Well reasoned and common sense article with great significance for the day to day work of any GP.
Go salaried. Go clinical.
Go salaried ASAP
I agree with Dr Eggit's proposal. Our current primary care model worked when I became a principal in 1984 but is increasingly difficult to manage and the GP workforce now is very different. Partners deserve as good a work life balance as salarieds and locums. Let's join them.
With a review of the approach to legal claims away from blame, together with encouragement into medicine across the social scale then more applicants could emerge.
My suggestion is a fully nationalised NHS with salaried GP's giving all contracted time to the employer. A contract should specify time spent on management,surgery consultation and home visits depending on local need and individual interests. Primary care centres would need to be community and a and e based.
A detailed article on this matter is needed with links to relevant HMRC guidance.
There are many other ways of bringing a practice together without the grind of a cqc inspection. How about good terms and conditions of employment for starters.
I suggest either a fully private or fully salaried service.
General practice needs more support for running of the services required for our times. Then GP might be seen as on a professional level with hospital colleagues and the respect that we deserve should arrive.
Well done everyone.
GP's have been implementing government inspired primary care reforms for decades now and most of us could do with a break. However a more fundamental rearrangement of our terms and conditions of service is needed if we are to reverse the tide described above.
Reduced responsibility and sensible working hours will lead to lower pay, but at least we could improve our mental health morbidity.
Good leadership is crucial at all levels of primary care which includes good planning and authorisation of job advertisements. The scenario is an indicator of the desperation in some areas of primary care.
Physician assistants will need careful supervision by the employing GP. Is the time available for this or is it more efficient to do the assistants work yourself.