No increase in face-to-face GP appointments for Cambridgeshire and Peterborough patients

The Royal College of GPs said it does not want to see general practice become “totally, or even mostly” remote after the pandemic, but warned it is still necessary to stop the spread of Covid-19 as the country prepares for a predicted second wave.

NHS Digital data shows patients booked 350,675 appointments with practices in the NHS Cambridgeshire and Peterborough CCG area in August – 53 per cent of which involved a face-to-face meeting.

This was in line with July, but still well below 76 per cent in the same month last year.

It was a similar picture across England as a whole, where just over half the appointments made in August were face-to-face – down from 81 per cent a year earlier.

NHS Digital has urged caution that changes in how practices operate during the pandemic may have affected the figures. Practices have been operating very differently in response to the pandemic and consequently may be recording encounters and interactions in different ways.

Professor Martin Marshall, chairman of the Royal College of GPs, said GPs “have done everything they’ve needed to do” to curb the spread of the virus and ensure the safety of patients and staff.

He added: “We understand that some patients prefer the face-to-face personalised service that they are used to – and that many GPs also prefer this way of consulting.

“However, the challenge of infection control isn’t going away and there has been a rapid rise in the number of people testing positive for Covid.

“When remote consultations have been unsuitable - such as for vaccinations or when a physical examination is required - face to face consultations have been arranged, and will continue to be.”

His comments came in response to recent polling by JL Partners for the Daily Mail, which suggests a third of people who needed a face-to-face appointment between April 1 and September 24 were not able to get one.

The figures, based on 1,004 responses to an online survey, also show a quarter of people were “very concerned” that a video or telephone consultation would not be as thorough as a face-to-face appointment, potentially leading to missed symptoms.

Earlier this month, the NHS sent a letter to all GP practices in England reminding them to ensure patients could access face-to-face appointments if they needed to as the crisis continued.

Chairman of the British Medical Association, Dr Chaand Nagpaul, said it was an “affront” to suggest GPs had failed to do so.

“GPs, like hospital doctors, have worked flat out providing millions of appointments, including face-to-face, throughout the pandemic,” he said.

Overall, around 20.1 million GP appointments of all types took place across England in August, down from 22.4 million in July.

In Cambridgeshire and Peterborough, appointments fell by 47,531 over the period.

A Cambridgeshire and Peterborough CCG spokesperson said: “GP practices are working hard to provide care safely. If you need GP support, please call your surgery and they will arrange for you to speak to a GP or nurse. If appropriate, you will receive advice or care via video or over the phone, but if your GP decides they need to see you in person you will be offered a face-to-face appointment.”

Dr Majid Akram, GP at The Deepings Practice and Clinical Lead for the South Locality at NHS Lincolnshire CCG added: “Lincolnshire CCG clinical leads have written to all practices and reminded them about the need to accommodate face to face contacts with all patients who need this type of consultation.

“Triage first is allowing clinical teams to work more effectively, and this is helping with improvements to access within primary care. Face to face appointments have not stopped and are an ongoing offering in all primary care settings in Lincolnshire.

“When reviewing online consultations clinicians will use the most suitable method to communicate with patients, based on the nature of the query. It is reassuring to learn that clinicians are using email, and phone to reply to patient queries.”