Pressures on GPs in England and Wales are so great they feel they are failing patients and potentially providing unsafe care, doctors leaders say.

British Medical Association GP leader Dr Chaand Nagpaul said doctors were having to rush patients to keep up. and he said this could be potentially dangerous in terms of identifying cancer and getting medicines right. But ministers in England responded by promising they would invest in services to address the concerns.

The frank admission by Dr Nagpaul comes as the BMA releases the results of an online survey of nearly 2,900 practices in England and 145 in Wales – about one in three of the total in both nations. In England it showed that 55% thought the quality of the service their practices was providing had deteriorated in the past 12 months. Some 68% said their workload was unmanageable, while 92% reported demand had increased in the past year. Similar findings were reported in Wales.

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