You don't mention the 30% cost of new network staff which we have to cough up out of practice funds - that will dent your additional profits will it not?
You are correct sir; the delivery of General Practice through whatever model requires MORE FUNDING and without this proper investment no model will survive.
Those who criticise this initiative need to realise that GPs now have only two choices - to broil gently in the pot of increasing workload and decreasing resource, burning themselves out until exhaustion or breakdown forces early retirement - or to look at other inititives such as the one reported here. There are no other ptions currently on the horizon.
Dr Juneja, you miss the point. This is not about personal failings, it is about a worsening system problem which cannot be solved with reorganisation, which has not been solved with the reorganisation to CCGs and which will not be solved by STPs.
DOI: Still a GP and not the last PCT medical director!
The underlying problem here is that the amount of money available is simply insufficient to deliver the service as currently specified, taking into account increasing need and the paradigm of 'free at the point of delivery'.
No configuration including or not including CCGs can perform the magic of getting a quart out of a pint pot. CCGs were originally well-intentioned although chaotically set up; they have been overtaken by the financial issues, happen to be in the limelight as the music is stopping, and no amount of top-down pressure or reorganisation can negate the underlying problem.
DOI: CCG chair
This prolongs the agony does it not and I am far from certain that it might not have been better to reject this?