What a con
Why do people insist on saying “global pandemic”? A pandemic is global by definition Same as saying that hand washing “kills” the Coronavirus. Viruses aren’t actually living organisms so can’t be killed.
The CQC’s role is to standardise practices in preparation for the mass merger in 2024.
Integration: New funds to PCNs only
You heard it here first. Don’t believe me? NHSE are currently developing ODS codes for PCNs.
If extended access appointments aren’t being taken up, the solution is to scrap it not hire a f’ing bus. Clearly the CCG were compelled to spend the money and show uptake in order to please great god NHSE.
Good to see Katie that at the stage of trainee you have worked out the ills of the system. Sadly, no government would introduce such a system due to it being political suicide.
They can stick the money up their ARRS. Pay GPs properly, remove the crap and see how many locums will rejoin practices.
There is no “national shortage of GPs.” There appears to be enough locums. The GPs want to work without the PCN crap and be paid in line with Australia and Canada. HMG refuses to admit this. Let the dominoes fall.
Even God has it in for GPs
There are currently two models of GP running on parallel, dwindling partners struggling to deliver ever more stringent targets and specifications and Locums detached from reality. It is a myth to say that there are not enough GPs. There are enough but not doing enough core work. I don’t see accountants saying I won’t do tax returns but I’ll do VAT returns.
christopher ho @0142
What Kate is suggesting could easily be delivered with the money currently being wasted on PCNs. I have often thought about the same measures. The fact is that successive governments have wanted the partnership model to fail to enable HMOs to form. The DoH know all this but choose not to admit it.
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.