On Wednesday a report by the National Audit Office warned that poor access to GPs during the working day could be fuelling Britain?s A&E crisis.

The watchdog said almost half of practices had closures during office hours,  with one fifth regularly closing their doors by 3pm.

It followed warnings that rising numbers of patients are being forced to wait a month to see a family doctor, with estimates of a shortage of up to 10,000 GPs by 2020.

The new scheme, being piloted in Lincolnshire by local medical committees and NHS England,  is being used as a blueprint for national plans to hire 500 GPs from overseas.

Doctors will be promised a guaranteed annual salary of £90,000 and a ?generous relocation package? to move to England.

Health officials are currently advertising 25 posts, around half of which have been filled, Pulse magazine disclosed.

NHS England plans to roll out the Lincolnshire scheme more widely to meet the Government's target of 500 GPs from overseas.

Dr Kieran Sharrock, medical director at Lincolnshire local medical committee, said the scheme has been ?really successful? and has appointed 13 GPs so far ? from Poland, Croatia, Lithuania, Greece and Spain ? with ?more interviews in the next few weeks?.

Under the scheme, doctors from countries all over Europe will be able to come to Britain after undergoing 12 weeks of paid training at a campus in Poland.

The induction programme will provide medics with English language lessons and teach doctors about the culture of the NHS.

The first round of recruits are due to start training next week, in order to start work in England from April, with the next wave due to start training within three months.

Dr Sharrock said practices had agreed the pay rates ?based upon local average salaried GP salary? with ?increases annually to encourage the GPs to stay in the scheme?.

The average family doctor in England earns around £100,000 annually, but the majority of those receiving six-figure earnings are GP partners, with several years? experience.

Joyce Robins, from Patient Concern, said: ?These really do sound like desperate measures. It is horrifying to think of all the money we have spent training doctors who have left to work in New Zealand and Australia, only for us to have to trawl abroad to find GPs.?

?Patients need a GP who can chat to them about their concerns, not someone who has just finished an English language course,? she added.

?I fid it terrifying that we have reached this crisis point, with so many people flooding into A&E because they can?t see a GP. I do feel the NHS has taken a wrong turn in letting things get so bad.?

The plan is an attempt to attract doctors ahead of restrictions that could arise from Brexit.

The overseas recruitment drive appears at odds with the Government's plan for the NHS to become less reliant on foreign doctors and in the long-term ?self-sufficient? in producing medical staff.

However, NHS England has since confirmed that it is looking to expand on the Lincolnshire scheme and push on with plans to recruit 500 doctors from Europe, as part of plans to recruit 5,000 more GPs by 2020.

The area has one of the biggest shortfalls in GPs anywhere in England.

Yesterday the NAO report suggested the plans could still leave a shortfall of almost 2,000 doctors.

And the Royal College of GPs estimates a shortfall of almost 10,000 doctors, based on recent retirement rates.

Last month the head of the RCGP warned that patients were being placed at increasing risk by waits of up to one month to see a GP amid winter pressures.

The NAO report yesterday said short opening hours among practices were associated with higher rates of A&E attendances, and higher death rates.

It comes amid a deepening crisis across A&E departments.

Earlier this week:

• New figures revealed record casualty attendances and a doubling in the number of patients left to wait on trolleys for at least 12 hours;
• Senior doctors warned that lives were at risk as overstretched hospitals become ?paralysed by spiralling demand?
• Jeremy Hunt said the situation had become ?unacceptable and extremely distressing? in too many hospitals;
• The Royal College of Emergency Medicine said four in ten A&Es have now reached dangerous levels of overcrowding.

The NAO report on Wednesday called for more to be done to improve access to family doctors.

In total, 46 per cent of practices found to be closed at some point during the ?core hours? of 9am to 6pm Monday to Friday.

And 18 per cent of surgeries closed by 3pm at least one day a week - even though three quarters of these were receiving extra funds to improve patient access, the report said.

The NAO report said patients at practices with shorter opening hours had higher rates of A&E attendances, and higher mortality levels.

On average, practices open for less than 45 hours a week had eight per cent higher rates of A&E attendances than those which were open longer.

MPs warned of a lottery in care, with just one quarter of areas offering a full day service Monday to Friday.