Browse content similar to Will the Doctor See You Now?. Check below for episodes and series from the same categories and more!
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In some places, it's getting harder to see the doctor. | :00:07. | :00:15. | |
The wife had to press redial 240 times. | :00:16. | :00:19. | |
GPs say there are too many patients, and too few of them. | :00:20. | :00:26. | |
We meet doctors retiring early because they say the job | :00:27. | :00:28. | |
Fewer doctors, increasing demands, and something has got to give. | :00:29. | :00:39. | |
There aren't enough new doctors to replace | :00:40. | :00:40. | |
those who are leaving, and the pressure is | :00:41. | :00:42. | |
There are GPs out there that are burning out | :00:43. | :00:51. | |
and that's why I worry for my future if I continue | :00:52. | :00:54. | |
So what does this mean for us, the patients? | :00:55. | :00:57. | |
We're with a former NHS insider to ask what can be done. | :00:58. | :01:00. | |
The general public are on the street saying, no, we want our old services | :01:01. | :01:08. | |
even if it is killing people, and that's a real challenge. | :01:09. | :01:14. | |
This was 8am last month in Tenby and a queue has | :01:15. | :01:17. | |
These patients say it's the best way to get | :01:18. | :01:24. | |
They need to spend more money on west Wales. | :01:25. | :01:31. | |
We are more vulnerable and the system has been like it since I | :01:32. | :01:38. | |
moved down here 15 years ago. At this surgery, like many others, they | :01:39. | :01:41. | |
say there are not enough doctors to meet demand. | :01:42. | :01:44. | |
And things got so bad for this surgery in Milford Haven last month, | :01:45. | :01:47. | |
The practice will be under extreme strain, please only request | :01:48. | :02:09. | |
appointments if they are genuine. -- emergency appointments. | :02:10. | :02:11. | |
And patients at this health centre in Pembroke Dock have been | :02:12. | :02:13. | |
complaining about getting an appointment there. | :02:14. | :02:15. | |
The way they do their appointment system is really...it | :02:16. | :02:17. | |
They open the lines at 8am and you can be 25 past eight, | :02:18. | :02:21. | |
quarter to nine hanging on waiting to see if you can | :02:22. | :02:23. | |
100 times in 20 minutes, trying to ring on a mobile especially. | :02:24. | :02:27. | |
The wife was trying to get an appointment for herself. | :02:28. | :02:33. | |
It's frustrating when you can't get an appointment to see your GP | :02:34. | :02:46. | |
It's one of the things that gets patients most worked up | :02:47. | :02:51. | |
We've been filming in surgeries to see why the system is struggling | :02:52. | :02:57. | |
to cope and why GPs don't want to work in some | :02:58. | :03:06. | |
areas, and what it means for you, the patient. | :03:07. | :03:10. | |
One of the practices that's come in for criticism in Pembrokeshire | :03:11. | :03:13. | |
invited us in to see the pressure they're under. | :03:14. | :03:17. | |
They, like the others, say they don't have enough doctors. | :03:18. | :03:26. | |
I would say we are about one and a half whole equivalents, | :03:27. | :03:29. | |
We did advertise for about 18 months through all the journals, | :03:30. | :03:35. | |
We've noticed as well the number of doctors coming | :03:36. | :03:41. | |
And what we used to find was if they trained here they often | :03:42. | :03:46. | |
stayed here so that source has dried up. | :03:47. | :03:48. | |
We've tried to advertise outside Wales but that's failed and we've | :03:49. | :03:51. | |
also lost doctors from the surgery who have emigrated out of the UK. | :03:52. | :03:59. | |
Dr Thanujah is a registrar, one of the health centre's newest recruits. | :04:00. | :04:04. | |
She told us about a typical working day there. | :04:05. | :04:13. | |
On an average day I come into work, I do a bit of admin, I start my | :04:14. | :04:21. | |
morning surgery and I have roughly about 12 patients to see in the | :04:22. | :04:25. | |
morning and each one is allocated ten minutes. On average down here I | :04:26. | :04:30. | |
will have four home visits to do each day. I will come back into the | :04:31. | :04:36. | |
surgery, look at any paperwork, blood results that need action in, | :04:37. | :04:40. | |
then my surgery starts again. Once afternoon surgery has finished, | :04:41. | :04:44. | |
there might be more paperwork that needs doing before I go home. | :04:45. | :04:47. | |
We find the demands from patient exceed what we are able to supply | :04:48. | :04:51. | |
We have improved that lately because we have got more nurse | :04:52. | :04:55. | |
practitioners and advanced clinical practitioners working for us | :04:56. | :05:02. | |
and so are able to offer more appointments with those | :05:03. | :05:06. | |
In response to complaints, the surgery's also changed | :05:07. | :05:09. | |
the appointment system to try to improve access, | :05:10. | :05:11. | |
but without enough doctors they are struggling. | :05:12. | :05:14. | |
And they're leaving, including their most recent recruit, | :05:15. | :05:16. | |
I feel that they have a better worklife balance out there. They | :05:17. | :05:31. | |
also have better services, and patients out there in private care | :05:32. | :05:37. | |
can book a 20 minute appointment. I think that gives the GP enough time | :05:38. | :05:43. | |
to address the needs of the patient safely and adequately. There are GPs | :05:44. | :05:49. | |
out there that are burning out and that's a shame. That's what I worry | :05:50. | :05:55. | |
for my future if I continue to work in this health service. | :05:56. | :05:58. | |
It's 8am and I'm at the Gardden Road surgery | :05:59. | :06:00. | |
The same doctors have been looking after the same patients here for up | :06:01. | :06:10. | |
It's a traditional family general practice. | :06:11. | :06:21. | |
Just see how we are getting on. No ankles swelling? | :06:22. | :06:25. | |
A General Practice is an independent business and doctors are partners | :06:26. | :06:29. | |
There used to be five partners but by next April there'll | :06:30. | :06:33. | |
And you have been there ever since? Yes, full-time. | :06:34. | :06:50. | |
Yes, and we are very lucky to have had that, with mentors to show the | :06:51. | :07:00. | |
way. Dr Coward says it's the pressure | :07:01. | :07:01. | |
that's driving out older doctors. He is about to come down | :07:02. | :07:04. | |
to two days a week. He's failing to recruit younger full | :07:05. | :07:07. | |
time partners because they're put So you have got that perfect storm - | :07:08. | :07:10. | |
fewer doctors, increasing demands Patients like Eleanor Valentine | :07:11. | :07:18. | |
don't want to lose doctors who've I've been with this | :07:19. | :07:25. | |
practice since I was born. Don't know where I'd | :07:26. | :07:39. | |
be without them. But Dr Coward has had enough | :07:40. | :07:41. | |
and is planning to semi retire. I'm going part time in September | :07:42. | :07:49. | |
and Dr McCaddon is going in March. Today he is having to spell out | :07:50. | :08:01. | |
the changes to other patients. With so few people coming | :08:02. | :08:13. | |
through the system we will have five retired | :08:14. | :08:18. | |
doctors coming in. I didn't know about this until a few | :08:19. | :08:37. | |
days ago. I am quite happy now that I know this practice is going to | :08:38. | :08:39. | |
continue. The number of GPs in Wales | :08:40. | :08:41. | |
has gone up by 8% over But headcount alone doesn't | :08:42. | :08:44. | |
tell the whole story. And doctors leaders in Wales say | :08:45. | :08:50. | |
with more GPs wanting to work part time, and with patient demands | :08:51. | :09:02. | |
growing, far more GPs Replacing those leaving, | :09:03. | :09:04. | |
whether young or old, is a problem, because the trainees | :09:05. | :09:13. | |
aren't coming through. I think there has to become fewer | :09:14. | :09:21. | |
places... Malcolm Lewis trains | :09:22. | :09:24. | |
the next generation of GPs. They haven't attracted | :09:25. | :09:26. | |
enough students from medical school for years | :09:27. | :09:28. | |
so a shortfall's been building. And future projections | :09:29. | :09:30. | |
of the workforce paint Given we have only something | :09:31. | :09:32. | |
like 2,500 headcount GPs in Wales, to have a potential shortfall of GPs | :09:33. | :09:42. | |
maybe 700 by maybe 2024 is that's According to the Kings Fund, | :09:43. | :09:49. | |
a health think tank, only one in ten GP trainees surveyed | :09:50. | :09:58. | |
in England plans to work The Wales Deanery say | :09:59. | :10:01. | |
it's much the same here. I think we are maybe the generation | :10:02. | :10:16. | |
that sees ourselves as may be more mobile, not staying in one location | :10:17. | :10:21. | |
for our whole career. Entering a partnership makes it difficult to be | :10:22. | :10:25. | |
so mobile and move from one location after five, ten years. | :10:26. | :10:27. | |
There's also a geographical divide opening up. | :10:28. | :10:28. | |
Of these five trainees, only one could imagine herself | :10:29. | :10:31. | |
practicing any distance away from a big city. | :10:32. | :10:35. | |
plans would maybe to move further west. More long-term plans. | :10:36. | :10:46. | |
Facilities in and around Cardiff and along the M4 corridor art may be | :10:47. | :10:51. | |
better in some senses than rural locations. Other things that put | :10:52. | :10:56. | |
people off working in rural rural areas is the workload, they are sure | :10:57. | :11:00. | |
of partners and having to cover extra workload, you feel if you went | :11:01. | :11:04. | |
there there would be other work to do. | :11:05. | :11:05. | |
It's these views that lead some to say we'll see | :11:06. | :11:07. | |
This doesn't mean surgeries will close, necessarily, | :11:08. | :11:10. | |
We already have a situation in parts of Wales where GPs feel unable | :11:11. | :11:15. | |
to continue in their practice and it's called handing | :11:16. | :11:22. | |
back their keys or handing back the contracts to the health board | :11:23. | :11:25. | |
and unless we are able to increase number of GPs. | :11:26. | :11:27. | |
It may be that other parts of Wales will suffer that fate. | :11:28. | :11:34. | |
Across north Wales, six GP partnerships have already given | :11:35. | :11:36. | |
up their practices and they've been taken by health boards. | :11:37. | :11:39. | |
Recruitment and retention problems are threatening a model of care | :11:40. | :11:41. | |
that's served welsh towns and villages for decades. | :11:42. | :11:49. | |
A survey two months ago by the royal College of GPs reported that more | :11:50. | :11:54. | |
than one in five said they planned to reduce their working hours | :11:55. | :11:57. | |
As a senior partner used to say who retired several years ago, | :11:58. | :12:06. | |
you should aim to have natural causes on your death certificate. | :12:07. | :12:14. | |
People tend to self medicate and things like that, go down the | :12:15. | :12:21. | |
alcohol root and so on. People are getting burned out very quickly, and | :12:22. | :12:30. | |
I cannot see anybody of my age working, carrying on doing six days | :12:31. | :12:33. | |
a week. I want to drop down to two days. | :12:34. | :12:34. | |
The same survey found eight out of ten doctors in Wales were worried | :12:35. | :12:38. | |
they would miss something serious due to current workload. | :12:39. | :12:44. | |
The amount of time which is spent in a consultation, although it usually | :12:45. | :12:53. | |
runs to more than ten minutes, phone calls, interruptions, excessive | :12:54. | :12:59. | |
house calls that we've always tried to contain, it's inevitably going to | :13:00. | :13:07. | |
lead to some rather snap, snappy decisions than one would like. There | :13:08. | :13:14. | |
is a safety issue. We do our best, but we do think, what have I missed | :13:15. | :13:20. | |
today, what could I have done better? It's a fear. | :13:21. | :13:23. | |
Betsi Cadwaladr Health Board told us they take the issue of patient | :13:24. | :13:26. | |
safety very seriously and their role is to help take pressure | :13:27. | :13:29. | |
But responsibility for safety of the individual lies with the GP. | :13:30. | :13:38. | |
I wanted to ask our new Health Secretary Vaughan Gething how | :13:39. | :13:43. | |
he responded to fears from doctors' leaders about enlisting more GPs. | :13:44. | :13:48. | |
What's your take on what seems to be going on with GP recruitment? We | :13:49. | :13:56. | |
know we have a real challenge on GP recruitment. Various different | :13:57. | :14:01. | |
context in different parts of the country in a different scale in | :14:02. | :14:04. | |
different parts of the country. We wouldn't be doing if we didn't think | :14:05. | :14:09. | |
there was problem. That is why we have a primary care plan, it's worth | :14:10. | :14:14. | |
putting more money in. When looking at diversifying the workforce, so | :14:15. | :14:18. | |
GPs get to do more of what they can do and there are other professionals | :14:19. | :14:21. | |
to do different things. I'm confident we can find a way through. | :14:22. | :14:26. | |
Where GP surgeries have handed back their notices, we've always found a | :14:27. | :14:29. | |
way to maintain the service for the public. Recruiting and retailing | :14:30. | :14:40. | |
enough GPs especially in rural areas is a problem. | :14:41. | :14:46. | |
Jonathan Richards was one of South Wales's most prominent GPs. | :14:47. | :14:49. | |
We've often filmed him over his 30 years working in Merthyr. | :14:50. | :14:51. | |
He deliberately chose the town because of its high levels | :14:52. | :14:54. | |
The challenge we face at the moment is other things are changing society | :14:55. | :15:04. | |
is changing, and expectation is changing, roles and responsibilities | :15:05. | :15:06. | |
are changing and that's making the job of a family doctor | :15:07. | :15:09. | |
substantially more difficult and more challenging. | :15:10. | :15:12. | |
I have to confess, I was pleased to retire. | :15:13. | :15:16. | |
A professor of primary care, he was also a clinical director | :15:17. | :15:19. | |
As a former NHS insider, he believes we have to do things differently. | :15:20. | :15:31. | |
I was finding day to day work, as a clinical GP, more and more | :15:32. | :15:34. | |
challenging - harder and harder work. | :15:35. | :15:36. | |
Do you mean traditional GPs surgeries can't function in the same | :15:37. | :15:39. | |
In Prestatyn with partnerships throwing in the towel, | :15:40. | :15:52. | |
the local health board has had to step in to provide the service | :15:53. | :15:56. | |
I think this is something the nurse practitioner can deal | :15:57. | :16:03. | |
if you bring in a urine sample with you as well. | :16:04. | :16:06. | |
It's called Healthy Prestatyn, and it's a new kind of surgery. | :16:07. | :16:12. | |
I'd like to book you in for an initial assessment. | :16:13. | :16:15. | |
Does she have enough tablets to last till then? | :16:16. | :16:19. | |
GPs, including Chris Stockport, work here not as partners in a business, | :16:20. | :16:22. | |
but as salaried staff of the health board. | :16:23. | :16:33. | |
I see lots of doctors in my day-to-day job, | :16:34. | :16:35. | |
and in speaking to young doctors many are telling me and colleagues | :16:36. | :16:38. | |
one reason they don't consider GP practice as a career | :16:39. | :16:40. | |
is because they don't want to be involved in the running of business. | :16:41. | :16:44. | |
They want to be employed under similar terms and conditions | :16:45. | :16:47. | |
It's also pushing a different approach to healthcare. | :16:48. | :16:55. | |
Nurse practitioners like Katie Dawson are increasingly | :16:56. | :16:57. | |
common in surgeries, but Healthy Prestatyn is relying | :16:58. | :16:59. | |
As a nurse practitioner, if you are can see the day-to-day presentations | :17:00. | :17:15. | |
of minor illnesses, then it frees the GP to see the more | :17:16. | :17:18. | |
complex cases that come But does she get any resistance | :17:19. | :17:21. | |
from people who only Sometimes people insist | :17:22. | :17:24. | |
they want to see a doctor and I don't force that, | :17:25. | :17:28. | |
but sometimes - once they realise that you have skills to deal | :17:29. | :17:32. | |
with them efficiently - I'm calling from the doctor 's | :17:33. | :17:34. | |
surgery... physio therapists, all dealing | :17:35. | :17:46. | |
with things the doctor And also that you're | :17:47. | :17:50. | |
wanting to return to work? There's an occupational therapist | :17:51. | :17:57. | |
who tries to boost people's independence, so they don't have | :17:58. | :18:00. | |
to visit the GP at all. If people are staying active | :18:01. | :18:03. | |
for longer and being able to self-manage, | :18:04. | :18:09. | |
reaching their own goals, then yes, you are more in control and that's | :18:10. | :18:11. | |
what they like. I have worked with patients who like | :18:12. | :18:15. | |
having that sense of control. It's about self-management | :18:16. | :18:20. | |
and not coming knocking I'm seeing patients that | :18:21. | :18:21. | |
are being managed by other professionals that would previously | :18:22. | :18:28. | |
have been on my list for the day. Not only managing them well, but, | :18:29. | :18:30. | |
if I am perfectly honest, managing them better, | :18:31. | :18:33. | |
because they are bringing other The doctors here say a third | :18:34. | :18:35. | |
of their workload has been taken away, releasing more time | :18:36. | :18:44. | |
for appointments and for the people It is making a huge difference, | :18:45. | :18:47. | |
it means that patients I see are more complex, | :18:48. | :19:04. | |
but I can use my skills I've been It's the first time this model | :19:05. | :19:07. | |
of primary care has been tried on this scale, | :19:08. | :19:12. | |
looking after so many patients. The Health Board says this new model | :19:13. | :19:15. | |
can compete on cost with So is this the shape | :19:16. | :19:17. | |
of things to come? Very possibly, says health economist | :19:18. | :19:21. | |
Ceri Phillips. We cannot do the things we've always | :19:22. | :19:25. | |
done. The system is on the verge | :19:26. | :19:28. | |
of breaking. In some areas perhaps it's already | :19:29. | :19:38. | |
broken - we cannot fix We have to look at what works | :19:39. | :19:41. | |
in other communities. We have to look at other models | :19:42. | :19:49. | |
of care and use of technology, we have to make sure that | :19:50. | :19:53. | |
professionals do what only do Before retiring last year, | :19:54. | :19:56. | |
Professor Richards was helping shape how his local health board, | :19:57. | :20:03. | |
Cwm Taf, provided primary He says trying to make | :20:04. | :20:05. | |
changes in the NHS creates I achieved quite a lot of small | :20:06. | :20:09. | |
changes, but in terms of the broader things - that has | :20:10. | :20:17. | |
proved much more challenging. People wanted to continue doing | :20:18. | :20:20. | |
the things they we are familiar doing, and there were not | :20:21. | :20:28. | |
all of the levers that I'd liked to have in place to say | :20:29. | :20:36. | |
we can't keep driving the oil tanker in this direction, | :20:37. | :20:39. | |
the oil tanker needs to be And and that does really does | :20:40. | :20:41. | |
require a real small political drive, to say we simply cannot | :20:42. | :20:45. | |
continue doing the same things He was particularly concerned | :20:46. | :20:48. | |
about how smaller GP partnerships in places | :20:49. | :20:58. | |
like the Cynon Valley would survive. He was helping them to work more | :20:59. | :21:02. | |
closely together in clusters, He took us to see one | :21:03. | :21:05. | |
of the surgeries involved. Sometimes we have to treat patients | :21:06. | :21:13. | |
in corridors because This is sometimes used | :21:14. | :21:19. | |
as a consulting room As you can see, very | :21:20. | :21:23. | |
little space in here. This surgery in Mountain Ash has | :21:24. | :21:28. | |
outgrown its building ? the practice is hoping to get money | :21:29. | :21:32. | |
from Welsh Goverment We allowed the students and | :21:33. | :21:42. | |
registrars to have a room to study downstairs but it is totally | :21:43. | :21:43. | |
unacceptable, isn't it? Two full time partners | :21:44. | :21:49. | |
and a salaried doctor and nurse look There's also a visiting pharmacist | :21:50. | :21:52. | |
and nurse practitioner. If you mentioned anyone to Cardiff, | :21:53. | :21:59. | |
I work in Mountain Ash, they say, couldn't you get a job anywhere else | :22:00. | :22:03. | |
question at this is where we want to be, an exciting place to work and | :22:04. | :22:08. | |
this is where the future should be. The answer for recruitment | :22:09. | :22:11. | |
protection is to have a good working life, in a good place, with good | :22:12. | :22:15. | |
people. But that doesn't come easily, does it? In the valleys we | :22:16. | :22:21. | |
have a high number of patients who have a lot of chronic diseases, more | :22:22. | :22:26. | |
than elsewhere. A high number of unemployed people and a high number | :22:27. | :22:27. | |
of elderly patients. You see people and they're | :22:28. | :22:36. | |
on 12-16 medications, It's not just are tablets, it's | :22:37. | :22:38. | |
checking all conditions are managed. One of the things that's meant | :22:39. | :22:41. | |
to help meet these demands These doctors say they are happy to | :22:42. | :22:45. | |
come together with other surgeries. It builds up better | :22:46. | :22:52. | |
relationships with other The Welsh Government has just has | :22:53. | :22:58. | |
put a further ?6 million into supporting Wales' GP clusters, | :22:59. | :23:06. | |
but as independent businesses, general practices can't be | :23:07. | :23:09. | |
forced to join clusters, and around Wales there are reports | :23:10. | :23:12. | |
of some being keener than others The Welsh Government wants to take | :23:13. | :23:15. | |
pressure off hospitals by getting GPS to do more | :23:16. | :23:26. | |
here in the community, but they are worried that will only | :23:27. | :23:29. | |
add to their workload. And without extra money | :23:30. | :23:35. | |
and resources, they won't be able The Royal College of GPs not enough | :23:36. | :23:37. | |
money is going to general practitioners, whereas the number | :23:38. | :23:43. | |
of full time hospital consultants in Wales has | :23:44. | :23:45. | |
gone up by more than 40% over The Welsh Government is putting | :23:46. | :23:50. | |
an extra ?40 million into primary But the proportion of the NHS total | :23:51. | :23:54. | |
going into primary care, compared with hospitals, has gone | :23:55. | :23:59. | |
down over the years, and GPs think But when Professor Richards | :24:00. | :24:02. | |
was at the health board suggesting resources should be | :24:03. | :24:13. | |
switched to primary care, he says he faced opposition | :24:14. | :24:17. | |
from some consultants. Yes, people think - | :24:18. | :24:19. | |
if I agree to this change, Might they decide instead of four | :24:20. | :24:29. | |
consultants in the team, we only need two? It does come down to that | :24:30. | :24:30. | |
level. And he says we all need | :24:31. | :24:33. | |
to change our attitude. In Wales, the public hate | :24:34. | :24:37. | |
changes to hospitals. Look at some ideas to change | :24:38. | :24:39. | |
hospital services and the general public are almost on the streets | :24:40. | :24:42. | |
saying "No, we want our old services" even if its | :24:43. | :24:45. | |
killing people, and this Cwm Taf Health Board told us that | :24:46. | :24:47. | |
"Working in an integrated system is partly about how the skills | :24:48. | :24:55. | |
of GPs, hospital doctors and wider This means everyone working | :24:56. | :24:59. | |
differently and collaboratively The board accepts that change can be | :25:00. | :25:04. | |
difficult, but it's extremely proud of how their staff | :25:05. | :25:17. | |
are embracing new ways of working. Driving change is challenge | :25:18. | :25:20. | |
for the new Health Secretary Doctor Jonathan Richards told | :25:21. | :25:22. | |
us there are too many internal barriers to change, | :25:23. | :25:26. | |
and when he suggested the things to help the primary sector | :25:27. | :25:28. | |
at the expense of the hospital, We've got to have a clear | :25:29. | :25:31. | |
expectation from our point of view of how people will | :25:32. | :25:35. | |
work with each other. There's no point pretending | :25:36. | :25:37. | |
there aren't some rubbing together, or some rubbing apart from people | :25:38. | :25:39. | |
from different parts of the service. And I do think we need | :25:40. | :25:42. | |
to be more demanding, and having a much greater | :25:43. | :25:49. | |
expectation then what works will then work will be carried | :25:50. | :25:51. | |
out more consistently, and that is one of our biggest | :25:52. | :25:53. | |
challenges in the service - how do we make sure that what works, | :25:54. | :25:56. | |
when there's evidence that it works, is then delivered in a much more | :25:57. | :26:00. | |
consistent basis right In the meantime, this system, | :26:01. | :26:02. | |
to some extent, struggles on, held together by the dedication | :26:03. | :26:08. | |
of doctors like these. Jonathan admires them, | :26:09. | :26:11. | |
but also thinks the situation in the Valleys is unsustainable, | :26:12. | :26:13. | |
until everyone agrees on change. If you take the needs of the people | :26:14. | :26:25. | |
in the community here, they'd be best served by a larger | :26:26. | :26:28. | |
team of people with economies of scale to bring in more staff | :26:29. | :26:31. | |
working from one building, because at the moment | :26:32. | :26:34. | |
if you want to provide services, you have to provide 3 or 4 | :26:35. | :26:36. | |
of everything - instead of a team instead of a team of two or three | :26:37. | :26:40. | |
people who could provide You could have more equipment. | :26:41. | :26:43. | |
Better use of IT if everybody worked together, but if you did that, | :26:44. | :26:48. | |
you'd lose the spark of individualism, you see on show | :26:49. | :26:53. | |
here today, so the challenge Back in Rhosllanerchrugog | :26:54. | :26:55. | |
near Wrexham, the surgery is going to be relying much more | :26:56. | :27:07. | |
heavily soon on part-time GPs. They are determined to carry | :27:08. | :27:12. | |
on as an independent practice, and are looking at new ways | :27:13. | :27:14. | |
of running the business. Dr Coward is looking forward | :27:15. | :27:17. | |
to semi-retirement, but after so long in the same place | :27:18. | :27:21. | |
he says he can't just walk away. It is not just coming | :27:22. | :27:26. | |
up to retirement age, It would be a dreadful thing | :27:27. | :27:28. | |
to the legacy of previous senior partners going back 90 years | :27:29. | :27:42. | |
even if we did anything less than our very best, | :27:43. | :27:45. | |
even in retirement. The Welsh Government says it | :27:46. | :27:50. | |
will prioritise plans to boost the recruitment and training | :27:51. | :27:53. | |
of additional GPs and Last week doctors' leaders met | :27:54. | :27:55. | |
with the Health Secretary for the first time since | :27:56. | :28:02. | |
the election, saying they'd been encouraged by his latest comments | :28:03. | :28:05. | |
about wanting to see a greater transfer of resources | :28:06. | :28:08. | |
from hospitals to primary care. Back in Pembrokeshire, | :28:09. | :28:12. | |
Hywel Dda Health Board admit there are recruitment difficulties, | :28:13. | :28:16. | |
but told us they were committed to ensuring patients | :28:17. | :28:20. | |
could access clinicians. As for the queues we filmed | :28:21. | :28:24. | |
in Tenby, the Health Board said they are telling patients they can | :28:25. | :28:27. | |
book appointments on the phone. And at the Argyle St Practice, | :28:28. | :28:37. | |
they'll will be looking I didn't realise the difficulties | :28:38. | :28:39. | |
GPs have in rural settings. Being here, I have got the skills | :28:40. | :28:52. | |
I need to be an independent And Juliet ? who's worked | :28:53. | :28:56. | |
at the surgery for a decade is saying goodbye too ? | :28:57. | :29:02. | |
she's just retiring. My hope is that the doctors | :29:03. | :29:05. | |
who work here stay here I think it has to be raised in | :29:06. | :29:17. | |
doctor 's consciousness is that becoming a GP can be a good career | :29:18. | :29:21. | |
option and isn't the poisoned chalice they perhaps think that it | :29:22. | :29:23. | |
is. I've brought you all here | :29:24. | :29:50. | |
to lay out a vision - a team of radio presenters | :29:51. | :29:52. | |
without equal. Actually, we're already... | :29:53. | :29:55. | |
Wynne Evans - singer, raconteur. I'm betting you'd also | :29:56. | :29:57. | |
be funny on radio. | :29:58. | :30:00. |