Getting GP's to vaccinate

GP's have no real training in HBV risk we actually have a few who have infected themselves as aresult on the books. Many think sex and drugs in aknee jerk way and when they read NHS choices as they often do They seldom understand just how 1 in 3 humans got infected. Further they have letters from their very pig headed union which state they do not have to vaccinate anyone for work or travel reasons free of charge, so a lot actually have hardly ever done a hbv test or vaccination. This in turn creates receptionists who can bark we don't do that and hang up. This caller was a GP retired and she had aided someone bleeding profusely after a fall in the street in spite of her own gardening unhealed wound. After thought she realised the man was an elderly person of far eastern origin and a 1 in 10 risk to her wound of HBV. Anyway she is sworn to help and wanted a booster shot as she is 73 and unvaccinated for 20 years. She eventually failed to get a booster on the NHS. But fact is the GP was contracted to provide boosters as in his contract it states "when their lifestyle puts them at risk the NHS must offer Immunisation" but in this case the GP would not. Since the 2004 contract where we doubled their money and let them ignore patients dying at home, which is where most of us get illest, far too many GP's have a mercenary pay me an incentive to do something new attitude. HBV is all too often a bit new to them and also the whole "You cant tell me my job" attitude is present. In fact when tested in HBV knowledge during our trainings at their school the Royal College of GP's we find they 25% of HBV questions wrong and have to 25% teach them the job! Sadly with half of GP's being migrants in inner cities these days it is their own communities that are suffering from all this, many arrived here in time to miss their origin nations rolling out national HBV vaccination and testing treating campaigns. Of 375 Practices in our GP pilot project trained to test and vaccinate for HBV every one said the project and its posters was needed nationally.