<prompt> Fingqa isihloko: Ukuvula ama-GP surgery ngezimpelasonto kungasho iziguli ezingaphansi kwezigidi ezimbili ezilinde e-AE unyaka ngamunye. Ucwaningo lubonisa ukuthi inani labantu abavakashela abezimo eziphuthumayo liye lehla ngamaphesenti angu-8 ezindaweni lapho iziguli zingabona khona odokotela bomkhaya izinsuku eziyisikhombisa ngesonto. Izazi zezemfundo zithi kunokwehla okukhulu kwenani labantu abaya eminyangweni yezimo eziphuthumayo abanezifo ezingathí sina noma eziphakathi nendawo ezinjengokuthuthumela, ukuhlanekezela kanye nobuhlungu bomhlane. Baphinde bakholelwa ukuthi i-NHS kufanele ikhokhele odokotela abaningi ukuba bavule njalo ngezimpelasonto - mhlawumbe ngokusebenzisa imali etholwe ekunciphiseni ukuvakashelwa kwe-A E. Ucwaningo lubonisa ukuthi uma ukuhlinzwa kwe-GP kuvulwa ngezimpelasonto kungasho iziguli ezingaphansi kwezigidi ezimbili ezilinde i-A E minyaka yonke. Izithombe ezifakiwe zibonisa izinqola eziphuthumayo zipakiwe ngaphandle kwesibhedlela iSt Thomass eLondon. Eminyakeni eyishumi edlule, isibalo seziguli ezifika njengezisulu sesikhuphuke ngamaphesenti angama-50 saba yizigidi ezingama-21.7 ngonyaka wezi-201314. Lokhu kwanda kuye kwabangelwa inkontileka eyethulwa yiqembu lezabasebenzi ngo-2004 eyayivumela odokotela ukuba bakhethe ukungasebenzi kusihlwa nangezimpelasonto. Lezi zinsizakalo manje sezinikezwa izinkampani ezizimele iziguli ezingazethembi noma ezingazi ukuthi zingathintana kanjani nazo, esikhundleni salokho ziya kwa-AE. UProfesa Peter Dolton, onguchwepheshe kwezomnotho eNyuvesi yaseSussex, wabheka ukuhambela kwa-AE e-Central London Clinical Commissioning Group, inhlangano ye-NHS ehlanganisa ama-GP practice angu-34. Ezingxenyeni ezine zalezi zindawo zokuhlinza zinikeza zonke iziguli izikhathi zokwelashwa ngezimpelasonto njengengxenye yohlelo lukaHulumeni lokuhlola olwasungulwa ngo-2013. Ucwaningo lwathola ukuthi, ngokwesilinganiso, inani leziguli ezifika e-AE lehla ngamaphesenti angu-8 kuze kube ukwehla ngamaphesenti angu-10 ngezimpelasonto. Uma lokhu bekuyiqiniso kuwo wonke ama-opharetha aseNgilandi, khona-ke iziguli ezibalelwa ezigidini eziyi-1.736 beziyobe zincane kakhulu ngonyaka odlule. Lolu hlelo olubizwa ngokuthi yi-Prime Ministers Challenge Fund lubandakanya ama-GP ase-England angu-1147 okuhlinzwa kuwo, ngalinye lanikezwa ucezu lwe-50million ukuze kuqinisekiswe ukuthi ama-practice amaningana kule ndawo ahlala evulekile izinsuku eziyisikhombisa ngesonto. Ucwaningo olwenziwe yi-NHS England ngenyanga edlule lwathola ukuthi, selokhu kwasungulwa uhlelo eBirmingham, inani...  <response>: Ukuvakashelwa kwabagulayo kuye kwehla ezindaweni lapho iziguli zingabona khona odokotela nsuku zonke. Ukuncipha okukhulu kwezinombolo eziya e-A E ngezifo ezincane noma eziphakathi nendawo. Izivakashi eziya emagumbini okuphuthumayo ziye zanda ngamaphesenti angu-50 eminyakeni eyishumi edlule. Inkontileka eyethulwa ngabasebenzi ngo-2004 eyenza odokotela bakwazi ukukhetha ukungasebenzi kusihlwa nangezimpelasonto ngokwengxenye iyimbangela yalokhu. 