The tens of thousands ££££ in extra tax, I paid in recent years, I assume, are unlikely to be reimbursed ?
Whatever the treasury may brew up will not come into force before next tax year.
Sorry guys , I’ll be off into the sunset as from 1st July, done, dusted , retired , lost to the profession... one FT male partner, EU migrant, less, good luck with finding a replacement .
....no experience in health care and likely having private health insurance....
Just the right guy. Apart from Jeremy Hunt, they usually last 12 to 18 months, make a few changes and then move on, usually up the career ladder...
Whoever thought this out, doesn’t really get it. We don’t need another reorganisation and re-labled targets. What we need, is to make the job attractive once more, real in young colleagues, entice old folk like me to stay.
The changes proposed in the article don’t account for increased administerative workload and the ever growing army of administrators GPs employ these days to hit all them targets , spending the majorly of the funds hitting the targets generates in the first place.
We need to look at new ways to pay for indemnity and also the imposed pension surcharge tax. As a higher earning / tax paying full time GP partner in his mid to late fifties, I calculated , that income tax, NHS pension contributions ( e’ers & e’ees ) and the new pension surcharge tax, I’ll be not far off paying 80% of my gross income, before I even pay for The MDU, let alone my own mortgage and something called life, or what’s left of it.
Afte 24 years on planet NHS as EU migrant GP, this article reflects the way I feel post BREXIT...
Not only have we endured years of negative press and sexed up claims of our overinflated income, the ever increasing political interference and constant reorganisation of the NHS and primary care, increasing workload due to growing and ageing and demanding population. We are now also contending with a sharp drop in numbers of recruits and the looming mass exodus due to a wave of retirements.
.....and now this, BREXIT, well done !
I think, I may speak for many EEA citizens / 'EU economic migrants', many of us feel less welcome and appreciated now, even those of us playing a vital role in the UK. Not to mention our high tax rate and negligible use of benefits.
The new GP recruitment drive n Europe makes me laugh, I can think of a few rude gestures from across the English Channel. Good luck with that to Jeremy Hunt and his little helpers ! Maybe Amazon can help him find those promised 5000 GPs.
End of rant
Most of the commissioning work is done by the old dogs. Most older GPs are full time, do on calls, extended hours, some also OOH. They are vital to running the show.
Scrap seniority pay and these old dogs will be heading for the exit. Who will be taking on all these jobs, when they have left, our young part time salaried colleagues
Who are the GPs providing all this access? Partners ? Will our salaried colleagues expected to do so too?
Can we commission this to our very efficiently run OOH provider? How will the patient contact them / us, via 111 ?
Whom am I expected to communicate with? We have our new 'Health Hub', who is supposed to take all our community referrals for almost anything. However, it does not always work, as they lack capacity. Also, there are too few community hospital beds, which are never available when needed urgently, i.e. OOH.
All rather ill thought out and this will just push more GPs in their 50s to retire early and put young doctors off going into General Practice and rightly so !
Maybe, we all should go salaried, or maybe turn into locums, with the demise of the partner, the political class, media and our patients will then see, what it means, when we start working to rule, not doing any extra, unfunded work and stop going the extra mile and being innovative. Sadly, the foundation of UK General Practice, and therefore the NHS will be lost and there will be no way back.
I probably agree with most of the comments some of my fellow GPs have made about the forthcoming changes to QOF. The government has really lost it, big time, just as the previous one did, possibly even worse ! None of this nonsence will really improve patients care but will unnecessarily add to the complexety of our work. As Simon Ruffle puts it, we all make ourselves complicit. However, I am not sure, why so many GPs use this forum anonymously !? Why not state your name ? I think, this is rather feable ! What do you guys think ? Some hit squad will come and snotch you ? Man up !
Contract imposition, revalidation, pension changes, constant drop in income, ever increasing workload and ticking boxes, increasing patient expectations, ageing population, constant attack by Daily Mail style media....and now 7 day opening, whatever next....just watch the 50-odd year old GP population, the back-bone of the profession, retiring within the next few years...who will suffer in the long run are not Sir Bruce and his new-year-honor-list buddies, it will be the elderly and chronically ill .
Unfortunatley, I still have a mortgage to pay, otherwise, I would just leave.