There are three major disconnects causing problems with the quality of out-of-hours care provision (outside funding and staffing levels) that call on GPs to provide leadership. In the long term, GPs working exclusively in out-of-hours care shouldn’t be revalidated as GPs unless they demonstrate keeping up to date with chronic disease management. Equally GPs mainly working in hours can be challenged by unscheduled care shifts. An out-of-hours session in is not equivalent to one in hours.
Disconnect two: no coherent clinical governance. Some private companies delivering out-of-hours care …