Just one in eight GP appointments are carried out face-to-face at England’s worst-performing practices, official figures revealed today.
The Government’s first ever ‘league table’, designed to ‘name and shame’ surgeries into seeing more patients in the flesh, shows 12 per cent of consultations were in-person in October at some practices across London.
This is just a fraction of the national average of 71 per cent — the highest since before Covid.
Practice-by-practice data, which ministers claim will help patients make ‘more informed choices’ about where they choose to be treated, also suggested that some surgeries provided no same-day appointments for poorly patients.
Nationally, one in five patients waited more than two weeks to be seen — an all-time high.
Meanwhile, no patients saw a GP at one practice, with appointments carried out by nurses and other practice staff instead.
MailOnline’s interactive tool allows you to find out how your GP practice fares. Data is included for all 6,000-plus surgeries.
Medical unions said the experimental data is ‘no more than a way to “name and shame” practices when the morale of dedicated staff is at rock bottom’.
A top GP today warned family doctors could follow nurses, junior doctors and ambulance staff in taking strike action — warning general practice ‘cannot continue on its current trajectory if it is to survive’.
Across England, there were 31.9million appointments in general practice in October — 13 per cent more than last month.
NHS Digital data for England in October shows more patients were seen face-to-face since Covid first hit the UK (71.3 per cent). Officials have told doctors to see more patients in-person over concerns about missed diagnoses
However, NHS Digital data also reveals that just 44 per cent appointments in October were with a GP — the lowest proportion since the pandemic began. The majority of appointments were with other practice staff, such as a nurse, health visitor or physiotherapist
NHS’s ‘toughest ever winter’: Flu is already piling 10 TIMES more pressure on ailing service than last year with hospitals busier than ever and ambulances ‘in meltdown’
A winter of reckoning has come for the NHS with flu admissions already 10 times higher than last year, with hospital beds and ambulance delays also sky high in officials are saying could be the health service’s ‘most challenging’ season ever.
NHS England’s first weekly winter situation report for 2022 shows an average of 344 flu patients needed hospital care each day from 14 to 20 November.
This is more than 10 times the level seen at the start of December in 2021, when an average of 31 patients needed care for flu each day.
Last year’s flu admissions, which were predicted to be high after the Covid lockdowns blunted Briton’s immunity to the virus, only peaked at about 140 patients in hospital last winter.
The health service today released the first of seasonal situation reports for 2022, earlier than previous years, amid predictions this could be the toughest winter the NHS has ever faced.
Ambulance handovers also continue to suffer with one in 10 patients arriving at hospital stuck outside waiting to be handed over for over one hour as staff struggle to find room.
Data in the NHS report shows that general and acute beds are already approaching 100 per cent occupancy, with 19 out of 20 filled by a patient.
This means there is little capacity in hospitals for a potential surge in admissions.
Bed-blocking continues to exacerbate the problem and at an even worse level than previous years.
Over 13,000 NHS beds last week were taken up by patients fit to leave hospital, up from 10,000 in the first week of December in 2021.
It comes as national data shows the proportion of patients seen in-person in general practice has bounced back to its highest level since March 2020, when the UK was plunged into its first national lockdown.
Seven in 10 consultations in England were face-to-face in October.
The rate dropped as low as four in 10 during the early days of the pandemic, as Britons were told to stay at home to limit the spread of the virus.
Despite 80 per cent of patients being seen in-person pre-Covid, top doctors have suggested the figure may never return to this level.
Officials had told GPs who earn an average of £110,000, to see more patients in-person to boost access, reduce the risk of missed diagnoses and tackle disparities across the country — with some areas continuing to deliver a much higher rate of virtual appointments than others.
Former Health Secretary Sajid Javid last October said he was ‘determined to ensure patients can see their GP in the way they want, no matter where they live’.
He told the NHS to publish practice-level GP appointment data to ‘enhance transparency and accountability’ — as the data was only published nationally.
The first set of local-level data shows that while seven in 10 GP appointments are in-person nationally, just 12 per cent of appointments are in-person at the worst-performing practice — Quay Health Solutions GP Care Home Service in South East London.
The figure is only slightly higher and the next-worst offenders Bath Road Surgery in Hounslow, west London (12.6 per cent) and Sel Special Allocation Practice in Bromley.
And fewer than half of appointments at one in 10 practices in England are in-person.
Meanwhile, national data shows that just 44 per cent appointments in October were with a GP — the lowest proportion since records began in 2018.
The majority of appointments were with other practice staff, such as a nurse, health visitor or physiotherapist.
None of the nearly 2,500 appointments at Addingham Surgery in Ilkley, north west Yorkshire, were with a GP — the lowest rate in the country, according to the data.
The figure was not much better at Raj Medical Centre in Grimsby, North East Lincolnshire (0.5 per cent) and Ashville Surgery in Manchester (1 per cent).
Some appointments do not need to be with a GP, with other highly-trained practice staff often able to diagnose conditions and prescribe medication.
However, only GPs can sign sick certificates and treat ill pregnant women and children aged under two.
Meanwhile, ill Britons faced the longest waits for appointments in at least two-and-a-half years, with just four in 10 (38.9 per cent) seen the same day the called up their local practice. One in five (19.6 per cent) were forced to wait more than two weeks — another high.
Influenza levels for the NHS’s first week of winter data are already 10 times as high as the equivalent period last year, and twice as high as last winter’s peak, data shows
Ambulance handovers also continue to suffer, with over 10,000 patients arriving at hospital stuck waiting over an hour to be handed over as medics struggle to find them a bed, a record number for the first week of NHS winter reporting in the last five years
NHS bed occupancy rates are sky-high at an average of 94 per cent for the week, giving hospitals little room to cope with seasonal pressures expected in the weeks ahead. The NHS has previously advised hospitals to keep beds at 92 per cent occupancy
Higher Ince Surgery in Wigan, Greater Manchester, saw no patients on the same day, while just 3.7 per cent of patients at Dr Clay SN & Partners in Erdington, Birmingham secured same-day appointments.
The data also shows 1.8million appointments across England (5.6 per cent) were missed last month — the highest rate ever.
The NHS noted that the local figures are experimental data — and the figures may contain some reporting errors.
Health and Social Care Secretary Steve Barclay said: ‘We promised to prioritise patients and improve access and that is exactly what we have done – and this is just the start.
‘I am determined to make it easier for people to get an appointment with their GP practice when they need one and this will allow patients to make a more informed choice about the care they receive.’
Minister of State for Health Neil O’Brien said: ‘This is about making sure patients can make genuine choices about where to access their care.
‘More than 90 per cent of a patient’s direct experience of the NHS is through primary care and their GP practices so it is vital appointments are available when needed.
‘This government reiterated its commitment to the NHS during the Autumn Statement and improving access to data is just the start.’
Official figures show 7.1million people in England were in the queue for routine hospital treatment, such as hip and knee operations, by the end of September — the equivalent of one in eight people (red line). The figure includes more than 400,000 people who have been waiting, often in pain, for over one year (yellow bars)
Ambulance performance statistics for October show paramedics took longer to arrive to category one, two and three call outs since records began in 2017. Ambulances took an average of 1 hour, one minute and 19 seconds to respond to category two calls (red bars), such as burns, epilepsy and strokes. This is more than three times as long as the 18 minute target
Meanwhile, emergency care performance has deteriorated to fresh lows. More than 1,400 A&E attendees were forced to wait in more than 12 hours for care every day in October (yellow bars), while the lowest proportion ever recorded were seen within four hours — the NHS target (red line)
Cancer care plummeted in September. Just 60.5 per cent of patients started cancer treatment within two months of being referred for chemotherapy or radiotherapy (red line). The figure is down from 61.9 per cent one month earlier and is the lowest ever recorded in records going back to October 2009. The NHS states 85 patients should start treatment within this timeframe
The NHS’s bed-blocking crisis has exploded since the pandemic with the levels of delayed discharge around triple the comparable figures before the pandemic
Dr Kieran Sharrock, deputy chair of the General Practitioners Committee England at the British Medical Association, said face-to-face appointments are rising but GPs are continuing to offer remote consultations ‘to make sure patients can still get the care they need, in a way that suits them’.
‘Month on month, GPs and their teams are doing all they can to safely spread the workload, with many offering appointments with other staff, like practice-based paramedics or nurses,’ he said.
It is impossible to explain the discrepancies in GP performance across England but patient choice, along with the size and age of the population each practice serves are some factors, he said.
With more than 6,000 practices in England, there will ‘obviously be some differences in the way they operate and how staff provide care for their local communities’, Dr Sharrock said.
He added: ‘None of these nuances are taken into account in today’s data and rather than this being a useful tool to aid patient choice, it is really no more than a way to “name and shame” practices when the morale of dedicated staff is at rock bottom.
‘Ultimately, such data should be used to support, not punish practices.
‘If the Government was serious about improving access to general practice it would address the huge shortfall in doctors, rather than simply piling more pressure and expectation on to the ones that we already have and so desperately need to hang on to.’
Dr Sharrock said GPs must be prepared to support industrial action if the Government does not cut their bureaucracy and increase flexibility during contract negotiations next year.
He called for doctors to see just 25 to 30 patients per day. BMA surveys suggest some family doctors see up to 90 patients per day, compared to the 25 which the union says is a safe limit.
Speaking at the Local Medical Committee England conference in London today, he said: ‘We need activists in every LMC who can build support and understanding of industrial action, so we can turn back on the light at the end of the tunnel.’
It comes as separate health service data published today shows that there are 36,854 GPs working in the NHS — 1.5 per cent more than a year ago and 6.1 per cent more than three years ago.
However, unions have warned that half of family doctors plan to quit in the next five years. And nearly 60 per cent of the workforce only work three days a week.