Gosh what cynical comments so far. The specialist primary care property developers have done a good job for the practices that I work with. They get excellent references from GPs and practice managers. They find sites, help with the business case, and have excellent design teams.
Very well articulated.
The phrase "Our practice manager has failed to ensure we received the full LES payments for the last quarter" tells me that we are only hearing one part of the story. Singling out the PM for a simple oversight seems very harsh, and most probably counter productive.
This sounds like a entirely appropriate leaflet to share with patients. The practice should stick firmly to its guns. General Practice can't manage everything alone. I thought the watchwords were integration and partnership working?
Warmest congratulations. You are very brave.
My understanding is that the "open but full" rules still apply. You cannot be required to breach the requirements of Good Medical Practise by compromising clinical care. GPs are required to "put themselves in a position to make a diagnosis", and "to offer a service which meets at least the average performance of his or her GP peers". By having too large a list size, you would be at risk of breaching this principle.
I agree that losing talent unnecessarily is counter productive. However, the grass on the other side is not always greener. Also working hours are very much down to personal choice (particularly for GPs), so sometimes taking a pay cut rather than working harder and longer, can be the best decision. I too am off to Oz now .... but only for a short visit I regret to say :)
Well this is now as clear mud then!
Basically you can take the humanitarian approach, or send them on their way i.e. to another practice. A proper legal framework here would be really useful.
I don't seem to be with the majority view on this one.
GPs are independent contractors. This status brings significant benefits. If the commissioner have a contract, they are entitled to have it delivered as specified. GPs are also clinicians which bring added responsibilities along with the great pay.
I'd suggest that "five ways to plan premises development" would be:
1. Compare your current space with that which is now allowable
2. Talk to your Area Team
3. Draft a business case (now called a "PID" - project initiation document
4. Get to grips with NHSE's Business Case Approval Process (the guidance was published on the 14 August this year)
5. Decide whether to self fund or sign up with a property developer
I'm sorry but I think it mischievous to categorise traditional GP practices as NHS rather than private sector. Therefore handing out such pledge cards is both ethically dubious, and could very easily backfire on the profession.
Apart from causing some upset amongst the PMS community, can't NHS England simply revert everyone to GMS if they wanted to?