices have been forced to stop routine care in the past year, a major survey has revealed.
Of over 800 GPs surveyed by Management in Practice’s sister title Pulse, 35% said they have had to stop taking bookings for routine appointments at any point in the last 12 months.
The GPs, from across the UK, said this was due to unprecedented patient demand and staff shortages across general practice. Covid absences have also played a part.
It comes as March saw GPs in England deliver the highest number of patient consultations since records began, according to NHS Digital data unveiled last week (Thursday 28 April).
Lanarkshire local medical committee (LMC) medical director Dr Tyra Smyth told Pulse that the ‘distress and illness burden is currently higher than pre-pandemic’, driving ‘ever-increasing demand’.
But she added that GPs also need to ‘open conversation with the public’ about ‘which healthcare is clinically urgent’.
Kent LMC chairman and GP Dr Gaurav Gupta told Pulse: ‘It is not surprising that practices have at times been unable to provide the services they want to provide for their patients.
‘GP numbers have been constantly falling and have decreased by thousands in the last few years. This is unsustainable and puts GPs and practice staff under enormous pressure and risk of burnout, as well as having a potential negative impact on patient care.’
He added: ‘We need the Government to deliver on its commitment of getting an additional 6,000 GPs in England by 2024 and reduce the unnecessary bureaucratic burden on practices.’
Midlothian GP Dr Amy Small said that ‘lots of staff sickness has had to force urgent-only contact on several occasions’ at her practice.
She said it has been a mixture of Covid and non-Covid related illness.
Norfolk & Waveney GP partner Dr Nick Morton said his practice has had to halt bookings for routine appointments.
He said: ‘We operate a safety valve system which is explained to patients so when we are overwhelmed, we stop pretending we have enough resources’.
He also said: ‘Patients are directed to the walk-in centre, local pharmacies or if they perceive it to be an emergency, the A&E department, although the reception team have a list of presentations for which this does not apply which includes the vulnerable and end of life patients.’
He added that it is not used often but gives practice staff a ‘sense of being able to cope when deluged with demand’.
Northumberland LMC lead officer Dr Jane Lothian told Pulse ‘most practices’ have been ‘inundated’ with demand.
She said that practices have done their ‘utmost best to continue whatever they can, but there have been times when some of them have been under such pressure that they’ve had to stop some services’.
She added that ‘the pressures from Covid and Covid absences and everything has caused considerable difficulties’.
However she added that the Covid absence situation is ‘hopefully getting a lot better at the moment’.
Asked how we can ensure practices don’t have to stop routine care in future, Dr Lothian said: ‘It would be very nice if we got the same degree of investment as secondary care. That would considerably help. And a proper approach to workforce strategy in the health services.’
Other practices have been forced to switch of electronic access to patients, due to overwhelming demand.
A GP from Liverpool, who wished to remain anonymous, said his practice ‘initially switched off e-consultations at weekends, then overnight, and now when we reach a point where the workload and capacity would be unsafe due to massive demand’.
They said they still have to switch it off daily and will often do so in the morning.
In December, NHS England asked GP practices to ‘clinically prioritise’ Covid booster jabs over routine care, but asked them to restore routine services in January.
At the start of the year, Covid pressures forced GPs to provide ‘urgent-only’ services in two areas, while a BMA survey revealed that almost 70% of GPs have seen staff shortages affect patient care.
More recently, a number of GP practices had to shift to urgent-only care after staff Covid absences left them struggling to maintain regular services.
Survey question in full
Have you had to stop taking bookings for routine appointments at any point in the past 12 months?
|Total who answered this question: 824
The survey was open between 25 February and 3 March, with all UK GPs asked to respond to these particular questions. It featured a range of questions on various topics.