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Many GPs 'missing waiting target' Many GPs 'missing waiting target'
(20 minutes later)
A review is under way after a report by an NHS watchdog suggested many GPs were missing their waiting time target.A review is under way after a report by an NHS watchdog suggested many GPs were missing their waiting time target.
Doctors should be able to guarantee patients an appointment within 48 hours under the terms of a new contract.Doctors should be able to guarantee patients an appointment within 48 hours under the terms of a new contract.
But the Healthcare Commission's annual report for England showed GPs in less than a third of trusts were hitting the target, down from 80% the year before.But the Healthcare Commission's annual report for England showed GPs in less than a third of trusts were hitting the target, down from 80% the year before.
The data is based for the first time on the views of patients - but doctors said it was misleading.The data is based for the first time on the views of patients - but doctors said it was misleading.
Patients are not getting sufficient access Gary Needle, of the Healthcare Commission Doubt over MRSA progressPatients are not getting sufficient access Gary Needle, of the Healthcare Commission Doubt over MRSA progress
The 48-hour target was written into the 2004 contract, which has seen GP pay rocket to over £100,000 a year on average, after complaints patients were having to waits days and days for an appointment.The 48-hour target was written into the 2004 contract, which has seen GP pay rocket to over £100,000 a year on average, after complaints patients were having to waits days and days for an appointment.
Local health bosses working for primary care trusts (PCTs) have been charged with finding out whether the target is being met.Local health bosses working for primary care trusts (PCTs) have been charged with finding out whether the target is being met.
They have previously done this by ringing GPs anonymously - although critics say doctors often know when officials are doing the ring-rounds.They have previously done this by ringing GPs anonymously - although critics say doctors often know when officials are doing the ring-rounds.
But in 2007-8 patient surveys were also taken into account for the first time and the combined results showed that just 31% of PCTs could guarantee most of their local patients could be seen in the two-day timeframe. NHS RATINGS 2008 To find out more Healthcare Commission information for England, enter your full postcode < #echo var="DATE_LOCAL" >/-/--> This search goes to an external siteBut in 2007-8 patient surveys were also taken into account for the first time and the combined results showed that just 31% of PCTs could guarantee most of their local patients could be seen in the two-day timeframe. NHS RATINGS 2008 To find out more Healthcare Commission information for England, enter your full postcode < #echo var="DATE_LOCAL" >/-/--> This search goes to an external site
Gary Needle, of the Healthcare Commission, said he could not rule out that GPs had been lying about their performance and it was now up to PCTs to find out what has been happening.Gary Needle, of the Healthcare Commission, said he could not rule out that GPs had been lying about their performance and it was now up to PCTs to find out what has been happening.
"We don't know what accounts for the disparity - that's the next step."We don't know what accounts for the disparity - that's the next step.
"But there's clearly something happening here."But there's clearly something happening here.
"If it was only a 10% difference then you might say patients were not understanding the exact question put to them, but you can't explain away this scale of difference in that way."If it was only a 10% difference then you might say patients were not understanding the exact question put to them, but you can't explain away this scale of difference in that way.
"Patients are not getting sufficient access.""Patients are not getting sufficient access."
MisleadingMisleading
But Dr Hamish Meldrum, chairman of the British Medical Association, the trade union for doctors, said the figures were "misleading" and GPs were working hard to offer speedy access.But Dr Hamish Meldrum, chairman of the British Medical Association, the trade union for doctors, said the figures were "misleading" and GPs were working hard to offer speedy access.
"There has been such significant change in the way the research has been compiled compared to last year that it is impossible to compare the data for the two years in question.""There has been such significant change in the way the research has been compiled compared to last year that it is impossible to compare the data for the two years in question."
He said other research had shown that patients were happy with access.He said other research had shown that patients were happy with access.
The Healthcare Commission report has also raised questions about the government's success in tackling MRSA infections.The Healthcare Commission report has also raised questions about the government's success in tackling MRSA infections.
The report acknowledged rates were falling, but that not all trusts were making enough progress.The report acknowledged rates were falling, but that not all trusts were making enough progress.
However, overall NHS performance has improved after three years of the watchdog's so-called health check.However, overall NHS performance has improved after three years of the watchdog's so-called health check.
THE SIX DOUBLE-WEAK TRUSTS Royal National Orthopaedic HospitalScarborough and North East Yorkshire NHS TrustEast of England Ambulance ServiceGreat Yarmouth and Waverley PCTBrent PCTNorth Yorkshire and York PCT How Salford became the bestNHS ratings 2008 overviewTHE SIX DOUBLE-WEAK TRUSTS Royal National Orthopaedic HospitalScarborough and North East Yorkshire NHS TrustEast of England Ambulance ServiceGreat Yarmouth and Waverley PCTBrent PCTNorth Yorkshire and York PCT How Salford became the bestNHS ratings 2008 overview
The system relies on a series of reviews, patients surveys and self assessments to judge the 391 NHS trusts on their quality of services and use of resources.The system relies on a series of reviews, patients surveys and self assessments to judge the 391 NHS trusts on their quality of services and use of resources.
It showed that for quality of services, 26% were excellent, 36% good, 34% fair and 5% weak. Two years ago, only 41% were excellent or good, while 59% were weak.It showed that for quality of services, 26% were excellent, 36% good, 34% fair and 5% weak. Two years ago, only 41% were excellent or good, while 59% were weak.
For use of resources, 24% were excellent, 37% good, 34% fair and 5% week. Two years ago, just 16% were excellent or good, while 84% were fair or weak.For use of resources, 24% were excellent, 37% good, 34% fair and 5% week. Two years ago, just 16% were excellent or good, while 84% were fair or weak.
In total, over a third of trusts improved their ratings.In total, over a third of trusts improved their ratings.
The performance has prompted Healthcare Commission chairman Professor Sir Ian Kennedy and Health Secretary Alan Johnson to write to 57 of the best performing trusts to congratulate them on their achievements.The performance has prompted Healthcare Commission chairman Professor Sir Ian Kennedy and Health Secretary Alan Johnson to write to 57 of the best performing trusts to congratulate them on their achievements.
Sir Ian said: "Patients and the public should celebrate these results as they show a real shift in performance."Sir Ian said: "Patients and the public should celebrate these results as they show a real shift in performance."
However, the watchdog warned the weak trusts - six of which were judged weak on both measures - that they would face intensive monitoring over the coming months.However, the watchdog warned the weak trusts - six of which were judged weak on both measures - that they would face intensive monitoring over the coming months.
Have you had to wait more than 48 hours for an appointment with your doctor? Are you a GP? Send us your comments using the form below:Have you had to wait more than 48 hours for an appointment with your doctor? Are you a GP? Send us your comments using the form below:
In most cases a selection of your comments will be published, displaying your name and location unless you state otherwise in the box below.In most cases a selection of your comments will be published, displaying your name and location unless you state otherwise in the box below.
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