Health

GPs in England threaten industrial action over in-person appointments

GPs in England are threatening industrial action in protest at the government’s attempt to force them to see any patient who wants a face-to-face appointment.

The British Medical Association’s GPs committee voted unanimously to reject the plan by the health secretary, Sajid Javid, which included “naming and shaming” surgeries that see too few patients in person.

The doctors’ union has decided to hold a ballot on possible industrial action, which could result in family doctors at the 6,600 practices in England reducing the work they undertake.

“GPs have been left with no alternative but to take this action. All efforts to persuade the government to introduce a workable plan that will bring immediate and longer-term improvement for doctors and their patients have so far come to nought,” said Dr Richard Vautrey, the chair of the BMA’s GPs committee.

It is a dramatic escalation of GPs’ increasingly bitter war of words with ministers and comes as soaring Covid cases put increasing strain on the health service.

It could herald the first major clash between the medical profession and ministers since the year-long junior doctors’ dispute in England in 2015-16, which involved a series of walkouts by trainee medics.

GPs have been angered by Javid’s instruction last week that they should see many more patients in person, and a plan to publish monthly data showing what proportion of each surgery’s appointments occur in person or virtually. They are also frustrated by what they say is a lack of action to reduce their heavy workloads.

Family doctors are also furious at a separate plan to compel those who are paid at least £150,000 a year for NHS work to declare their earnings, announced in 2019 and starting next month. The BMA has said this could imperil family doctors’ safety because “forcing GPs to publish their earnings provides no benefit to patient care, yet will potentially increase acts of aggression towards GPs and will damage morale amongst the profession and only worsen practices’ ability to recruit and retain GPs.”

It is unclear how much of an impact industrial action by GPs would have on the care patients receive. But if family doctors vote to forge ahead, it could lead to GPs:

Declining to comply with Javid’s insistence that they see patients in person who request it.
Visiting care homes less often to check on residents’ health.
Undertaking fewer or less regular medication reviews of the drugs being taken by patients with a long-term health condition.
Refusing to issue Covid medical exemption certificates, which will allow people who remain unvaccinated to continue working in environments such as care homes because they have a medical reason not to have been jabbed against the disease.

The BMA sought to reassure patients by pledging that any changes to usual working patterns would not affect GPs’ involvement in the rollout of either winter flu jabs or Covid booster vaccines. However, the decision has prompted fears that patients could find it harder to see a GP at their surgery.

“This shows the government’s deliberately provocative plans to name and shame GPs has backfired,” said Daisy Cooper, the Liberal Democrats’ health spokesperson. “Sajid Javid must now dial down the rhetoric and get round the table with doctors and patient groups to find a way forward. It would be unforgivable if, as we enter a winter crisis, people are unable to access their local GP.”

The BMA and Royal College of GPs are deeply frustrated that Javid’s plan contained few of their proposed steps to help to reduce GPs’ “unsustainable” workloads.

They had asked him to suspend the Quality Outcomes Framework (QOF) under which surgeries are paid agreed sums for monitoring the health of people with conditions such as asthma and diabetes, saying it takes up too much time and that removing the QOF system in Scotland has not damaged patient care.

It is not certain that GPs will hold a ballot because the BMA’s ruling council has to approve that course of action. But Dr Chaand Nagpaul and Dr David Wrigley, the union’s chair and deputy chair of council, are appalled at Javid’s stance.

Nagpaul has insisted it is the lack of GPs in England – the number of full-time GPs has fallen by 1,800 since 2015 despite a rising population – that has limited rapid patient access, not family doctors’ willingness to see all those seeking a consultation.

Vautry said: “The ultimate outcome should be to end the current crisis in general practice, to properly support practices to manage their workload pressure, including safely getting through the backlog of care caused by the pandemic, and deliver a safe service to patients, allowing time to create an agreed long-term plan to make general practice sustainable for the future.”

A Department of Health and Social Care spokesman said: “We want patients to be able to see their GP promptly and in the way they choose. Our plan will improve access and drive up face to face appointments, it includes providing a further £250m to GPs in order to boost capacity.”

Health

Yobe confirms 4 new polio cases

The Yobe Government has confirmed four new cases of polio in three Local Government Areas three years after the state was declared polio-free.

The Executive Secretary of the State Primary Healthcare Board, Dr Babagana Kundi-Machina, made this disclosure while launching a campaign against the disease in Machina, a border LGA with Niger Republic, on Saturday.

He said that the State Government, in collaboration with its partners, had launched a state-wide outbreak response and vaccination exercise to address the situation.

“It is unfortunate that after three years of being certified polio-free, we have recorded a circulating polio virus outbreak in Bursari, Machina, and Yusufari LGAs,” Kundi-Machina said.

The State Coordinator of the World Health Organisation, WHO, Dr Hamisu Alhassan, pledged the organisation’s support to the state toward curbing the outbreak.

He called on the public to adopt preventive measures, including personal and environmental hygiene, hand washing, and immunisation to boost immunity and promote good health, especially among women and children.

On his part, the Emir of Machina, Alhaji Bashir Machinama, urged his people to cooperate with the government by accepting the vaccine.

Machinama thanked the State Government for its prompt response and pledged to sensitise his community to take relevant steps to contain the disease.

Health

Cholera kills 11 in Ebonyi

A cholera outbreak in Ndibokote village, located in the Ezza Inyimagu area of Izzi Local Government, has claimed the lives of 10 people, including a nursing mother who leaves behind a nine-month-old baby.

The outbreak, confirmed by Ebonyi State Health Commissioner Dr. Moses Ekuma through a statement issued by ministry spokesperson Lucy Anyim, has affected approximately 20 others who are currently receiving treatment. Health officials are working diligently to contain the disease and prevent further spread in the community.

Dr. Ekuma noted that Governor Francis Nwifuru has approved the procurement of essential medical supplies to manage the crisis.

Additionally, three treatment centers have been established in the affected area, including Iziogo Health Centre, Sudan Mission Onuenyim, and a facility in Ndibokote village.

Open defecation and poor hygiene practices, along with reliance on stream water for drinking, are believed to be contributing factors to the outbreak.

Residents have been urged to follow precautionary measures to reduce the risk of further infections. Health authorities are on high alert to ensure the situation remains under control.

Health

Fubara approves employment of 2,000 Medical personnel

Governor Siminalayi Fubara of Rivers State has approved the recruitment of 2,000 medical personnel and the payment of three years’ outstanding scholarship entitlements for medical students.

A press statement issued by Nelson Chukwudi, Chief Press Secretary to the Governor, highlighted Fubara’s dedication to reversing the decline in academic standards in the state.

The Governor noted that in previous years, Rivers children were highly regarded for their academic excellence, a reputation that has since diminished due to the growing reward for mediocrity. Fubara vowed to restore this legacy.

Upon assuming office, Fubara said he was confronted with unpaid scholarship entitlements for medical students at the Rivers State University and that without hesitation, he authorized the release of funds, ensuring that students could continue their studies without frustration.

The Governor made these remarks during a courtesy visit by the accreditation panel of the Medical and Dental Council of Nigeria (MDCN), led by its Registrar, Dr. Fatima Kyari, at the Government House in Port Harcourt.

The delegation also included key officials from Rivers State University and the State Commissioner for Health, Dr. Adaeze Chidinma Oreh.

Fubara emphasized the importance of infrastructure and support for academic growth, aiming to restore Rivers State’s status as a hub for educational excellence.

He expressed his disappointment in the current societal trend of valuing cultism over intellectual achievement but reaffirmed his administration’s resolve to change this narrative.

During the meeting, Fubara also noted that 1,000 medical personnel would be employed through the Rivers State Health Management Board, while the remaining 1,000 would be engaged by the Rivers State University Teaching Hospital (RSUTH).

He reiterated his commitment to promoting quality medical training and explained that his administration understands the financial challenges associated with medical education.

Dr. Fatima Kyari, speaking on behalf of MDCN, lauded the state’s commitment to infrastructure and training, emphasizing the importance of maintaining a high standard of medical education. She encouraged the state to further develop research opportunities to compete on a global scale.

Prof. Nlerum Okogbule, Vice Chancellor of Rivers State University, expressed gratitude to Governor Fubara for his unprecedented support, stating that the university is now a top choice in Nigeria and that the College of Medical Sciences has significantly boosted its national and international reputation.