I can honestly say nhs has never helped me but has created health problems.
GPS are waste of public money and should be abolished all together. They don’t serve a purpose.
It takes minimum 5 weeks to get an appointment. Patients can’t book more than eight weeks ahead. Even the thought of needing to see gp makes you sick, depressed, causes anxiety and stress and after going through all that you get two minutes and are told to come back next week if you don’t feel better. All doctors work three days a week for nhs and get paid well. It is all about money, patients are a nuisance. Last time I saw a doctor he banged his hands on the desk, yelled, got up and opened the door. I thought no aggressive behaviour is tolerated?…
I think we also need some good data on the reasons why patients are requesting an appointment to see their GP. This could help us better understand what might be necessary when it comes to supporting prevention. If, for example, the data shows that a significant percentage of people are wishing to see their GP because of a 'lifestyle' related condition, this would give even more reason for developing policies that encourage prevention. This could then help to free up the system, put less press on the GPs, and also people with medical conditions such as arthritis or Parkinson's are able to get better access their GP. But also, those people with symptoms suggestive of a neurological conditions are able to get quicker access to specialist services, as they need time with the GP for an assessment and if necessary a referral.
There is, of course, an easy solution.
The introduction of co-payments is the only intervention ever to have shown to reduce use of primary care services. (1) This could be implemented in a proportional way, lower co-pays for lower income patients. Lower co-pays or rebates for preventive interventions e.g. diabetes and hypertension control.
Payments and records could be linked to the inland revenue, and administered through an NHS card (biometrics) that also establishes eligibility for NHS care.
Doctors could still be paid on capitation or salary, removing supplier induced demand, and patient can be charged according to use, incentivising efficient use of resources.
A modern day example the use of carrier bags after the 5 pence fee.