We read with concern but not surprise that 10% of London practices may close (Report, 6 July). Limehouse is a long-established practice that provides high-quality care despite serving a highly deprived population of 11,000 patients. Despite negotiations with NHS England over the past year, pointing out our significant losses with removal of the minimum practice income guarantee, we are no nearer to financial reprieve. Primary care remains the bedrock of the NHS as highlighted by the Commonwealth Fund report last year. It will allow containment of healthcare costs despite increasing complexity and demand. Jeremy Hunt’s new deal asks GPs to do more and we are innovative and excited, but we can’t deliver without resources.
Like all inner-city GPs we are committed to the work we do, often in challenging circumstances, and we have worked beyond contractual demands because we are making a difference to the health and wellbeing of our population. However, continued changes undermine all that makes our work rewarding. We have asked for investment in core services, otherwise non-recurring money, such as for seven-day opening, destabilises practices further. We ask that what we do best is supported: providing continuity for vulnerable patients who want to see their own GP.
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