Cap on number of GPs must go, says regulator

In its review of primary healthcare, the Channel Islands Competition and Regulatory Authorities said limiting supply with the cap of 42 GPs was likely to raise prices, which could reduce demand, and restrict choice.

It has therefore recommended that the cap be scrapped – something which Health and Social Services minister Paul Luxon said it would seek to do later this year.

Cicra said the cap, put in place in 1990 before the introduction of The Competition (Guernsey) Ordinance 2012, could be breaking the law. 'Subject to appropriate standards, there seems no reason to limit the number of GPs any more than there is reason to limit the number of lawyers, plumbers or vets and we recommend the cap should be lifted as soon as feasible,' said chief executive Michael Byrne.

In a joint statement, the three health practices – the Healthcare Group, Island Health and Queen's Road – said they were not opposed to the cap's removal. But they did not agree that its place has led to higher costs.

'There is considerable evidence from elsewhere in the world that increased numbers of doctors can actually lead to higher total costs for the community,' they said.

'While Cicra feels that it is important that the cap on GP numbers is removed, it is important to note that the NHS feels it is very important to limit the number of GPs practising in an area.'