This is for England. We have separate arrangements in Scotland announced last week.
Dear Glen Sykes
I'm sorry you are not enthused. Being based in Inverclyde you will have benefitted from a pharmacist being added to your team. The evidence I have seen shows a 50% reduction in GP time spent in this area, but we need to go further. If your time is anything like me you spend up to an hour a day doing prescriptions - specials, repeats, high-risk drugs, shortages,reconciliations - this is work that should be done by pharmacy services, giving you back an hour a day to do what only you as an EMG can do. Similarly practice nurses currently get tied up doing things that we propose treatment room services should deal with, we propose to refocus practice nurses time on CDM and minor illness management the intention again being to free up some of your time. GPs are in short supply, we are the highest trained and paid clinicians in the community so we need to use our time approprairtely. What is in this for younger GPs is they will have more time to carry out their key roles, spending less time providing care that other healthcare staff can provide.
The income guarantee is just one part of this package. And yes for many GPs it does not sound a lot but the evidence we got through the recent Deloitte study of Practice accounts showed that a significant number of partners currently received less. So as a start we want to bring them up, and £70k is after practice expenses (which include MDO costs if the Practice pays this) plus the employers superannuation at +14%.
And if you have access to treatment rooms already that’s good but many GPs don’t so we want universal access as this is a growing area of workload as hospitals shift work out. Access to tests is something that needs dealt with locally. Again some GPs have this already.
I would encourage you to read the full document and come to the roadshows.
Pay is part of the solution but so is workload reduction and the ability to spend most of our time doing what we are trained for what we are calling the expert medical generalist. We need to make general practice more attractive - boosting the GP workforce is key.
Today’s proposal is only part 1 in that process