already given up hope NI GP
I agree with everything said,but as regards a government and a contract it can only ever be as outlined above,its the government! they are elected by the populace to do their bidding are only option under these terms is resignation unfortunately.
It would appear that Laurence is saying that GPC is going to go back to the negotiating table again.What exactly is he negotiating?This is an implementation document not a negotiating document.Who wants to talk with a gun to their head?Where is our Leadership.............
Oh dear,divide and conquer.Lets see how much negotiating power scottish GPC still have in a couple of years time,Alex Salmon not withstanding.Always better together.............
Jon foster has hit the nail on the head.The troops need to realise that its the value of your pension over a fiscal year not the amount you put in each year.Its quite a complicated calculation but basically any GP over 45 on average earnings with some added years will be affected.GPs are in a difficult position.If we stay in the scheme we are obliged to contribute at a set rate and have no control over this.Last year for example inflation was 5.2% add on 1.5% quite a few were going to be hit at 50000,now with 40000 the numbers will be huge.I cant believe our pension negotiators did not see this comming and lobby harder on our behalf.A couple of percent on superann yearly will seem like a pitance after this
The QOF changes are not about chucking bits out and keeping bits in.There will a fundamental change if we move from percentages achieved to quartiles many groupings will require over time a requirement to hit 100% or should i say 99.99%.This will in essence render most top targets unachievable! I do hope the troops on the ground understand this.
Some of us are not 57 and we have financial responsibilities to meet.Resigning is not an option.We are not contracted to carry out all these extracontractural responsibilities, disengage.......We are professionals/professional responsibilities/entitled to professional remuneration and RESPECT
At this stage i think its was all poor Laurence could do because lets face it,this government can after aperiod of "consultation" (ha ha )do what it wants.Boycotting commisioning is our only really credible tool left.and as you say quite rightly we would be doing this on ethical grounds as well as self preservation
not sure about 15 min appts.Patients will need to be seen no what length of appt we put in place.nose/face/spite spring to mind.As regards commisioning boycott,what took everybody so long.this isnt industrial action/we will be doing core work,SEEING ILL PATIENTS,but we will not be doing this governments dirty work implementing uncosted/unsafe/political changes.
I agree comments on tax relief should be much more worrying than a few percent on tiered earnings.Watch this space
there is no escape.salaried here we come
"not incur any extra work for GPs"It will incur extra work which will need to be done by somebody,extra work doesnt grow on trees!Dr Vautrey no new work without new money you cant dump it into the contract without resourcing......and yes if evidence based of course its a good idea
Lets just hope we dont get the ludicrous call for so called "industrial action"We all know what a debacle that turned out to be.It also sent the message to this government that it could do what ever it pleased.GPC needs to address the Reforms in a more constructive and honest way.Disengage........
I am singlehanded,in 2004 i received my global sum figure and it was more than i was getting already!! I wondered what this MPIG business was all about,then the penny dropped,funding had never been equitable in the first place.A true Carr Hill as intended by Mr Carr Hill would have sorted this out in the first place.Inequity is inequity no mater its shape or colour.MPIG is not the problem its funding thats the problem and that unfortunately means top down not bottom up
Is this now an area for general rants/concerns?
hold the press,shock horror,NHS employers dont side with GPC
No future in separate contracts(divide and conquer and all that) wouldn,t relish this in Northern Ireland.Always better together
the Dark Knight rises