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Doctors against training shake-up | |
(about 12 hours later) | |
A revamp of the NHS workforce in London could cause "irrevocable damage" to medics' careers, doctors say. | A revamp of the NHS workforce in London could cause "irrevocable damage" to medics' careers, doctors say. |
The capital's health bosses want to see half of medics working in the community - double the proportion currently. | The capital's health bosses want to see half of medics working in the community - double the proportion currently. |
The move is linked to the roll out of the network of polyclinics in London and will see doctors spending more of their training outside hospitals. | The move is linked to the roll out of the network of polyclinics in London and will see doctors spending more of their training outside hospitals. |
But the British Medical Association said polyclinics were still an unproven model of healthcare. | But the British Medical Association said polyclinics were still an unproven model of healthcare. |
NHS London, the regional body that oversees NHS trusts in the capital, is looking to invest an extra £132m in training over the next decade. | NHS London, the regional body that oversees NHS trusts in the capital, is looking to invest an extra £132m in training over the next decade. |
Polyclinics need to bed in before changes to training British Medical Association spokesman | Polyclinics need to bed in before changes to training British Medical Association spokesman |
It is also planning to increase its workforce of nurses, midwives and doctors by 4,000 to 19,000. | It is also planning to increase its workforce of nurses, midwives and doctors by 4,000 to 19,000. |
However, in the future these health staff will be spending much more time in the community rather than hospitals. | However, in the future these health staff will be spending much more time in the community rather than hospitals. |
NHS London's workforce strategy proposed 47% of doctors should be based in the community within 10 years - up from 25% at the moment. | NHS London's workforce strategy proposed 47% of doctors should be based in the community within 10 years - up from 25% at the moment. |
A similar shift will be seen among nurses. | A similar shift will be seen among nurses. |
It is envisaged many of these staff will be working in the 150 polyclinics - super GP surgeries housing a range of staff including physios, nurses and hospital doctors - due to be set up in London. | It is envisaged many of these staff will be working in the 150 polyclinics - super GP surgeries housing a range of staff including physios, nurses and hospital doctors - due to be set up in London. |
Hospital consultants will also be expected to run outreach clinics. | Hospital consultants will also be expected to run outreach clinics. |
Reform | Reform |
To achieve this, a major reform of training is needed. Junior doctors currently spend about 90% of their time in hospitals, but NHS London said this will change if the vision is to be realised. | To achieve this, a major reform of training is needed. Junior doctors currently spend about 90% of their time in hospitals, but NHS London said this will change if the vision is to be realised. |
NHS London chief executive Ruth Carnall said said the plans were about getting "the right health professional working in the right place". | NHS London chief executive Ruth Carnall said said the plans were about getting "the right health professional working in the right place". |
"In the future, doctors and other health staff will be spending more of their time training where they will be working - the community." | "In the future, doctors and other health staff will be spending more of their time training where they will be working - the community." |
The changes in London are part of a wider reform of the NHS with polyclinics being set up across England - albeit not quite on the scale of London. | The changes in London are part of a wider reform of the NHS with polyclinics being set up across England - albeit not quite on the scale of London. |
However, what happens in regards to training in London has a huge knock-on effect on the rest of the country as about a third of the medical workforce comes through the capital's training system. | However, what happens in regards to training in London has a huge knock-on effect on the rest of the country as about a third of the medical workforce comes through the capital's training system. |
A spokesman for the British Medical Association accused NHS bosses and the government were "running ahead with wholesale changes". | A spokesman for the British Medical Association accused NHS bosses and the government were "running ahead with wholesale changes". |
"Polyclinics need to bed in before changes to training. The concern is that a lot of doctors' careers could be irrevocably damaged in a system which is not yet proven." | "Polyclinics need to bed in before changes to training. The concern is that a lot of doctors' careers could be irrevocably damaged in a system which is not yet proven." |
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