What a con
Spot on. I’ve been saying that PCNs are a Trojan horse for practice mergers but nobody listens. Once these few remaining partners leave or dip below a critical mass, there will be wholesale collapse. Or perhaps the portfolio GPs, “advanced” NPs and pharmacist will run them?
The situation has become so absurd that many newly qualified GPs only do Locum work and won’t even do a salaried job. The partnership model is doomed. I wish government would put it quickly out of its misery to save existing partners from taking on more and more.
70 years’ service for full seniority?
Shaba, all policies from 1999 have been to ensure the breakdown of GMS practices: PMS, salaried option promoted in 2004, pensions for locums in 2001 and CQC pressure for partners. After all NHSE need larger practice units and fewer providers for ICS to work ultimately franchise away.
Spot on David. It is the same nucleus of experienced GPs who are keeping the system afloat. Once they’re gone, no one will take their place.
The rise in the global sum in England is not free money. It comes with strings attached such as 111 booking. The locums have a massive expenses cut with no strings attached. The exodus to locumming will gather pace.
Locums are getting a massive indemnity expenses cut next week with no strings attached. Partners don’t. The system is still weighted in favour of locums.
The administration of this hairbrained scheme will take multiples times longer than any reduction in workload due to the “expanded workforce”. The GPC should hang their heads in shame. Meanwhile locums will have a massive indemnity cost reduction overnight.
In our area, GPs have been stopped from direct access physiotherapy to save money. Anything which helps is not continued.
I’ll be astonished if payment by activity happens. However that’s what’s needed.
We are currently taking part in a NHSE funded project. We have been paying the builders but not received any payment yet. No one knows anything when you call. It was much easier years ago. NHSE are clearly reluctant to support practices. I’ll never do this again.
I’m not surprised that this is going on. How many are not claiming for water bills and business rates? Agree with Peter Holden about business training for GPs. Should be part the VTS. I have also called for our CCG monthly PLY to have a standing item for CQC training for GPs. Will this happen? I doubt it. Instead we’ll have more items on dementia friends.
Stories of heroism. Sadly will all fall on deaf ears. Only copayments will limit workload. Political suicide for any government. The mistake was made in 1948 and there’s no going back.
Anyone surprised? I wouldn’t come to this dungheap from abroad.
We deal with so much shit anyway. A bit more won’t harm.
If you read the contract carefully, it states clearly that the partners’ indemnity will be paid by an “adjustment” to the global sum i.e a cut. Therefore there’s no saving for partners. Locums will get a huge net pay rise. They are supposed to pass on the cut to practices but will not. More incentive to be a locum. Another triumph for the BMA.
Spot on Tony as always. Remember 2004? “No more bean counting”
Using noctors just sucks in patients with trivia. No doubt the GP is asked to sign scripts and issue sick notes for the noctors. Any perceived benefit will short lived.
Strange how this issue never makes the news. Clearly a conspiracy between DoH and news channels.
We are in the middle of a massive housing development yet the monies from the developer is being spent elsewhere by the council.