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‘Allow Struggling Practices to Fail’ Comment Draws Widespread Condemnation

Controversial remarks about the future of vulnerable practices made by a senior NHS England official in a leaked document have been slammed by high-profile figures involved in healthcare.

Claims that vulnerable practices should ‘transform…or be allowed to fail and wither’ have been credited to Paul Twomey, medical director of the NHS England North Yorkshire and Humber area team. Figures including Dr Richard Vautrey, deputy chair of the GPC, and Shadow Health Secretary Jonathan Ashworth have lined up to condemn the sentiment.

The comments were seen in a leaked document uncovered by the BBC and Pulse and although they have been subsequently disowned by NHS England, who say the words do not reflect their policy, they throw light on an alarmingly bleak point of view.  

All of this is in stark contrast to the much more positive story we reported on earlier this week, when the CQC praised the quality of care that is being provided by the vast majority GP practices in England. The annual State of Care report also highlighted that 75% of surgeries that initially received inadequate ratings this year were granted improved ratings upon re-inspection.

It’s been a week of mixed messages for general practice – what’s your view on these hot topics? We’ve set up a poll on this story on your new FPM Forum, so why not head over and make your voice heard by joining the conversation.


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