Union calls for more funding for struggling GP surgeries in Wales

The Welsh Government has made a £28 million spending committment

Author: Henry WinterPublished 24th Oct 2024

The British Medical Association in Wales has welcomed £28 million of investment to cut NHS waiting times across the country - but says more needs to be done.

The money will be provided to local health boards to reduce the waiting times for treatment patients are facing in Wales.

It will pay for more evening and weekend appointments and to reduce automatic outpatient follow-ups where they aren't required.

The Welsh Government says the measures will cut the number of people waiting more than two years for treatment.

Dr Iona Collins, chair of the BMA’s Welsh Council said:

“Doctors bear witness to the plight of patients enduring long waits for treatment. Any investment to reduce waiting times is welcome.

“Whilst it is a significant investment, £28 million is a fraction of the £183 million health board deficit, which NHS Wales health boards reported for 2023-2024 and so it will be interesting to see how this fits into wider NHS spending in Wales.

“At face value, providing weekend and evening appointments sounds like a workable solution, but we must see more detail about how this will be resourced in terms of bed availability and staffing; we already have serious concerns about our depleted workforce and lack of beds.

“While the BMA anticipates fair remuneration for the doctors who work overtime to provide this additional work, we must also acknowledge that NHS staff are already over-stretched. NHS doctor burnout is at its highest ever rate.

“We know that treating someone usually requires follow-up treatment or review, too, with this additional work being absorbed into the normal working day, rather than as targeted initiative work. We are keen to see details about the plans to streamline follow-up appointments and improve new referral capacity, as well as regional working.

“In Wales approximately 90% of patient interaction with the NHS happens in primary care and yet just 6% of NHS funding is directed to general practice. So, whilst we welcome this commitment to tackle the long waits that cause pain and suffering for patients, we must not forget the crucial role played by GPs.

“Chronic and sustained underfunding has directly resulted in the closure of 100 surgeries since 2012. GPs are now seeing up to 35% more patients each. Unsurprisingly, this is having a devastating impact on general practice, leading GPs to burn out, reduce their hours or leave.

“NHS Wales will not perform effectively until general practice has sufficient funding to pay for the wide-ranging portfolio of services which GPs provide.

“So, while we welcome this commitment to help those who wait the longest, we need to manage this in a meaningful way for patients and for the staff who deliver the initial and follow up treatment. ”

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