You don't cite a source for your stats. NHS digital, BMA, Nuffield Trust and BHF agree that the patient-per-equiv FTE GP has gone from 1500 in 2004 to 2300 in 2024, an increase of 53%, of which 6% is reduction in GPs, and 47% an increase in population. What doesn't show there of course, which isn't (directly) relevant to this discussion but which does increase pressure on GPs, is that there has also been an increase in visits-per-patient and an increase in (medical) complexity. Note that my numbers are for practising GPs and take account of part time roles. Happy to be proved wrong but the difference between us isn't 'in the rounding'So, back in Clogland after 3 days in sunny Derbados avoiding the delights of the News and the madhouse that is antisocial media. Had a butcher's at the election results from last Thursday, browsed a bit online. Some Reform person going to sack the council's something or other as DEI or was it Climate Change was nonsense. Turns out that council doesn't have a whatever in place to sack. Said it before, these far right bods don't seem capable. Meloni is finding that she can't do half of what she wants to do because Italian law and/or international Agreements and Laws get in the way. In the Netehrlands, Wilders appoints a totally incompetent woman as immigration Minister. She cobbled together some ridiculous claptrap in order to sort the immigration issues out. The "Raad van State", a government authority that looks at proposed new Laws to conclude whether they conform with the Dutch Constitution, Dutch Law, European Law, International Law and agreements, whether the indicated costs are reasonable and affordable, whether the ministeries/institutions can actually execute the tasks a new law would require etc concluded that there was an awful lot wrong with her proposed Law. Her response? That's the policy of both me and my party and I'm not going to change a single comma. Since then a series of mayors have tried to contact her explaining how what she's expecting of them and her staff at the local level is unaffordable and unworkable. They've also explained why that is so. She won't accept phone calls from them. She doesn't read or reply to their emails. Same goes for emails from opposition MPs. Totally unreasonable behaviour.
Even the opposition parties on the left have said that they are in favour of her intended result. However, they also say that she's going about it the wrong way and that they will gladly discuss ways with her to reach the intended result, within Laws etc and also make it workable. Civil servants in the ministry have also said much of her proposal is illegal, unaffordable and unworkable. She ignores them.
The 4 party coalition could get it through the lower house as they have a majority there. However, in the upper house, they do not have a majority and the Bill will die a death there.
There is a huge willingness from both left and right to reach the end result. Faber, the minister in question, and Wilders are insisting my way or the highway.
IMO, they know, as does most of the populace, that the coalition cabinet will collapse in the course of this year. Their strategy then, at the election, will be to blame everybody else for there not being the "strongest ever immigration Laws" in place and they are hoping that will help them to a majority without the need for a coalition. They are playing games with the rest of us.
Asylum centres have closed without reducing the incoming flow of asylum seekers which means the few remaining centres are overfull. The on in Ter Apel is subject to a court ruling that sees them fined every day they have over 2000 asylum seekers staying there. There's a never ending stream of new asylum seekers and there aren't enough places available. Above the regular centres, we have emergency centres, intended for short term use to cover overflow. Half of those have been shut down. That means they have had to start using hotels. This is, therefore a political choice.
If the old regular places hadn't been shut down by the previous coalition and the emergency overflows by this one there'd be few to zero hotels being used. Regular places cost 30 grand a year per asylum seeker. The emergency ones cost 45 grand a year pp. The hotels 69 grand pp. This immigration minister keeps saying she wants to cut costs yet she takes actions that have reduced the number of regular places, reduced the number of emergency places and increased hotel use. Net effect is the annual cost has risen sharply.
The only council UKIP ever ran, went bankrupt in 7 months. Right wing Meloni isn't delivering what she promised in Italy. Wilders isn't doing it in the Netherlands either. Why do people think Farage will fare any better? I think he'll be awful if he ever gets in power.
Now, I saw a Farage video this morning. Harping on about how difficult it is to even sign on with a GP, never mind get an appointment to actually see one. He went on to say that there's been 7 point something million immigrants over the past 10 years and they are the reason it's so difficult to get a GP/appointment. I thought I'd fact check...
UK population in 2000 was 59 million and there were 39K GPs. That's 1512 patients per GP on average
UK population in 2024 was 69 million and there were 54K GPs. That's 1277 patients per GP on average
If I only go back 10 years UK population in 2014 was 64 million and there were 50K GPs. That's 1280 patients per GP on average
How is it the fault of some 7M immigrants over the past 10 years when each GP has betting on for 20% less patients than in 2000 and an average of 3 less than in 2014?
Figures rounded up/down before anybody goes all pedantic...

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, but 69 million people divided by 54 thousand GPs does seem a sensible and reasonable basis.