Dr Tom Coffey: Why I'm in favour of the new scheme

GP with 14 years' experience in Wandsworth, south London

Share
Related Topics

In most GP practices the buildings are crumbling and need improving. Our ability to access diagnostics such as X-rays and blood tests can also be limited, so we have to refer patients to hospitals for quite simple tests.

A lot of patients want better access to their GP, especially unscheduled care at evenings and weekends. But it's very hard for individual small practices to run surgeries 12 hours a day, seven days a week.

The care of people with long-term conditions requires a team approach. You need specialist nurses, GPs and consultants, and it needs to be a team of a sufficient size.

I'm in favour of a federated polyclinic approach, a hub-and-spoke model, because patients usually like their GP and like the fact they can walk there. But they also want better access and to see their GP out of hours as well as a team coordinating their care, so they need access to the "hub" which is the polyclinic. But they keep the "spokes", which are the local GP practices embedded in the community.

This approach allows you to have the best of both worlds. You keep your local GP practices while the hub handles diagnostics and unscheduled calls and forms a base for a team of specialists, where people can access GPs, mental health services and housing advice.

No GP, not even me, would support a single polyclinic site where all the GP practices for an area are based. You need the spokes in the community.

To have your say on this or any other issue visit www.independent.co.uk/IoSblogs

React Now

iJobs Job Widget
iJobs General

Programme Planner

£30000 - £45000 Per Annum: Clearwater People Solutions Ltd: Our client based i...

Supply Chain Manager

Not Specified: Recruitment Genius: One of the UK's most progressive and innova...

Senior SAP FICO Consultant, £60,000 - £65,000, Manchester

£55000 - £65000 per annum: Progressive Recruitment: Senior SAP FICO Consultant...

Service Desk Analyst - ITIL, Windows, Active Directory

£35000 per annum: Harrington Starr: A world leading brokerage is looking for a...

Day In a Page

Read Next
 

Is Ed Sheeran the most important British man in black music?

Lee Pinkerton Lee Pinkerton
A young Palestinian boy walks over debris from a house that was destroyed in an airstrike in Deir Al Balah  

The Middle East debate has more to do with the fashion for revolutionary tourism than real politics

James Bloodworth
Super Mario crushes the Messi dream as Germany win the 2014 World Cup in Brazil

Super Mario crushes the Messi dream

Germany win the 2014 World Cup in Brazil
Saharan remains may be evidence of the first race war, 13,000 years ago

The first race war, 13,000 years ago?

Saharan remains may be evidence of oldest large-scale armed conflict
Scientists find early warning system for Alzheimer’s

Scientists find early warning system for Alzheimer’s

Researchers hope eye tests can spot ‘biomarkers’ of the disease
Sex, controversy and schoolgirl schtick

Meet Japan's AKB48

Pop, sex and schoolgirl schtick make for controversial success
In pictures: Breathtaking results of this weekend's 'supermoon'

Weekend's 'supermoon' in pictures

The moon appeared bigger and brighter at the weekend
Iraq crisis: How Saudi Arabia helped Isis take over the north of the country

How Saudi Arabia helped Isis take over northern Iraq

A speech by an ex-MI6 boss hints at a plan going back over a decade. In some areas, being Shia is akin to being a Jew in Nazi Germany, says Patrick Cockburn
The evolution of Andy Serkis: First Gollum, then King Kong - now the actor is swinging through the trees in Dawn of the Planet of the Apes

The evolution of Andy Serkis

First Gollum, then King Kong - now the actor is swinging through the trees in Dawn of the Planet of the Apes
You thought 'Benefits Street' was controversial: Follow-up documentary 'Immigrant Street' has got locals worried

You thought 'Benefits Street' was controversial...

Follow-up documentary 'Immigrant Street' has got locals worried
Refugee children from Central America let down by Washington's high ideals

Refugee children let down by Washington's high ideals

Democrats and Republicans refuse to set aside their differences to cope with the influx of desperate Central Americas, says Rupert Cornwell
Children's books are too white, says Laureate

Children's books are too white, says Laureate

Malorie Blackman appeals for a better ethnic mix of authors and characters and the illustrator Quentin Blake comes to the rescue
Blackest is the new black: Scientists have developed a material so dark that you can't see it...

Blackest is the new black

Scientists have developed a material so dark that you can't see it...
Matthew Barzun: America's diplomatic dude

Matthew Barzun: America's diplomatic dude

The US Ambassador to London holds 'jeans and beer' gigs at his official residence – it's all part of the job, he tells Chris Green
Meet the Quantified Selfers: From heart rates to happiness, there is little this fast-growing, self-tracking community won't monitor

Meet the 'Quantified Selfers'

From heart rates to happiness, there is little this fast-growing, self-tracking community won't monitor
Madani Younis: Five-star reviews are just the opening act for British theatre's first non-white artistic director

Five-star reviews are just the opening act for British theatre's first non-white artistic director

Madani Younis wants the neighbourhood to follow his work as closely as his audiences do
Mrs Brown and her boys: are they having a laugh?

Mrs Brown and her boys: are they having a laugh?

When it comes to national stereotyping, the Irish – among others – know it can pay to play up to outsiders' expectations, says DJ Taylor