Health committee  Thank you very much, Mr. Lobb. Good morning, members of the Standing Committee on Health. I am a family physician. I practised in Corner Brook, Newfoundland, for almost a quarter of a century and worked for the College of Family Physicians for the last 10 years before becoming e

Health committee  You're asking us to try to tell you in three minutes or less how we can fix the health care system. I won't pretend to try to do that, and I don't want to sound negative either, but certainly as a family doctor I observed an incredible increase in the complexity of the patients I

Health committee  That diabetic patient who comes to see me probably has not only diabetes but hypertension and may be at risk for coronary heart disease, heart attack, or may already have a history of such. So the patient already presents complex needs and takes probably 10 medications. We're tal

Health committee  Once again you're asking me to solve this problem—

Health committee  —in three minutes or less.

Health committee  The “why” is we're now catching up—

Health committee  We need to collectively ramp up our mandate around social accountability.

Health committee  An example of what's happening in Quebec.... In Quebec, a decision has been made that one needs to address the distribution of physicians. So there is some regional health human resource planning. So if I'm a resident in family medicine, at the beginning of my residency I'm look

Health committee  I think there are some financial incentives, but I think the Government of Quebec has been pretty clear that physicians need to go where they are needed.

Health committee  That speaks to the importance of the role of the community around the retention of physicians.

Health committee  It works a little bit. I don't think we can necessarily expect a physician to go to a rural community based on a regional plan of health human resources and stay there for 25 years.

Health committee  I don't think I can shed any light on that in a specific manner. Again, I will say that I think we owe, to some extent, a level of responsibility in trying to instill in our practitioners that practice of full scope. But also understand that other providers just as Danielle talke

Health committee  I would suggest alternate payment models that are—

Health committee  It's where you get a payment per year, per patient, that is within your panel. Your responsibility, then, as a practice, not only as a sole family doctor but as a practice is to look after that population.

Health committee  I just gave some examples of family health teams where there have been some improvements. I think in the U.K.... Do you want to speak to that?