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Revealing the reality of undergraduate GP teaching in UK medical curricula

Hugh Alberti, Emily Cottrell, Joe Rosenthal, Lindsey Pope and Trevor Thompson
British Journal of General Practice 2020; 70 (699): 485. DOI: https://doi.org/10.3399/bjgp20X712721
Hugh Alberti
School of Medical Education, Newcastle University Medical School, Newcastle upon Tyne. Email:
Roles: Subdean for Primary and Community Care
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  • For correspondence: hugh.alberti@newcastle.ac.uk
Emily Cottrell
School of Medical Education, Newcastle University Medical School, Newcastle upon Tyne.
Roles: General Practice Specialty Trainee
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Joe Rosenthal
Research Department of Primary Care and Population Health, University College London, London.
Roles: Professor of Primary Care Education
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Lindsey Pope
School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow.
Roles: Professor of Medical Education
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Trevor Thompson
University of Bristol, School of Social and Community Medicine, Bristol.
Roles: Professor of Primary Care Education
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All letters are subject to editing and may be shortened. General letters can be sent to bjgpdisc{at}rcgp.org.uk (please include your postal address for publication), and letters responding directly to BJGP articles can be submitted online via eLetters. We regret we cannot notify authors regarding publication.

For submission instructions visit: bjgp.org/letters

Thank you for publishing our article ‘Revealing the reality of undergraduate GP teaching in UK medical curricula’ in which we highlighted the longstanding problem of underinvestment in general practice teaching in the UK.1 One of our key recommendations was for ‘an adequate primary care tariff, which reflects the cost of teaching and simplifies current payment mechanisms’. We are pleased to report that since writing this paper the Department of Health and Social Care (DHSC) in England has for the first time introduced a national minimum tariff for medical student placements in general practice.2 We of course welcome this development as a step in the right direction. However, the new minimum tariff of £28 000 per full-time equivalent (FTE) placement per year still falls significantly short of the current tariff for secondary care undergraduate medical placements set at £33 286.3 A primary care payment of £28 000 per FTE is also significantly lower than the actual cost of undergraduate teaching in general practice, identified by a national study in England as £41 700 per FTE.4

While there is no doubt that the health economy will be struggling in the wake of the COVID-19 pandemic, recent events surely present yet further evidence of the need to provide all future doctors with high-quality experience in general practice and primary care. We strongly urge governing bodies to move fully to a fair and flat tariff for undergraduate placements from 2021 onwards if they are committed to training the future medical workforce that the NHS will surely need.

  • © British Journal of General Practice 2020

REFERENCES

  1. 1.↵
    1. Cottrell E,
    2. Alberti H,
    3. Rosenthal J,
    4. et al.
    Revealing the reality of undergraduate GP teaching in UK medical curricula: a cross-sectional questionnaire studyBr J Gen Pract2020DOI: https://doi.org/10.3399/bjgp20X712325.
  2. 2.↵
    1. Department of Health and Social Care
    Education and training tariffs: tariff guidance and prices for the 2020–21 financial year2020https://www.gov.uk/government/publications/healthcare-education-and-training-tariff-2020-to-2021 (accessed 10 Sep 2020).
  3. 3.↵
    1. Department of Health and Social Care (DHSC)
    Education and training tariffs: tariff guidance and prices for the 2019–20 financial yearDHSC2019
  4. 4.↵
    1. Rosenthal J,
    2. McKinley RK,
    3. Smyth C,
    4. Campbell JL
    The real costs of teaching medical students in general practice: a cost-collection survey of teaching practices across EnglandBr J Gen Pract2019DOI: https://doi.org/10.3399/bjgp19X706553.
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British Journal of General Practice: 70 (699)
British Journal of General Practice
Vol. 70, Issue 699
October 2020
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Revealing the reality of undergraduate GP teaching in UK medical curricula
Hugh Alberti, Emily Cottrell, Joe Rosenthal, Lindsey Pope, Trevor Thompson
British Journal of General Practice 2020; 70 (699): 485. DOI: 10.3399/bjgp20X712721

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Revealing the reality of undergraduate GP teaching in UK medical curricula
Hugh Alberti, Emily Cottrell, Joe Rosenthal, Lindsey Pope, Trevor Thompson
British Journal of General Practice 2020; 70 (699): 485. DOI: 10.3399/bjgp20X712721
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