'Family Doctors' To Be Restored In New GP Deal

The elderly will be given named doctors in a move aimed at "restoring the ethic of family doctoring", the Health Secretary has said.

Under a new GPs contract all over-75s will have a designated doctor who will be responsible for co-ordinating all of their treatment.

The agreement will see an "enhanced service" for patients with complex health needs to avoid them being unnecessarily admitted to hospital or A&E.

GPs will also take on more responsibility for out-of-hours care, with a commitment to monitor the quality of those services being used by their patients.

Concerns have been raised over the quality of out-of-hours care since Labour's 2004 GP contract enabled family doctors to opt out of night and weekend work by sacrificing £6,000 a year in salary. It also ended the requirement for all patients to have a named family doctor.

Jeremy Hunt has said the personal link between patients and GPs was broken

Jeremy Hunt told Sky News the move that will see those over 75 being given a named GPs was just the beginning of the return to "family doctoring".

He insisted that improving access to GPs for the elderly would not make it more difficult for others to get appointments at their local surgery.

Mr Hunt said: "Frankly if we look after the over-75s better it helps everyone in the NHS because that's where the real pressure point is. People who find it hard to see a GP will find it becomes easier because we are looking after that crucial group of people so much better."

He added: "If you talk to A&E departments across the country and see what the best thing, the one thing that we can do that's going to make life easier for you in the busy period, it's better out-of-hospital care for the over-75s."

Around 30% of those admitted to A&E are aged over 75.

Mr Hunt has also said that GPs, who earned on average £103,000 last year, will be forced to reveal their salaries from next year, which will allow the public to judge if they are getting value for money.

However, shadow health secretary Andy Burnham said: "No amount of spin can hide the fact that David Cameron has made it harder to get a GP appointment.

"This announcement will not put an end to patients phoning the surgery at 9am and finding it impossible to get an appointment - many of whom, not happy with a phone consultation, will still turn to A&E."

The British Medical Association (BMA), which negotiated for doctors, said the changes would cut unnecessary targets, reduce bureaucratic box-ticking and give doctors more time to focus on the needs of their patients.

Dr Chaand Nagpaul, chair of the BMA's GP committee, said: "We recognise that GPs are facing unprecedented pressures on workload with rising demand and limited resources.

"From the outset of this year's contract talks, the BMA has sought to positively engage with the Government to address the difficult financial and workload pressures facing general practice, in order to find new ways of improving patient care, while at the same time freeing up GPs and practice nurses from pointless bureaucracy.

"Our agreement will deliver real benefit to patients and build on the work already carried out by GPs."

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