No surprise for GPs and those who work with us. Morale is at an all time low, commissioning is unwanted additional work which is interfering with our core function – caring for the citizens on our practice list.
Health Service managers and Health Economists have not been able to shake doctors’ grip on clinical care so persuaded political masters to impose health service management on the GP workforce.
The inevitable consequence is less time for direct patient care and also less time for conditions which are less likely to attract additional rewards. A perverse incentive that encourages a form of clinical apartheid.