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The Royal College of GPs (RCGP) has called on the government to increase investment in general practice, stating that they are now "seriously struggling" due to years of underfunding and neglect. As evidence of the mounting workload pressures faced by GPs, new research published by the RCGP has revealed that GPs are now responsible for an average of 2,300 patients each. Concerningly, the ratio has become even worse in areas of higher deprivation, where the need is greatest. The RCGP research found that over the past six years, the average number of patients per GP in areas with the highest level of income deprivation has risen by 260, marking a 12 per cent increase-nearly double the rate observed in the least deprived areas. In these areas, one GP is responsible for 2,450 patients, which is over 300 more patients than their counterparts in the least deprived regions. Addressing the RCGP's annual conference 2024 in Liverpool on Thursday, College Chair Professor Kamila Hawthorne said: "When I became a GP, it was normal to have a list size between 1,600-1,800 patients. The role was busy and challenging, but it was manageable. Our latest figures reveal that the average is now 2,300.

The UK recorded an estimated 66,730 serious antibiotic-resistant infections in 2023, surpassing the pre-pandemic figure of 62,314 in 2019, a new report from the UK Health Security Agency (UKHSA) has revealed. Antibiotic resistant bacteria are less likely to respond to treatment and can cause serious complications, including bloodstream infections, sepsis and hospitalisation. The national surveillance data published by the UKHSA showed that E. coli - a common cause of urinary tract infections, diarrhoea, vomiting and fever, accounted for 65 per cent of antibiotic-resistant bloodstream infections in the last five years. The English Surveillance of Antibiotic Prescribing and Utilisation Report (ESPAUR) highlighted a stark disparity in infection rates. People in the most deprived communities were 42.6 per cent more likely to experience an antibiotic-resistant infection in 2023 compared to those in the least deprived areas, a significant rise from 29.4 per cent in 2019. Overall, resistant infection rates in the most deprived areas of England increased by 9.5 per cent between 2019 and 2023.

The Royal College of GPs (RCGP) has warned that patients in deprived areas could face even greater difficulty accessing GP services if funding for the Targeted Enhanced Recruitment Scheme (TERS) is withdrawn. In a letter to NHS England, the College is calling for confirmation that TERS will be extended for 2025/26 and beyond. The scheme, launched in 2016, was designed to attract GP trainees to economically disadvantaged areas, where healthcare provision has historically been inadequate. TERS offers a one-off payment of £20,000 to GP trainees who commit to working in hard-to-recruit-to locations. Over the years, the scheme has successfully recruited over 2,000 GPs. However, with funding for 2025/26 yet to be confirmed, the RCGP is worried that it could be cut from April. The College has expressed concern that discontinuing the scheme could "make it even more difficult to recruit GPs to work in deprived and under-doctored areas where patients are already significantly disadvantaged compared to those in more affluent areas of the country."

A new analysis by the Nuffield Trust has revealed that NHS trusts in England are experiencing their worst financial deterioration in a decade, raising concerns that the government's reform plans could be at risk. The report found that the NHS trust sector, which makes up three-quarters of NHS day to day spending, recorded a £1.2 billion overspend last year, amounting to 0.9% of income in 2023/24. This is double the previous year's overspend, recorded at £448 million, and significantly worse than the modest financial surpluses seen in 2020/21 and 2021/22. The sector is in "as precarious a position it was in immediately prior to the pandemic," the report said. NHS trusts in the most deprived areas suffered the worst financial deterioration in 2023-24, with North West and Midlands reported the deepest deficits, accounting for 2.2% and 1.5% of revenues, respectively. The North East and Yorkshire have also seen the steepest declines in financial health since 2022/23. The underlying gap between stable incomes and outgoings across the provider sector was at least £4.5 billion last year.

Rural areas have been hit the hardest by a wave of pharmacy closures over the past two years, according to a new analysis by the National Pharmacy Association (NPA). The analysis published today revealed that nearly nine in ten council areas across England have suffered the loss of vital pharmacies and warned that many rural areas risk becoming "pharmacy deserts" if the current closure rates continue. Additionally, the NPA, which represents independent community pharmacies, warned that England faces a significant risk to the availability of essential medicines if "a decade of underfunding and closures" is not addressed. It is calling on the government to reverse the 40 per cent real-terms cuts to community pharmacy budgets over the past decade, which have led to the closure of over 1,500 pharmacies and forced many others to reduce their opening hours. NPA Chief Executive, Paul Rees said: "These shocking statistics show how a growing number of areas are at risk of becoming pharmacy deserts, with people in rural towns and villages having to travel longer and longer distances to get hold of the medication they need.

Wes Streeting's speech at the Labour Party Conference 2024 outlines several key health and social care reforms, which hold significant implications for community pharmacy in England. His focus on reforming and rebuilding the NHS to ensure fair, universal access to care, with prevention and early intervention at its core, presents both opportunities and challenges for community pharmacy. Here are the potential implications: 1. Prevention Focus Streeting's vision of a shift from a reactive, hospital-based model to a preventive healthcare system presents a promising future for community pharmacies. These changes could significantly reduce pressures on GPs and hospitals, integrating pharmacies more closely into primary care networks and enhancing their role in preventive care. 2. Digital Transformation The move from an "analogue to digital" NHS could see community pharmacies adopting more digital tools and systems for service delivery. This would likely involve greater use of digital prescribing, telehealth consultations, and AI-driven services. Pharmacies will need to invest in digital infrastructure and ensure that pharmacy professionals are trained to operate within a more tech-centric environment. 3. Reform and Redistribution of Services Streeting's plans to extend choice and equitable access to services mean that community pharmacies could become integral to providing care in underserved or disadvantaged areas. With a focus on decentralising healthcare and bringing it closer to local communities, community pharmacies could play a more significant role in supporting healthcare delivery in areas where GP services are stretched. This may include expanding access to pharmacy services in the most deprived areas, aligning with Labour's emphasis on addressing health inequalities.

As Chair of the Council of Healthcare Professionals at Asthma + Lung UK, I'm deeply concerned about the invisible threat of air pollution on the health of our communities. It's a crisis that disproportionately affects the most disadvantaged, exacerbating health inequalities. Shockingly, for every 100 people who die from asthma in the UK, 31 are from the most deprived areas, compared to only 12 from the least. Studies have shown that the most economically disadvantaged are often those worst affected by air pollution, particularly because they often live near busy roads and yet are least likely to own a car. Wherever we live, the chance of breathing air that exceeds the World Health Organization's recommended pollution limits is alarmingly high. For the millions of Brits with lung conditions like asthma and COPD breathing in toxic air can harm their health and quality of life. Exposure to air pollution is directly linked to respiratory symptoms, hospitalisations, and the likelihood of developing respiratory diseases, even shortening life expectancy. Yet many people remain unaware of how much polluted air affects them. Often the first point of contact in healthcare, community pharmacists are well positioned to educate patients, especially those in polluted areas, about the impact of air pollution on their health.

According to the report, in 2022-23, 4.4 million people were diagnosed with diabetes "Bold action is needed to reverse the rising trend in type 2 diabetes, overturn our broken food environment, and give every child and young person the best possible chance to grow up in good health," retorts Chief Executive of Diabetes UK. A newly published report, Reverse the Trend - Reducing type 2 diabetes in young people, reveals a troubling 40 per cent rise in type 2 diabetes diagnoses among younger people from 2016-17 to 2022-23. The report highlights that almost 168,000 individuals under 40 in the UK are currently living with type 2 diabetes, an increase of over 47,000 since 2016-17. Historically associated with older adults, type 2 diabetes is now increasing more rapidly among younger populations, particularly affecting those from deprived areas and Black and South Asian communities.

Pharmacy minister Stephen Kinnock has pledged to enhance the role of community pharmacies, particularly in deprived areas, by making better use of the skills of pharmacy teams. In a video message at the SIGMA UK Community Pharmacy Conference 2024 on Sunday, Kinnock also announced plans to expand the Pharmacy First initiative and introduce an independent prescribing service, making prescribing an integral part of the service delivered by community pharmacies. He said: "Since taking on the role of minister of state for care in government, my message has been very clear: we must get our fantastic primary care sector back on its feet to be able to deliver for our patients. "This government is committed to shifting care from hospital to community, from analogue to digital, and from sickness to prevention, and pharmacies will play a vital role in that." Kinnock acknowledged the pressures faced by the sector and expressed concerns that so many community pharmacies have exited the market over the past decade.

Munira Wilson, the Liberal Democrat MP for Twickenham, highlighted the impact of the community pharmacy closures in the Hampton area, and the severe financial challenges facing community pharmacies across England during an adjournment debate in the House of Commons on Friday. She also raised concerns about the impenetrable bureaucratic processes surrounding new pharmacy license applications and closures. Wilson highlighted the closure of two Boots pharmacies in Hampton last autumn, including one in the deprived ward of Hampton North. The Tangley Park pharmacy closure left the entire ward, which lacks adequate public transport, without a pharmacy, severely affecting elderly and vulnerable residents. "The nearest pharmacy is now a mile away on foot, a distance which is difficult to cover for the elderly and those with mobility issues, certainly more than a 20-minute walk, the measure that previous ministers like to use to highlight pharmacy accessibility," she said.

The current funding and contractual framework for community pharmacy is not fit for purpose, the Health and Social Care Committee report has concluded, recommending a complete overhaul to reduce its complexity. Published today, the report highlighted the necessity for a new framework to ensure adequate funding and to prevent damaging cross-subsidy between clinical services and prescription dispensing, as is presently observed. The report revealed that community pharmacy funding has fallen by over 30 per cent in real terms since 2015, resulting in an annual shortfall of at least £67,000 per pharmacy for individual owners. More than 1,100 community pharmacies have closed since 2015, of which were serving the most deprived areas, it said. MPs on the committee have urged the government to address medicine shortages, warning that they could undermine flagship initiatives such as 'Pharmacy First' by eroding public confidence in pharmacists. "People living with type 2 diabetes, ADHD, epilepsy and cystic fibrosis, and those experiencing the menopause, have faced challenges accessing the vital medication they need. Many others are facing similar experiences.