Dr Steve Taylor
@drstevetaylor.bsky.social
Simple Maths for Historians (Wes Streeting)
Resident Drs used to be paid £100
They lost 35% = £65
Even if the pay increased 28.9% of £65 = £83.78
Still down £16.22
£100k debts, reduced job prospects & working conditions
Labour isn’t good at Maths
www.instituteforgovernment.org.uk/comment/pay-...
Resident Drs used to be paid £100
They lost 35% = £65
Even if the pay increased 28.9% of £65 = £83.78
Still down £16.22
£100k debts, reduced job prospects & working conditions
Labour isn’t good at Maths
www.instituteforgovernment.org.uk/comment/pay-...
November 11, 2025 at 8:08 AM
Simple Maths for Historians (Wes Streeting)
Resident Drs used to be paid £100
They lost 35% = £65
Even if the pay increased 28.9% of £65 = £83.78
Still down £16.22
£100k debts, reduced job prospects & working conditions
Labour isn’t good at Maths
www.instituteforgovernment.org.uk/comment/pay-...
Resident Drs used to be paid £100
They lost 35% = £65
Even if the pay increased 28.9% of £65 = £83.78
Still down £16.22
£100k debts, reduced job prospects & working conditions
Labour isn’t good at Maths
www.instituteforgovernment.org.uk/comment/pay-...
It’s often hard to get your MP to understand specific GP problems and influence decisions
Take for example Ilford North where GP to patient ratios are some of the worst in the country and aren’t improving
2661 patients/GP up 510 since 2018
🏴 2257 patients/GP
If only the local MP had any influence
Take for example Ilford North where GP to patient ratios are some of the worst in the country and aren’t improving
2661 patients/GP up 510 since 2018
🏴 2257 patients/GP
If only the local MP had any influence
November 10, 2025 at 11:55 AM
It’s often hard to get your MP to understand specific GP problems and influence decisions
Take for example Ilford North where GP to patient ratios are some of the worst in the country and aren’t improving
2661 patients/GP up 510 since 2018
🏴 2257 patients/GP
If only the local MP had any influence
Take for example Ilford North where GP to patient ratios are some of the worst in the country and aren’t improving
2661 patients/GP up 510 since 2018
🏴 2257 patients/GP
If only the local MP had any influence
This report was published 20 October 2022
This was the day Liz Truss announced her resignation
Also the day General Practice was ignored & lost potentially forever
publications.parliament.uk/pa/cm5803/cm...
This was the day Liz Truss announced her resignation
Also the day General Practice was ignored & lost potentially forever
publications.parliament.uk/pa/cm5803/cm...
November 8, 2025 at 7:56 PM
This report was published 20 October 2022
This was the day Liz Truss announced her resignation
Also the day General Practice was ignored & lost potentially forever
publications.parliament.uk/pa/cm5803/cm...
This was the day Liz Truss announced her resignation
Also the day General Practice was ignored & lost potentially forever
publications.parliament.uk/pa/cm5803/cm...
In general the smaller the GP practice the better the satisfaction from patients, the more appointments offered per patient, the shorter the waits, lower costs
Yet … Wes & NHSE are
pushing for large Neighbourhood Centres ignoring existing GP practices
Why? What’s the reason?
Yet … Wes & NHSE are
pushing for large Neighbourhood Centres ignoring existing GP practices
Why? What’s the reason?
November 8, 2025 at 9:05 AM
In general the smaller the GP practice the better the satisfaction from patients, the more appointments offered per patient, the shorter the waits, lower costs
Yet … Wes & NHSE are
pushing for large Neighbourhood Centres ignoring existing GP practices
Why? What’s the reason?
Yet … Wes & NHSE are
pushing for large Neighbourhood Centres ignoring existing GP practices
Why? What’s the reason?
GPs - ‘Lazy, laggards’
1.3million appts take place in General Practice each day
20 x more than A&E
3.5 x more than hospital out-patients
5million more appts each month than 2019
Wes Streeting has decided he doesn’t need GPs
Let’s see if people agree
www.kingsfund.org.uk/insight-and-...
1.3million appts take place in General Practice each day
20 x more than A&E
3.5 x more than hospital out-patients
5million more appts each month than 2019
Wes Streeting has decided he doesn’t need GPs
Let’s see if people agree
www.kingsfund.org.uk/insight-and-...
November 8, 2025 at 8:44 AM
GPs - ‘Lazy, laggards’
1.3million appts take place in General Practice each day
20 x more than A&E
3.5 x more than hospital out-patients
5million more appts each month than 2019
Wes Streeting has decided he doesn’t need GPs
Let’s see if people agree
www.kingsfund.org.uk/insight-and-...
1.3million appts take place in General Practice each day
20 x more than A&E
3.5 x more than hospital out-patients
5million more appts each month than 2019
Wes Streeting has decided he doesn’t need GPs
Let’s see if people agree
www.kingsfund.org.uk/insight-and-...
When Hospital Trusts run community care
Virtual beds £665 for a 4 admission in your own bed, in your own home with telephone access to hospital
For half the cost you could have a daily GP & District Nurse visit
Fund community care delivered by community clinicians & managers
Virtual beds £665 for a 4 admission in your own bed, in your own home with telephone access to hospital
For half the cost you could have a daily GP & District Nurse visit
Fund community care delivered by community clinicians & managers
November 7, 2025 at 11:34 AM
When Hospital Trusts run community care
Virtual beds £665 for a 4 admission in your own bed, in your own home with telephone access to hospital
For half the cost you could have a daily GP & District Nurse visit
Fund community care delivered by community clinicians & managers
Virtual beds £665 for a 4 admission in your own bed, in your own home with telephone access to hospital
For half the cost you could have a daily GP & District Nurse visit
Fund community care delivered by community clinicians & managers
GPs are asking for funding so that patients can have greater access to GPs
You will hear something different from Wes Streeting & Government
They will say that there is more funding & GPs but there isn’t anywhere near enough of either
They aren’t telling you the truth
You will hear something different from Wes Streeting & Government
They will say that there is more funding & GPs but there isn’t anywhere near enough of either
They aren’t telling you the truth
November 6, 2025 at 10:38 PM
GPs are asking for funding so that patients can have greater access to GPs
You will hear something different from Wes Streeting & Government
They will say that there is more funding & GPs but there isn’t anywhere near enough of either
They aren’t telling you the truth
You will hear something different from Wes Streeting & Government
They will say that there is more funding & GPs but there isn’t anywhere near enough of either
They aren’t telling you the truth
‘Professional protectionism’ = patient protection
It’s really important people understand why knowledge is needed in patient care
Protecting a role eg Nurse/Dr is about protecting patients from harm
You don’t know what you don’t know or understand what you have never been taught
It’s really important people understand why knowledge is needed in patient care
Protecting a role eg Nurse/Dr is about protecting patients from harm
You don’t know what you don’t know or understand what you have never been taught
November 6, 2025 at 8:13 AM
‘Professional protectionism’ = patient protection
It’s really important people understand why knowledge is needed in patient care
Protecting a role eg Nurse/Dr is about protecting patients from harm
You don’t know what you don’t know or understand what you have never been taught
It’s really important people understand why knowledge is needed in patient care
Protecting a role eg Nurse/Dr is about protecting patients from harm
You don’t know what you don’t know or understand what you have never been taught
Is Pharmacy First working?
NHSE now insist Pharmacists do it, despite struggling to meet thresholds, £17/consult + £500 for 20-29 / £1000 for 30
300k/month is less 1% of consults in GP, 31million, but most cost more than double the amount of a GP appt to provide - why?
Just fund Pharmacies & GPs
NHSE now insist Pharmacists do it, despite struggling to meet thresholds, £17/consult + £500 for 20-29 / £1000 for 30
300k/month is less 1% of consults in GP, 31million, but most cost more than double the amount of a GP appt to provide - why?
Just fund Pharmacies & GPs
November 4, 2025 at 7:29 PM
Is Pharmacy First working?
NHSE now insist Pharmacists do it, despite struggling to meet thresholds, £17/consult + £500 for 20-29 / £1000 for 30
300k/month is less 1% of consults in GP, 31million, but most cost more than double the amount of a GP appt to provide - why?
Just fund Pharmacies & GPs
NHSE now insist Pharmacists do it, despite struggling to meet thresholds, £17/consult + £500 for 20-29 / £1000 for 30
300k/month is less 1% of consults in GP, 31million, but most cost more than double the amount of a GP appt to provide - why?
Just fund Pharmacies & GPs
Not everything has to be cost effective. Society is about caring too!
However the estimated loss to the economy of sickness is £150bn a year
www.oxera.com/wp-content/u...
And the UK has the highest waiting lists for healthcare in the G20
However the estimated loss to the economy of sickness is £150bn a year
www.oxera.com/wp-content/u...
And the UK has the highest waiting lists for healthcare in the G20
November 4, 2025 at 4:30 PM
Not everything has to be cost effective. Society is about caring too!
However the estimated loss to the economy of sickness is £150bn a year
www.oxera.com/wp-content/u...
And the UK has the highest waiting lists for healthcare in the G20
However the estimated loss to the economy of sickness is £150bn a year
www.oxera.com/wp-content/u...
And the UK has the highest waiting lists for healthcare in the G20
People don’t suffer from Taxes
People suffer because the UK doesn’t Tax & invest in the nation
Worse healthcare, roads, schools, pensions and decades of the rich getting richer
The UK is a low tax economy with low public investment
People suffer because the UK doesn’t Tax & invest in the nation
Worse healthcare, roads, schools, pensions and decades of the rich getting richer
The UK is a low tax economy with low public investment
November 4, 2025 at 2:50 PM
People don’t suffer from Taxes
People suffer because the UK doesn’t Tax & invest in the nation
Worse healthcare, roads, schools, pensions and decades of the rich getting richer
The UK is a low tax economy with low public investment
People suffer because the UK doesn’t Tax & invest in the nation
Worse healthcare, roads, schools, pensions and decades of the rich getting richer
The UK is a low tax economy with low public investment
Once upon a time a report was written by MPs across parties for Parliament outlining how to fix General Practice
Hours were spent taking evidence, the conclusions were clear
No one read it or if they did they ignored it
Including Wes Streeting
committees.parliament.uk/publications...
Hours were spent taking evidence, the conclusions were clear
No one read it or if they did they ignored it
Including Wes Streeting
committees.parliament.uk/publications...
November 4, 2025 at 8:00 AM
Once upon a time a report was written by MPs across parties for Parliament outlining how to fix General Practice
Hours were spent taking evidence, the conclusions were clear
No one read it or if they did they ignored it
Including Wes Streeting
committees.parliament.uk/publications...
Hours were spent taking evidence, the conclusions were clear
No one read it or if they did they ignored it
Including Wes Streeting
committees.parliament.uk/publications...
Wes Streeting & Labour are planning the demise of the Family Doctor this was clear 2yrs ago
GPs have been fighting to provide the best care possible for patients yet have been faced with 20% cuts in funding
Replacing the Family Dr eases the path to the Tesco/Boots/Corporate GP
GPs have been fighting to provide the best care possible for patients yet have been faced with 20% cuts in funding
Replacing the Family Dr eases the path to the Tesco/Boots/Corporate GP
November 2, 2025 at 2:42 PM
Wes Streeting & Labour are planning the demise of the Family Doctor this was clear 2yrs ago
GPs have been fighting to provide the best care possible for patients yet have been faced with 20% cuts in funding
Replacing the Family Dr eases the path to the Tesco/Boots/Corporate GP
GPs have been fighting to provide the best care possible for patients yet have been faced with 20% cuts in funding
Replacing the Family Dr eases the path to the Tesco/Boots/Corporate GP
GP CRISIS
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
31 million people consult GPs every month & a similar number have haircuts
You can see the problem @wesstreeting @DHSCgovuk
People spend £400pa on hair
GPs receive £169pa per patient
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
31 million people consult GPs every month & a similar number have haircuts
You can see the problem @wesstreeting @DHSCgovuk
People spend £400pa on hair
GPs receive £169pa per patient
November 1, 2025 at 9:09 AM
GP CRISIS
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
31 million people consult GPs every month & a similar number have haircuts
You can see the problem @wesstreeting @DHSCgovuk
People spend £400pa on hair
GPs receive £169pa per patient
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
31 million people consult GPs every month & a similar number have haircuts
You can see the problem @wesstreeting @DHSCgovuk
People spend £400pa on hair
GPs receive £169pa per patient
You’re right about some of the issues, on the whole in each age group it is more women attending the GP & more women working in healthcare
Women live longer too
It’s more complex than a first look
And quite a bit to unpick. In some cases women are ignored in other cases men are
Better is needed
Women live longer too
It’s more complex than a first look
And quite a bit to unpick. In some cases women are ignored in other cases men are
Better is needed
November 1, 2025 at 9:03 AM
You’re right about some of the issues, on the whole in each age group it is more women attending the GP & more women working in healthcare
Women live longer too
It’s more complex than a first look
And quite a bit to unpick. In some cases women are ignored in other cases men are
Better is needed
Women live longer too
It’s more complex than a first look
And quite a bit to unpick. In some cases women are ignored in other cases men are
Better is needed
I had a haircut last week
It took a week to book & when I arrived there was only one hairdresser, instead of the usual 4
One away, one sick, one unable to recruit
A man walked in, honestly he looked in great need of a haircut
‘Sorry mate we’re fully booked’
The parallels …
It took a week to book & when I arrived there was only one hairdresser, instead of the usual 4
One away, one sick, one unable to recruit
A man walked in, honestly he looked in great need of a haircut
‘Sorry mate we’re fully booked’
The parallels …
November 1, 2025 at 8:38 AM
I had a haircut last week
It took a week to book & when I arrived there was only one hairdresser, instead of the usual 4
One away, one sick, one unable to recruit
A man walked in, honestly he looked in great need of a haircut
‘Sorry mate we’re fully booked’
The parallels …
It took a week to book & when I arrived there was only one hairdresser, instead of the usual 4
One away, one sick, one unable to recruit
A man walked in, honestly he looked in great need of a haircut
‘Sorry mate we’re fully booked’
The parallels …
Cost to provide an appointment:
- ARRS £35
- Pharmacy First £48
- Network Hub £48
- Urgent Treatment Centre £85
- A&E £150-£500
Current provision to GP Practices £169 per patent per year for average 7 consultations but everything else on top
Cost of a consultation £24
- ARRS £35
- Pharmacy First £48
- Network Hub £48
- Urgent Treatment Centre £85
- A&E £150-£500
Current provision to GP Practices £169 per patent per year for average 7 consultations but everything else on top
Cost of a consultation £24
October 28, 2025 at 10:20 AM
Cost to provide an appointment:
- ARRS £35
- Pharmacy First £48
- Network Hub £48
- Urgent Treatment Centre £85
- A&E £150-£500
Current provision to GP Practices £169 per patent per year for average 7 consultations but everything else on top
Cost of a consultation £24
- ARRS £35
- Pharmacy First £48
- Network Hub £48
- Urgent Treatment Centre £85
- A&E £150-£500
Current provision to GP Practices £169 per patent per year for average 7 consultations but everything else on top
Cost of a consultation £24
GP Crisis is due to Top-Down management
~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS
More costly services being promoted by Govt/NHSE at the cost of patient care
~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS
More costly services being promoted by Govt/NHSE at the cost of patient care
October 28, 2025 at 10:00 AM
GP Crisis is due to Top-Down management
~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS
More costly services being promoted by Govt/NHSE at the cost of patient care
~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS
More costly services being promoted by Govt/NHSE at the cost of patient care
Scottish ‘junior’ Doctors accepted a pay offer 2023 with no strikes
▪️12.4% 2023
▪️inflation beating pay rises for 3yrs
▪️commitment to full pay restoration
▪️removal from “independent” pay review body
The Govt listened & talked to the BMA🤷🏻♂️
Imagine a Govt willing to negotiate
You can do it Wes!!
▪️12.4% 2023
▪️inflation beating pay rises for 3yrs
▪️commitment to full pay restoration
▪️removal from “independent” pay review body
The Govt listened & talked to the BMA🤷🏻♂️
Imagine a Govt willing to negotiate
You can do it Wes!!
October 27, 2025 at 9:24 AM
Scottish ‘junior’ Doctors accepted a pay offer 2023 with no strikes
▪️12.4% 2023
▪️inflation beating pay rises for 3yrs
▪️commitment to full pay restoration
▪️removal from “independent” pay review body
The Govt listened & talked to the BMA🤷🏻♂️
Imagine a Govt willing to negotiate
You can do it Wes!!
▪️12.4% 2023
▪️inflation beating pay rises for 3yrs
▪️commitment to full pay restoration
▪️removal from “independent” pay review body
The Govt listened & talked to the BMA🤷🏻♂️
Imagine a Govt willing to negotiate
You can do it Wes!!
Interesting that CQC latest report ‘State of care’ will get little attention due to the resignation of Chair Julian Hartley
Is this because it counters everything Wes Streeting is pushing in community care
Seems likely
www.cqc.org.uk/sites/defaul...
Is this because it counters everything Wes Streeting is pushing in community care
Seems likely
www.cqc.org.uk/sites/defaul...
October 27, 2025 at 9:10 AM
Interesting that CQC latest report ‘State of care’ will get little attention due to the resignation of Chair Julian Hartley
Is this because it counters everything Wes Streeting is pushing in community care
Seems likely
www.cqc.org.uk/sites/defaul...
Is this because it counters everything Wes Streeting is pushing in community care
Seems likely
www.cqc.org.uk/sites/defaul...
As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep
Govt banned them in case I was influenced to prescribe medications
This should also be banned
Influence being bought in Govt
Patients should influence not the healthy & wealthy
Govt banned them in case I was influenced to prescribe medications
This should also be banned
Influence being bought in Govt
Patients should influence not the healthy & wealthy
October 26, 2025 at 9:16 PM
As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep
Govt banned them in case I was influenced to prescribe medications
This should also be banned
Influence being bought in Govt
Patients should influence not the healthy & wealthy
Govt banned them in case I was influenced to prescribe medications
This should also be banned
Influence being bought in Govt
Patients should influence not the healthy & wealthy
The ‘manager’ is blaming the players, #NHS is ‘broken’ according to Wes Streeting
But he has spent a year ‘breaking’ the teams who provide care for patients
Waiting lists⬆️, A&E waits⬆️, GPs & Resident Drs in dispute, NHS leaders leaving, NHSE reform on pause
But he has spent a year ‘breaking’ the teams who provide care for patients
Waiting lists⬆️, A&E waits⬆️, GPs & Resident Drs in dispute, NHS leaders leaving, NHSE reform on pause
October 26, 2025 at 3:49 PM
The ‘manager’ is blaming the players, #NHS is ‘broken’ according to Wes Streeting
But he has spent a year ‘breaking’ the teams who provide care for patients
Waiting lists⬆️, A&E waits⬆️, GPs & Resident Drs in dispute, NHS leaders leaving, NHSE reform on pause
But he has spent a year ‘breaking’ the teams who provide care for patients
Waiting lists⬆️, A&E waits⬆️, GPs & Resident Drs in dispute, NHS leaders leaving, NHSE reform on pause
Moving care into the community 👏🏼👏🏼👏🏼
Moving funding to the community - not so much🤷🏻♂️
Wes ‘Spin Doctor’ not a medical doctor
Moving funding to the community - not so much🤷🏻♂️
Wes ‘Spin Doctor’ not a medical doctor
October 26, 2025 at 10:52 AM
Moving care into the community 👏🏼👏🏼👏🏼
Moving funding to the community - not so much🤷🏻♂️
Wes ‘Spin Doctor’ not a medical doctor
Moving funding to the community - not so much🤷🏻♂️
Wes ‘Spin Doctor’ not a medical doctor
Scotland’s GPs are equally shattered but better headcount per head of population
Sadly life expectancy sits much lower
There is much more to do across the whole of UK
Sadly life expectancy sits much lower
There is much more to do across the whole of UK
October 26, 2025 at 8:31 AM
Scotland’s GPs are equally shattered but better headcount per head of population
Sadly life expectancy sits much lower
There is much more to do across the whole of UK
Sadly life expectancy sits much lower
There is much more to do across the whole of UK
When you spend as much time as I do checking facts & figures around the #NHS, it’s sometimes hard to counter the Govt machine in terms of public opinion or perception.
Is what being said ring true or false?
Check the facts & listen to what those on the ground are saying too.
Is what being said ring true or false?
Check the facts & listen to what those on the ground are saying too.
October 25, 2025 at 4:13 PM
When you spend as much time as I do checking facts & figures around the #NHS, it’s sometimes hard to counter the Govt machine in terms of public opinion or perception.
Is what being said ring true or false?
Check the facts & listen to what those on the ground are saying too.
Is what being said ring true or false?
Check the facts & listen to what those on the ground are saying too.