NHS GP partner/Private GP
I think that 'Turn out the lights was referring to Locums earning £500k gross over a 3 year period (£135k per year for a 3 full day week) seems to fit with what our locum earn.
I do agree that 20k for 3 years minus tax + pension does sound like an inducement compared to locum... but what do I know if there are enough punters to take up the offer.
... just a thought folks... this whole article might be Pulses's annual April fools wind up!
It's a sad state of affairs that the story is very plausible given that successive Governments don't really value primary care.
If physician associates are employed by practices I suspect that market forces will dictate that the cost of indemnity is borne by the employer. many of us already pay indemnity fees for salaried GPs. Make no mistake one way or another it is practices who will end up paying unless this is directly funded by the Government.
Either practices will be left to pay the the indemnity cost or physician associates will demand higher salaries to account for the cost.
Let's be honest, there won't be any GPs in 2086.
Scottish GP and Copernicus
I don't think Shaba is suggesting that GPs never do home visits. We agree that is part of the ongoing care for housebound patients.
As you all know the problem is we never get the chance to do any proactive long term care because what little time we do have between surgeries is taken up with responding to 'acute' illnesses and concerns such dizziness , falls , nausea, weak legs etc etc... the list could go on indefinitely.
Believe it or not the rest of the world also has end-of-life scenarios and patients with dementia. Other countries with better health outcomes than the UK seem to manage without GPs frantically trying to squeeze home visits between the morning and afternoon session.
Perhaps if the acute requests for home visits (which use up most of our visiting capacity) were passed on to paramedics or a dedicated service GPs would be free to go on home visits to manage the long term conditions of the patient groups you mentioned.
Shaba is not wrong here. Home visits for urgent care needs should not be part of the GP contract.
I think you have misunderstood the issues. GPs are spending less time on average on face to face patient contact but more time on clinically-related admin work. Our working hours continue to go up and we are having to reduce clinical sessions just to cope.
Pay is declining whilst there is an inexorable rise in expenses. Also, I don't think these partnership profit figures also take into account the additional cost of medical indemnity that some salaried and all partner GPs will pay.
... do you still really think that GP pay is going up?
As a GP trainer I've got to agree with Shaba. In increasingly rare instances can we use the traditional consulting styles for hidden agendas and foster self-discovery and understanding.
The reality is that we are fire-fighting multiple demands that are too much for the 10min consultation.
It feels very uncomfortable at times having to assess trainees on styles that are used less in daily practice for obvious reasons.
Motivational interviewing techniques and a coaching approach through problems is generally far more effective in modern practice.
I agree with Dr Hatfull. Cut trainer's grants and many of us will cease to train GPs as it will simply not be a viable prospect. Good luck to Jeremy Hunt with finding new GPs when there is no one to train the few actually want to do this job. The reduction in training numbers will lead to more stress on the current workforce and even less retention of current staff.
Sadly, the endpoint of all this is very predictable.
@ Cynic GP Partner/Principal 06 Feb 2017 8:54am
I think this is rather late in the day from the GPC (as usual). Suspending QOF in month 10 of a 12 month tax year doesn't help that much as most practices would have worked like dogs already to completed most of the work already.
Medicine is still a great degree and potentially a great career... just not in the UK.
Bright young school kids are better off in other fields so it is hardly surprising that they have figured it out for themselves.
.... and I agree with post above. I don't know a singke doctor who is encouraging children into medicine in the UK.
Good luck to the Northern Ireland GPs. I hope that your leap of faith will show us all the way forward. As far as I am concerned this news gives me more hope than any announcement from Theresa May, Jeremy Hunt or NHSE.
To the English GPC (Dr Nagpaul et al): you are rapidly running out of wriggle room. The GPC will eventually have to step aside (or be moved aside) if it cannot protect the GPs that it says it represents.
What deal was that? ... did I miss something ?
May/ Hunt et al want us to open 7 days a week. We don't want to because we're struggling to cope with a 5 days service on current funding and staffing levels.
It is a contentious issue between the 2 parties but there hasn't been an 'agreement' that i am aware of.
A pay rate of £90k for 10 sessions a week is £9000 per session per annum . This is the standard pay rate for salaried GPs in my area (with medical indemnity paid on top) but no one works 10 sessions because it would probably lead to an early grave.
The rate looks attractive for full time but once in post no human being would be able to sustain 10 sessions a week considering that each session is about 6 hours long including visits and paperwork.
This pay rate is nothing special. I just hope that the incoming doctors are made aware of the fine details.