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Thursday, 28 February, 2002, 14:51 GMT
Health staff oppose primary care plans
The minister's primary care proposals are controversial
Health professionals from across Northern Ireland have outlined their concerns over new primary care plans.

Nurses, doctors and midwives expressed their opposition to plans by Health Minister Bairbre de Brun to radically alter primary care provision from April at a press conference in Belfast on Thursday.

The three organisations made clear their full support for much needed and long overdue reform of primary care in the province.

However, they said the plans due to be introduced in April would be seriously detrimental to the development of the health service.


Patient Care is our priority and we strongly believe that the current proposals are not the best way forward to effectively improve this

Carole McIlrath RCN

Speaking at a press conference on Thursday, Carole McIlrath, Primary Care Facilitator with the Royal College of Nursing (RCN) said the organisation was "extremely disappointed" their recommendations for primary care had not been taken on board.

"The RCN fully supports reform in the system for primary care and welcomes the potential innovations that could come out of the Local Health & Social Care Groups.

"We cannot, however, support the fact that what was meant to be a "bottom-up approach" is now going to add yet another layer of bureaucracy to an already top-heavy system.

"Patient Care is our priority and we strongly believe that the current proposals are not the best way forward to effectively improve this.

Dr Brian Patterson, Chairman of the British Mecial Association's GPs Committee in the province also criticised the minister's plans for primary care development.

'Detrimental changes'

"The BMA is totally in support of the development of local multi-disciplinary groups with the potential of employing people at grass roots level to determine the delivery of the service locally," he said.

"However, the Local Health & Social Care Groups, as structured from the first of April, are not going to achieve this."

Breedagh Hughes, Northern Ireland Board Secretary for the Royal College of Midwives (RCM), said her organisation was very concerned at the total lack of recognition given to midwives as primary care practitioners.

"Most women, nowadays, spend only one or two days of a pregnancy in hospital, with the remainder of their care being provided by midwives working in the primary care sector," she said.

The conference followed a meeting with the Stormont Health Committee on Wednesday where the RCN, the BMA NI and the RCM presented their opposition to the recommended changes.

Speaking after the meeting, the health professionals said they believed it was important that the general public be made fully aware of the "detrimental changes" about to be made to primary care services.

 WATCH/LISTEN
 ON THIS STORY
News image BBC NI health correspondent Dot Kirby reports:
"GPs, midwives and nurses are jointly calling on the minister to have a rethink"
News image Dr Brian Dunn of the British Medical Association:
"We feel that as professionals, we are best placed to see what our patients need"
See also:

21 Dec 01 | Northern Ireland
BMA concerned over primary care
16 Oct 01 | Northern Ireland
NI shake-up in primary health care
01 Jun 01 | Northern Ireland
NI GPs' threaten to leave NHS
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