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West End Extra - by TOM FOOT
Published:25 July 2008
 

Michael Golding
A&E role for polyclinic GPs?

Doctors fear move to UCLH ‘super-surgery’ will mean taking on extra duties


UNDER-fire Bloomsbury GPs could be asked to assess patients who turn up at University College London Hospital’s planned polyclinic if they agree to the controversial move.
The Museum, Gower Place, Gower Street and Bedford Square practices are facing closure under a proposal to open a super-surgery at the front entrance of the hospital.
The surgeries’ doctors have so far resisted the polyclinic plan, fearing they would be burdened by extra work.
An internal NHS London presentation, seen by the New Journal, reveals the hospital polyclinic would be linked to an urgent care centre (UCC) staffed by GPs and open 24 hours a day.
The changes are being introduced to speed up hospital waiting times and offer patients better access to doctors.
Dr Stephen Amiel, who represents Camden doctors on the Local Medical Committee, said: “Doctors fear they may be tied up with other duties. Everyone has been waiting to see what the changes to the unscheduled care were going to be. UCLH seem to be the leader in this but it is very clear the UCCs will be rolled out across London.”
Plans for a 24/7 GP desk based in a hospital have led to concern about the impact on the popular doctors’ co-operative, Camidoc. The not-for-profit company, which provides out-of-hours service for Camden patients, won a contract extension following protests from the Keep Camden GPs in the NHS group.
Camidoc chief executive Michael Golding said: “We see the development of urgent care centres as an opportunity rather than a threat. It is part of a London-wide reconfiguration of urgent primary care to make it a fully integrated 24/7 service. Once you move to 24/7 urgent care, the traditional concept of an out-of-hours service becomes less relevant.”
Health campaigners believe the UCCs, with one proposed for the ­Royal Free Hospital in Hampstead following a pilot at the UCLH, would be run by private firms.
The New Journal revealed a fortnight ago that Camden Primary Care Trust held secret talks with Richard Branson’s Virgin empire about running services in the UCLH polyclinic.
But the newly formed health arm of Virgin rejected the approach by the PCT, which is now pursuing Clinicenta to run the service. The private company, endorsed by the Department of Health as an urgent care specialist, is believed to be top of a list of bidders.
It is also thought that the Primary Care Trust has already agreed a deal with UCLH, offering it £3million a year to rent two floors of the hospital.
Consultation on the plans is expected to begin in early autumn.
A PCT spokeswoman said: “Camden PCT is working jointly with UCLH about the potential to develop an integrated care centre in phase two of the main hospital site, which will shortly go out to public consultation.”
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