Kyle Roys

It’s been quite a hard pill to swollen. Most of us worked for some time in the nhs when it worked, we’ve seen it slowly fail, and all fought to keep people safe and their access to healthcare. Labours approach is like being told off by that brand new boss who has very little experience

If Labour are worried about Reform, fixing the NHS would all but ensure they get reelected. Everyone will be happy with that regardless of being right or left wing. But they have done what all the other did, assumed it just needs a kick up the backside, get those GPs in line etc

It’s amazing how often we are told everything is fine, you are just resisting change etc, but actually we are trying to tell government that their plan is not going to work. The root of this is top down attempts to manage health care and a failure to engage the profession.

bsky.app/profile/drkr...

But the government made promises about their pay that they have since gone back on. Like it or not, doctors pay in the UK is not competitive internationally. That just the truth. If it wasn’t for loyalty to the NHS many lot would be gone, but that good will is stretched to breaking point.

He’s made it clear he does not have a high opinion of GPs, he’s also making it very clear that health care professionals cannot be represented well by Labour. It honestly feels like nothing has changed. I know the junior doctors are on strike and people can say what they want about their pay….

The UK gave birth to the concept of a local generalist. Someone who is great expertise is diagnosing, with a recognition that as time has passed many conditions that could historically only be given by a specialist (expensive and bottlenecking), can be given by a GP. Sadly we have gone back

Sadly, this stems from the same origins as the tories mistakes, which is that streeting and labour do not know what GP surgeries do. They think a GP just manages stubbed toes and if anything more complicated comes up they just refer you to a specialist who gives you the real medical care

Instead they have both given some funding to GPs and also simultaneously taken it away by targeting them with NI and tax hikes. There no money to hire more staff or develop, there’s also no guarantee with any funding so no one can plan more than one year ahead.

These will not be run GPs, we can barely keep senior GPs and partners as Labour have sadly perpetuated the environment left by the tories, where it is just not financially viable to be a GP partner in the UK. The very people who have the experience to run a local health service.

This may sound nice, but between there being a lack of space, staff, and money, this is not the way forward. It is also unclear in its aims, is it for specialist care or generalist? Will it help you avoid/get a hospital treatment or mean you don’t need to see you GP? Is all over the shop.

The “bring back the family doctor” and “no top down approach” is also a big area where Wes has been less than clear. The new integrated health centres will be separate to any primary care facility currently in place, this means we are proposing building new centres that are separate from your GP

If he’s the biggest threat to starmer, then that says a lot of Labour, and our hopes they would bring about change.

If we are this stage already then we are doomed. I’m no fan of Wes, he has shown little understanding of the challenges we face yet he feels confident to tell us we aren’t doing enough. We have worked in the nhs for years and fought for it, he comes in late stage and thinks he can be this way.

So. Are we still just going to completely ignore primary care when discussing health care? No statistics associated with primary care at all. It’s just the same old narrow view, that all health care is given by hospitals. And we wonder why so many people languish on waiting lists.

I think he may be gone next year. Unless the new redesigned GP contract is radically different and heals the relationship with GPs, there going to be escalating action again and I’m not sure we will survive that again. Specifically the partnership model won’t, so he likely will go to “restart”

Yeah I’m expecting a reshuffle. Hospital drs back on strike and GPs back in dispute after all the advertising of “we ended the strikes”

The exemption was for GP surgeries so they could actually use the money given to hire more staff. You won’t see things improve without more health care professionals. It’s not a loophole it’s an exception recognising that NI would take all the finding back. I wouldn’t applaud that

It was specifically for GP surgeries so I’m not sure that would have caused the issues you suggest. I get what you mean, but the NHS is also in crisis. This meant the additional funding given was clawed back in NI, so claims of giving millions is spin.

Agree, but the fact GP surgeries are listed in this tells you a lot. Labour voted down two attempts to amend the NI bill to exempt GPs. They are not looking to increase their finding, and the fact the specifically named GPs is to make them appear to be the wealthy trying to make use of loopholes

@teamlabouruk.bsky.social labour targets your local surgeries. Gives more funding with one hand, takes it back with the other in the form or NI. Voted for change. Labour may actually be the government that pushes GPs the way dentists have gone.

Should GP surgeries be given additional funding with one hand, and then have it taken back with NI? This is what is happening. How can there be both additional funding for primary care, and hiked up NI. Where is the finding to for more doctors and nurses plus admin?

According to the latest coms from government, sent in response to GPs being in dispute, they have addressed this and given loads of money so what are we moaning about. Our concerns about safety are just us living in the past and being stubborn for no reason. They know better, we are being difficult

He’s the health secretary. Yes go get the money, but why are we rolling him out to make these comments when the whole health service is about to collapse.

Some explain this to me, how does coming out the ECHR benefit veterans?

They must know how valuable investing in primary care is, but just cannot open the door to paying it for what it does. They get so much for free, and you know what, we will likely continue to do that as we believe in the nhs, but they need to at least show they understand we need investment.

Well done Steve

Exempt us from NI. This will free up some money so we can do what we do best, and make things work. Tories gave with one hand and took with the other. They forced us in to big groups and away from out local communities. Don't repeat the same mistakes as this all looks very familiar.

I get some surgeries need reform, but I think you will just see those smaller ones go bankrupt. Please don't portray surgeries as being lazy and not wanting to get on board with new tech. They are likely holding on by a thread and labour may be the ones to finally cut it. Torys set it up to be fair

Partnerships are looking like they are going under the new plans, or at least it looks like the aim is to replace with these neighbourhood centre, imagine GPs having the same despite as consultants are now, that's what you will get if there are no partners, just huge numbers of community consultants