Operose Health: UK’s biggest GP chain replacing doctors with less qualified staff

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Operose Health: UK’s biggest GP chain replacing doctors with less qualified staff
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BBC Panorama went undercover at a surgery run by the UK's biggest provider of GP services to the NHS.

The UK's biggest chain of GP practices lets less qualified staff see patients without adequate supervision, an undercover BBC Panorama investigation has found.The company, with almost 600,000 NHS patients, is owned by US healthcare giant Centene Corporation.BBC Panorama sent undercover reporter Jacqui Wakefield to work as a receptionist at one of the UK company's 51 London surgeries. The BBC is not naming the practice or the staff who work there.

PAs are healthcare professionals who have completed two years of post-graduate studies on top of a science degree, as opposed to 10 years education and training for GPs. They support GPs in the diagnosis and management of patients, but should have oversight from a doctor.Jacqui Wakefield was told of a backlog of more than 1,000 documents needing doctors' attention

But in 2007, the then-Labour government changed the rules, allowing larger businesses to buy up practices in England, in an effort to drive competition and innovation. He said at his own practice, PAs would debrief with him every day, discussing every patient they had seen. He said he was worried to see physician associates at the Operose practice saying they were not receiving the supervision they needed. "They're clearly articulating it, but they're not getting it. And that's a problem."

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