Pressure on GPs is ‘dangerously close to a death spiral’ as doctors leave, says Dr Paul Evans. BMA's safe working guidance states GPs should have up to 25 patient encounters a day. But on Mondays a doctor could have 40, 50, sometimes even 60 direct patient contacts. The problem worsens as the pressure leads to more GPs leaving the profession. The NHS has recruited 4,000+ trainee GPs in 2022, hitting government targets. However, while training places have increased, quite a significant number who finish training leave the system because it is so hard to work in. Rishi Sunak said the NHS was a priority and ‘billions of pounds extra’ would be invested, adding, ‘I'm confident, because we are putting in the extra resources, we will be able to find a way to improve the services’.