Dr Steve Taylor
@drstevetaylor.bsky.social
UK is somewhere around the middle of developed economies when it comes to tax revenues
UK raises less revenues than most western European economies which is largely due to the UK raising less from social security contributions NIC 7% of GDP ccd to 12%🇪🇺
commonslibrary.parliament.uk/research-bri...
UK raises less revenues than most western European economies which is largely due to the UK raising less from social security contributions NIC 7% of GDP ccd to 12%🇪🇺
commonslibrary.parliament.uk/research-bri...
November 17, 2025 at 9:08 AM
UK is somewhere around the middle of developed economies when it comes to tax revenues
UK raises less revenues than most western European economies which is largely due to the UK raising less from social security contributions NIC 7% of GDP ccd to 12%🇪🇺
commonslibrary.parliament.uk/research-bri...
UK raises less revenues than most western European economies which is largely due to the UK raising less from social security contributions NIC 7% of GDP ccd to 12%🇪🇺
commonslibrary.parliament.uk/research-bri...
CAN’T GET A GP APPT
Who’s to blame? Who’s been in charge?
Andrew Lansley / Jeremy Hunt* / Matt Hancock^/ Sajid Javid / Theresa Coffey / Steve Barclay / Wes Streeting**
Promises
*5000 more 2015
^6000 more 2019
**Bring Back the Family Dr
Who’s to blame? Who’s been in charge?
Andrew Lansley / Jeremy Hunt* / Matt Hancock^/ Sajid Javid / Theresa Coffey / Steve Barclay / Wes Streeting**
Promises
*5000 more 2015
^6000 more 2019
**Bring Back the Family Dr
November 16, 2025 at 9:36 PM
CAN’T GET A GP APPT
Who’s to blame? Who’s been in charge?
Andrew Lansley / Jeremy Hunt* / Matt Hancock^/ Sajid Javid / Theresa Coffey / Steve Barclay / Wes Streeting**
Promises
*5000 more 2015
^6000 more 2019
**Bring Back the Family Dr
Who’s to blame? Who’s been in charge?
Andrew Lansley / Jeremy Hunt* / Matt Hancock^/ Sajid Javid / Theresa Coffey / Steve Barclay / Wes Streeting**
Promises
*5000 more 2015
^6000 more 2019
**Bring Back the Family Dr
Can you see the problem 🤷🏻♂️
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
November 16, 2025 at 4:07 PM
Can you see the problem 🤷🏻♂️
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
It is highly unlikely that the GPs and their teams are doing less, much more likely that you can’t see what they are doing.
November 16, 2025 at 3:18 PM
It is highly unlikely that the GPs and their teams are doing less, much more likely that you can’t see what they are doing.
The way GPs work is different
5 Million more appointments are being delivered every month 31m
As many face to face now as before the pandemic, but lots of additional appts in terms of telephone, econsults etc.
5 Million more appointments are being delivered every month 31m
As many face to face now as before the pandemic, but lots of additional appts in terms of telephone, econsults etc.
November 16, 2025 at 3:18 PM
The way GPs work is different
5 Million more appointments are being delivered every month 31m
As many face to face now as before the pandemic, but lots of additional appts in terms of telephone, econsults etc.
5 Million more appointments are being delivered every month 31m
As many face to face now as before the pandemic, but lots of additional appts in terms of telephone, econsults etc.
Hybrid systems mean appointments are spread more through the day rather than 2 hour clinics morning and afternoon where 10 min appts overran and many were waiting.
November 16, 2025 at 3:18 PM
Hybrid systems mean appointments are spread more through the day rather than 2 hour clinics morning and afternoon where 10 min appts overran and many were waiting.
Why are waiting rooms empty? The clue is in the name.
Waiting rooms are for people waiting, if people are seen on time then there won’t be people waiting. Quieter it might be in a waiting room but quieter it is not.
Waiting rooms are for people waiting, if people are seen on time then there won’t be people waiting. Quieter it might be in a waiting room but quieter it is not.
November 16, 2025 at 3:18 PM
Why are waiting rooms empty? The clue is in the name.
Waiting rooms are for people waiting, if people are seen on time then there won’t be people waiting. Quieter it might be in a waiting room but quieter it is not.
Waiting rooms are for people waiting, if people are seen on time then there won’t be people waiting. Quieter it might be in a waiting room but quieter it is not.
GP practice here for 100yrs
Area Health Authorities, Govts, NHS 5y, 10y plans, PCTs, CCGs, ICBs all have come & gone or are going
GPs have always been there despite expensive reorganisations, Govt plans
Time to recognise the value of GPs Wes Streeting before it’s too late
Area Health Authorities, Govts, NHS 5y, 10y plans, PCTs, CCGs, ICBs all have come & gone or are going
GPs have always been there despite expensive reorganisations, Govt plans
Time to recognise the value of GPs Wes Streeting before it’s too late
November 16, 2025 at 1:48 PM
GP practice here for 100yrs
Area Health Authorities, Govts, NHS 5y, 10y plans, PCTs, CCGs, ICBs all have come & gone or are going
GPs have always been there despite expensive reorganisations, Govt plans
Time to recognise the value of GPs Wes Streeting before it’s too late
Area Health Authorities, Govts, NHS 5y, 10y plans, PCTs, CCGs, ICBs all have come & gone or are going
GPs have always been there despite expensive reorganisations, Govt plans
Time to recognise the value of GPs Wes Streeting before it’s too late
History lessons for Wes Streeting
Primary care is on the edge of an abyss of collapse due to a failure of recruitment & retention, which has not been addressed by successive Govts
Not a vote on industrial action but demonstrate GPs' growing frustrations
www.theguardian.com/society/2001...
Primary care is on the edge of an abyss of collapse due to a failure of recruitment & retention, which has not been addressed by successive Govts
Not a vote on industrial action but demonstrate GPs' growing frustrations
www.theguardian.com/society/2001...
November 14, 2025 at 9:53 PM
History lessons for Wes Streeting
Primary care is on the edge of an abyss of collapse due to a failure of recruitment & retention, which has not been addressed by successive Govts
Not a vote on industrial action but demonstrate GPs' growing frustrations
www.theguardian.com/society/2001...
Primary care is on the edge of an abyss of collapse due to a failure of recruitment & retention, which has not been addressed by successive Govts
Not a vote on industrial action but demonstrate GPs' growing frustrations
www.theguardian.com/society/2001...
‘GPs have been neglected for too long. They are under-resourced, struggling to cope, and patients pay the price’
So Wes has decided not to listen or talk because he doesn’t like what he hears or the solutions that are needed
Patients will pay the price for Wes Streeting’s failure
So Wes has decided not to listen or talk because he doesn’t like what he hears or the solutions that are needed
Patients will pay the price for Wes Streeting’s failure
November 14, 2025 at 1:57 PM
‘GPs have been neglected for too long. They are under-resourced, struggling to cope, and patients pay the price’
So Wes has decided not to listen or talk because he doesn’t like what he hears or the solutions that are needed
Patients will pay the price for Wes Streeting’s failure
So Wes has decided not to listen or talk because he doesn’t like what he hears or the solutions that are needed
Patients will pay the price for Wes Streeting’s failure
Wes - truth or lies?
Can he be trusted?
Can he be trusted?
November 14, 2025 at 8:13 AM
Wes - truth or lies?
Can he be trusted?
Can he be trusted?
I could be spending more time in the garden, but I’m here X or working as a GP
The vast majority of GPs & colleagues care primarily about having high quality patient care & are fighting to see it continue
Standing up for patients means pointing out flaws in Govt policy & plans
The vast majority of GPs & colleagues care primarily about having high quality patient care & are fighting to see it continue
Standing up for patients means pointing out flaws in Govt policy & plans
November 13, 2025 at 6:28 PM
I could be spending more time in the garden, but I’m here X or working as a GP
The vast majority of GPs & colleagues care primarily about having high quality patient care & are fighting to see it continue
Standing up for patients means pointing out flaws in Govt policy & plans
The vast majority of GPs & colleagues care primarily about having high quality patient care & are fighting to see it continue
Standing up for patients means pointing out flaws in Govt policy & plans
Underpaying Doctors is applauded by NHS Managers
today as Wes Streeting spoke to NHS Employers
Yet having a workforce willing & happy to work is their responsibility
Strikes are the final resort of employees who aren’t listened to
www.instituteforgovernment.org.uk/comment/pay-...
today as Wes Streeting spoke to NHS Employers
Yet having a workforce willing & happy to work is their responsibility
Strikes are the final resort of employees who aren’t listened to
www.instituteforgovernment.org.uk/comment/pay-...
November 12, 2025 at 9:26 PM
Underpaying Doctors is applauded by NHS Managers
today as Wes Streeting spoke to NHS Employers
Yet having a workforce willing & happy to work is their responsibility
Strikes are the final resort of employees who aren’t listened to
www.instituteforgovernment.org.uk/comment/pay-...
today as Wes Streeting spoke to NHS Employers
Yet having a workforce willing & happy to work is their responsibility
Strikes are the final resort of employees who aren’t listened to
www.instituteforgovernment.org.uk/comment/pay-...
Like many GP practices Dr Katz’s practice has turned off online access before 6.30pm
Why? Wes Streeting Department of Health and Social Care
Because GPs need time to read requests before they shut for the day
This was the practice highlighted as a beacon of what can be done
Why? Wes Streeting Department of Health and Social Care
Because GPs need time to read requests before they shut for the day
This was the practice highlighted as a beacon of what can be done
November 11, 2025 at 8:55 PM
Like many GP practices Dr Katz’s practice has turned off online access before 6.30pm
Why? Wes Streeting Department of Health and Social Care
Because GPs need time to read requests before they shut for the day
This was the practice highlighted as a beacon of what can be done
Why? Wes Streeting Department of Health and Social Care
Because GPs need time to read requests before they shut for the day
This was the practice highlighted as a beacon of what can be done
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