Soon to retire
Have just returned from the Lanarkshire roadshow hoping to have a better understanding and degree of optimism over the proposed new contract. Sadly I fear this has been a missed opportunity for GPs to stamp their worth to the NHS. The BMA representatives seem to have forgotten that they are a trade union for doctors and have cosied up to the politicians a little too much. Tonight I heard that the NHS doesn't want to make us salaried as it is costing Boards 2 to 4 times more to run practices they have had to take over. Therefore we should all be happy to remain as independant contractors getting paid half of what we are truly worth. I always new our Governments undervalued us but I never thought I would see our representatives undervalue us so much. I will be voting No unless my younger colleagues convince me otherwise.
Why not come clean and admit the the ultimate aim is to have a salaried service. The contract says independant contractor status is preserved but there is precious little in the contract that encourages or develops this status. It may appear a broken system but I believe this is down to massive underinvestment in primary care and GMS in particular over the years. The contract offers little development of GMS with the vast majority of investment going to non GMS support.It may be that younger GPs think this is the way to go but be honest about your aims.
250 million not for GMS but to support GMS I presume to employ HSCP staff with no direct control by GPs over recruitment etc. This does not bode well for General Practice Our experience with a lot of these services is "does not meet our referral criteria ...back to you" I'll be leaving sooon