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Decision due on first ‘super surgery’ location

11:14am Tuesday 20th May 2008

Comments (11)   Have your say »

By Mark Stead »

HEALTH bosses will make a decision on where North Yorkshire's first "super surgery" will be housed today.

But a York doctor is calling for a last-minute change of heart on the introduction of polyclinics, which have sparked fears that thousands of patients could soon be forced to pay if they want to see their GP.

North Yorkshire and York Primary Care Trust's board will announce tomorrow at a Malton meeting where the first of the super surgeries will be located, after which the contract to run it will be put out to tender.

This will give private healthcare firms the chance to bid for the chance to run GP services in North Yorkshire. Dr David Fair, of the Jorvik Medical Practice in York, says there should be a rethink.

"There is no evidence whatsoever that these super-surgeries offer value for money," he said. They may have some value in London where people have difficulty seeing a doctor directly, but that situation does not arise outside major urban areas. It would be a waste of money.

"If the Government has money to invest, it should invest it in the healthcare professionals it already has. I do not want to see money haemorrhaged away on private shareholders.

"If there is significant pressure put on the Government, they may be forced to reconsider their decision on super surgeries. They are just a gimmick to make the Government seem forward-thinking."

New legislation introduced at the end of last year allows private firms to bid for new NHS contracts, with the Department of Health claiming super surgeries would bring healthcare closer to patients' homes.

Jane Marshall, North Yorkshire and York PCT's director of commissioning and services, said: "Every PCT in the country has to commission a minimum of one of these equitable access to primary care services by December 2008 and they all need to be operational by the start of next year.

"In North Yorkshire and York, we have to deliver this service for our patients and we are going through a process of deciding where this will be.

"The quality of primary care in our PCT area is fantastic, but we need to see whether we can be better about what we do. Most people can gain access to primary care, but for those people who don't - such as commuters, homeless people and those whose lives mean they don't find it easy to turn up for appointments - there is no reason why we shouldn't do better.

"Today's discussion will be about where the service will be, and then there will be a process of putting it out to tender."

Your Say YourPress

the Butler, Cowichan Bay B.C Canada says...
4:56pm Tue 20 May 08

Would someone please explain, What is a super surgury; how many doctors are on the staff roster are they GPs or surgeons, what hours are they open?, etc....

Bemused, York says...
3:50pm Tue 20 May 08

Jane Marshall, North Yorkshire and York PCT's director of commissioning and services, said: ".. The quality of primary care in our PCT area is fantastic .."

Not for those who die of treatable cancer, or go blind because the PCT won't pay for drugs available elsewhere in the UK.

madas a hatter, york says...
3:44pm Tue 20 May 08

having been a patient with minster health for the last 10 years i have seen many changes to their appointment system and find their latest one to work well for me. as i work away and often arent home until late they still return my call at a time to suit me (within reason). however on the subject of poly clinics why do we need one?? when we already have the walk in centre and gp's are being asked to extend their working hours???? i for one wont be using it!!!!

madas a hatter, york says...
3:44pm Tue 20 May 08

having been a patient with minster health for the last 10 years i have seen many changes to their appointment system and find their latest one to work well for me. as i work away and often arent home until late they still return my call at a time to suit me (within reason). however on the subject of poly clinics why do we need one?? when we already have the walk in centre and gp's are being asked to extend their working hours???? i for one wont be using it!!!!

madas a hatter, york says...
3:44pm Tue 20 May 08

having been a patient with minster health for the last 10 years i have seen many changes to their appointment system and find their latest one to work well for me. as i work away and often arent home until late they still return my call at a time to suit me (within reason). however on the subject of poly clinics why do we need one?? when we already have the walk in centre and gp's are being asked to extend their working hours???? i for one wont be using it!!!!

Lily, York says...
3:32pm Tue 20 May 08

In response to Angry and Frustrated... I am also a patient at Minster Health,and although I did have reservations initially about the new system I have found it nothing but efficient and effective. I have had no problem geting an appointment not only for myself but for other members of my family, each and every time I have contacted the surgery. I have also seen or spoken to the doctor of my choice. I feel that the introduction of a "super surgery" may give patients a chance to be seen out of normal surgery hours, but will most certainly not be by the same doctor or with the same amount of care that a smaller more familiar surgery can provide. Can you really see a "super surgery" being interested in long term illnesses? It will be quick in and quick out.

Fat Harry, says...
1:43pm Tue 20 May 08

More privatisation from New Labour. Looks like we're moving beyond the press campaign to "let your doctor decide" towards letting Richard Branson decide, and his decision will be, "no cash, no treatment"

Angry and Frustrated, York says...
12:58pm Tue 20 May 08

mrandyc wrote:
I use the University Health Centre which provides an excellent service. Super centres will promote more unnecessary car travel with people across the city driving around to super surgeries.
Or alternatively they will cut down on congestion in town and village centres which is where most surgeries are currently located. People who want to drive to their doctors will already currently do so so at least one "super-surgery" will have the traffic going to one location!

mrandyc, York says...
12:46pm Tue 20 May 08

I use the University Health Centre which provides an excellent service. Super centres will promote more unnecessary car travel with people across the city driving around to super surgeries.

exasperated, York says...
12:17pm Tue 20 May 08

According to recent Clinical Executive Board papers of the PCT " A proposal for a ‘Polyclinic’ in Scarborough is being developed to meet tight
timescales of December to the Department of Health. With the service to be
up and running in 2009"

Is this is what we are all looking forward to or is another ploy clinic in the pipeline.

Darzi said no polyclinic would be forced on to a community without local consultation. Must have missed that one.

Angry and Frustrated, York says...
11:33am Tue 20 May 08

"They may have some value in London where people have difficulty seeing a doctor directly"

Comment of the week! I have difficulty in seeing my doctor directly and I live in York! Why?! I have the misfortune of being registered with Minster Health with whom you can no longer make appointments. Instead, you have to ring the surgery and a doctor will call you back at some point during the working day - absolutely no good for me as my working day is spent in consultation with my clients so invariably I miss the calls. Only when you have had a chat with a doctor will my surgery consider making an appointment for you - no choice of doctor nor nothing. It's also not good if you have had a long standing illness which has been treated primarily by 1 doctor - you have to go through it all every time you have to speak to a doctor who doesn't know your case. And they call it progress!

I for one would welcome a "super surgery" - i could MAKE AN APPOINTMENT (there's a novelty!)at a time to suit me - shock horror, maybe on a Saturday morning!

The trouble with dcotors is that they are like lawyers were with legal aid - if you want to receive governement funding, you have to dance to their tune. For too long, they've been taking their extremely gererous salaries whilst cutting down on the face to face contact that's offered to their patients. Maybe now the tide is turning.............
!

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