Its not hugely rewarding. It is not exciting. It is a pain in the ar*e. As for resolving the pension tax issue - the labour party are most likely going to remove the 40% relief and increase income tax by at least 10% for us excitable rewarding GP's. That will really sort it out. Idiot.
47 and looking forward to seeing what it is that Matt has planned that will retain me. Better hurry up though Matt - approaching lifetime allowance - and then it is farewell NHS - hello life. (NB - if the plan involves pharmacists paramedics physios / ANother Noctor - do me a favour and F*CK off).
Even when we do get letters we can't read them - the IT / docman is sh*t. Nobody can help apparently.
Phew thank goodness - I was getting all panic stricken about this unfunded diagnostic service. FFS!
.....furthermore - if the £1.50 is not uplifted next year and in subsequent years to fund staff costs in years 2,3,4 and 5 - PCN's will fail nationwide.
I've been doing this for 25 years - and I still don't know - or should I say - don't see the point in talking to anyone - no one really gives a stuff or could do anything pro active anyway. It is just a sh*t job.
No sh*t Sherlock!
I assume the microsuction is an enhanced service activity - otherwise - why is anyone in your practice doing it?
What a coincidence. I have ruled out working beyond 55.
"NHS provides resource to help GP's support carers " would've been better - but what chance that eh? Thank goodness I and my team have nothing else to do all day.
"growth is a process" - perhaps...but so is regaining trust. After 10 years of deliberate punishment for primary care (Hunts words) it is going to take a good while to recapture mine. Presently I am unimpressed. The plan around networks might be long term - but its delivery seems decidedly hurried and not at all thought through. As a very full time GP presently my rating of the director of Primary Care (who is a very part time GP by the way) is "requires improvement".
Knock 10p off the £1.76 that was itself part of the justification for such a small rise in global sum? Foff. Take it out of the £1.50 allocated to the PCN. There will be a surplus this year. It is a set up cost and is needed because networks will fail all over the country in years 2 and 3 unless there is significant uplift in the £1.50 funding and legislation to allow provider companies to offer an NHS pension. NHSE isn't going to let that (failure) happen (we are told) - but I am not keen to be left holding the baby if it does go T*ts up.
oh I can't wait to see what the policy makers will say in response. I am imagining it will be along the lines of.
Primary care and hard working GP's are the bed rock of the NHS and we are committed to them. We have already invested £(insert random number here) billion, and are recruiting (insert a more random number here) clinicians over the next (insert any number you want to here) years. You see everything is already sorted - so just don't worry your pretty little faces - just get back to work.
One of the reasons I bailed out of the scheme years ago taking my employers contribution with me. It is now in a SIPP, and that is there in perpetuity or until I blow the lot.
Is the ship sinking.....?
Doing the maths - the 1.45 per patient is worth about £2k in my pocket a year after tax and pension etc. That is about £35 per extended hours surgery.
There is nothing to stop a practice saying to the network - we can do it - but our price is £1.90 per patient. Then the network uses some of the £1.50 it has been given via the local CCG to fund the shortfall. Simples?
...and next year - when the £1.76 commands more work, or has to be used to offset some of the 30% staff costs maybe. What then? Is it still a "pay rise"? Not unless the pathetic global sum rise this year is not locked in - which of course it is. The BMA have been well and truly outmanoeuvred it would appear based on what we know to date.
Right from when this was announced it looked like smoke and mirrors. The fact there was no exact announcement on global sum etc. Elements of this such as the GDPR money end the 111 booking money were announced as though they were separate - but they are not. Classic case of announcing the same pot of cash twice to make it look better than it is. Shambolic