English NHS doesn’t need polyclinics, study shows

So, will New Labour’s plans to open up GP services to big business be halted by the facts? Obviously not, but it is worth noting who the victims will be in this case (aside from the patients who might suffer worse services) it will be middle-income professionals.

Consider also that the English NHS is controlled by the British government. Would an English parliament make it easier to resist corporate takeover of public services? Who knows? But it is interesting that polyclinics are not being considered in Scotland or Wales…

From the BBC:

Average-sized GP surgeries are just as good as “super-surgeries” at providing extra services, a study suggests.

Ministers in England have asked health chiefs to create a network of polyclinics to provide extra care, such as diabetes clinics and minor surgery.

But a Kent-based GP’s study of 384 practices found no difference between the range of extra services offered by standard surgeries and polyclinics.

The government said polyclinics would provide a valuable service to patients.

Every NHS trust in the country has been told to set up at least one polyclinic, with a whole network being created in London.

Ministers believe the super-surgeries are the best way of moving care out of hospitals and into the community.

But the study by Dr Hendrik Beerstecher, who specialises in research, found large surgeries already operating were no better at providing the specialist care the government is so keen on.

He looked at the range of extra services, beyond the average package of GP care, being provided by a range of different-sized practices up to ones serving a population of more than 30,000.

He found small surgeries – classed as having fewer than 6,300 patients – tended to provide less diverse extra services.

But once the threshold of 6,300 was reached – the average size for a practice in England – there was little difference no matter how big the surgery was.

On average, these had between 10 and 11 extra services.

‘No evidence’

Dr Beerstecher, who is not a member of the British Medical Association, the doctor’s trade union body which has campaigned against polyclinics, said: “I am not sure why the government is pushing ahead with polyclinics.

“As the study shows, there is no evidence that they provide more services so why are we having them set up all across the country?”

Dr Richard Vautrey, the deputy chairman of the BMA’s GPs committee, said: “This proves what we have been saying all along – that we should not be rushing headlong into setting polyclinics up.

“GPs have always been innovative. You do not need a big surgery for this to happen.”

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2 Responses to “English NHS doesn’t need polyclinics, study shows”

  1. Robert Says:

    Privatization by the back door, many moons ago before my accident I was at a Party conference when Blair thought GP’s should charge £35 as a fee, this would then drop the contract price doctors needed or so he said, but the fact is if you have a fee for a GP you open up the market to private sector.

  2. charliemarks Says:

    Well, technically GP surgeries are private sector enterprises – small businesses owned by GPs – which was a compromise made by Bevan in founding the NHS. This has never been much of a problem, however, since you aren’t charged at the point of use and GP’s are contractors for the NHS in effect.

    Robert, meaning to ask you, btw, what do you think of the Plaid/Labour govt in Wales? I hear that the privatisation agenda has thankfully stalled.


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