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Should GPs in deprived areas have smaller lists?
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Should GPs in deprived areas have smaller lists?
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 My weekly reading included BMJ and some of the free magazines such as 'Pulse'. In the 16th May edition of Pulse a Nigel Praities talks about Professor Chris Salisbury,a GP and professor of
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Forums » Open clinical » Cardiology » Should GPs in deprived areas have smaller lists?

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Forums  »  Open clinical  »  Cardiology  »  Should GPs in deprived areas have smaller lists?

Should GPs in deprived areas have smaller lists?

posted at 19/5/2012 6:48 PM BST on bmj.com
Posts: 339
First: 17/12/2011
Last: 15/5/2013

 My weekly reading included BMJ and some of the free magazines such as 'Pulse'. In the 16th May edition of Pulse a Nigel Praities talks about Professor Chris Salisbury,a GP and professor of primary healthcare at University of Bristol.  Professor Salisbury  wrote in the 'Lancet'', [can I mention the Lancet on a BMJ website??]  the previous week about the increased comorbidities that people in inner  City areas have when compared with their more affluent peers.
He suggests that inner City UK GPs should have smaller medical lists. I suppose as an inner City GP I am biased. I think we would probably do better with a smaller list. But in the UK and I expect elsewhere smaller lists mean less income. Should Inner City Practices accept smaller lists and lower  incomes?

Re: Should GPs in deprived areas have smaller lists?

posted at 19/5/2012 10:23 PM BST on bmj.com
Posts: 3045
First: 27/3/2012
Last: 20/5/2013
The healthcare systems are not advanced in most of the interior, remote areas, the picture being nearly same as in INDIA. The GP's from the inner city areas should be able to recognize which patients to refer to a secondary healthcare level. But if they would have smaller lists of patients to consult, it would directly affect the local healthcare system as the GP's are considered  backbones in the deprived areas. So it does not seem justifiable in the best interests of the patients & the healthcare system.

Re: Should GPs in deprived areas have smaller lists?

posted at 19/5/2012 10:40 PM BST on bmj.com
Posts: 579
First: 8/6/2011
Last: 22/5/2013
If you are working in an inner city practice you have a lot of patients but is easy to
make a referral or send them to the hospital if you are facing difficulties.
From the other side if you are working in a remote area you maybe see a less number
of patients but it is more difficult to make the refferal or sent the patient to the hospital ( because of the distance)
Every side has its des advantages .

Re: Should GPs in deprived areas have smaller lists?

posted at 21/6/2012 2:39 PM BST on bmj.com
Posts: 5
First: 21/6/2012
Last: 17/7/2012
Yes they should have smaller lists. Deprived areas mean high numbers of patients who don't speak English,high numbers of asylum seekers with social and mental health problems ,high rates of chronic disease.There was (is?)some recognition of this in GP pay but in the new contract did which not remotely remunerate those GPs with high numbers of patients in proportion to the extra workload.

Re: Should GPs in deprived areas have smaller lists?

posted at 21/6/2012 2:40 PM BST on bmj.com
Posts: 5
First: 21/6/2012
Last: 17/7/2012
Above should have said NOT in new contract

Re: Should GPs in deprived areas have smaller lists?

posted at 21/6/2012 2:49 PM BST on bmj.com
Posts: 5
First: 21/6/2012
Last: 17/7/2012
Sorry post of 2:39 ,last sentence should end,'which did not remotely remunerate GPs with high numbers of patients with chronic disease in proportion to the extra workload'

Forums » Open clinical » Cardiology » Should GPs in deprived areas have smaller lists?