This site is intended for health professionals only

At the heart of general practice since 1960

pulse june2020 80x101px
Read the latest issue online

GPs go forth


  • Four surgeries run by former CCG chair suspended by CQC until 'further notice'

    AM's comment 30 Nov 2019 9:02am

    Well Said.

  • Four in 10 GPs in favour of charging patients for appointments

    AM's comment 10 Oct 2019 12:23pm

    I am one of those 40% who thinks charging would be the only thing that could save NHS GP as well as the vast majority of patients from a future dangerous third rate service.
    The net £60-70 / patient/ year income GPs get after expenses could be doubled. That income together with the decreased demand would allow for consultations to be 2-3 X longer.
    The extra staff needed to allow that sort of lengthened consultation would come from GPs and other Practitioners encouraged by a much more pleasant work situation from leaving the service in one way or another.
    Yes, on average patients would have to pay about £60 a year to get this quality potentially life saving service. They would be issued with a card from a DOH intermediate organization that they simply scan at the Practice desk for co-payment and the organization bills the patient but pays the GP. If the patient truely cannot afford the amount they can make a representation to DOH/intermediate for it to be waived.
    That was easy!

  • 90% of GPs at 'high risk' of burnout, major report finds

    AM's comment 23 Apr 2019 1:54pm

    Is this is the 90% of the 50% left following the burn out of the others?

  • Local GP leaders protest against care homes being built without GP consultation

    AM's comment 03 Apr 2019 5:46pm

    "Dr Scott said the workload for each patient in a nursing home is often up to 20 times that of an average patient".

    Yet the funding is very far from that....

  • We have to stop making excuses for abusive patients

    AM's comment 14 Jul 2018 10:19am

    Essentially patients are allowed to bully GPs and do. One bullying tool they use a lot is the Complaint system.

  • GMC is using right to appeal tribunal decisions 'appropriately', says chief

    AM's comment 14 Feb 2018 10:56am

    Massey at the DOH....

  • Almost 3,000 GPs retired before the age of 60 over the past five years

    AM's comment 01 Feb 2018 12:50pm

    How many GPs prepared to work over the age of 60 are working much less than they might have done 5 years ago?

    My estimate is at least 50% less. This also impacts workforce numbers.

  • Government launches major review into prescription drug addiction

    AM's comment 24 Jan 2018 9:34am

    If the whole complaints procedure was not so heavily weighted in favour of demanding patients, perhaps GPs would be encouraged to say "no" more often.

  • BMA to support practices in taking legal action against Capita

    AM's comment 20 Jan 2018 11:34am

    This is about payments and Pensions too and from recent personal experience I think we all have to very frightened about the one word comment above.

  • Putting the validation back into revalidation

    AM's comment 04 Jan 2018 1:29pm

    How about a monthly (you only have to return quarterly)MCQ that includes all facets of clinically current thought e.g Conditions , treatment , prescribing , NB interactions, NB NICE guidelines and so forth.
    You return it to an automated process that scores you and returns the form with referenced answers and allows you to complete again if you failed.
    This would be practical and educative.

  • GPs slept in practice overnight to be in time for morning surgery

    AM's comment 13 Dec 2017 9:32am

    Looking forward to the new "Sleep in your Surgery LES" - not sure if comment above is tongue in cheek written at 02:28am?

  • Practices forced to offer £130k salaried jobs in bid to attract GPs

    AM's comment 20 Sep 2017 5:37pm

    This is the maximum most GPs would want to earn anyway.
    When you calculate the total contributions of 29% odd on the pensionable amount ( at least 10% below the 130,000 ) you will probably end up with a net of about £100,000 just on the threshold (if any greater) of whittling away your Personal Allowance at a rate of 62% tax.
    That figure was very carefully determined...

  • 'Indemnity fees are killing our profession' - sign this letter to Jeremy Hunt

    AM's comment 01 Sep 2017 3:01pm

    There are so many things killing our Profession right now that I don't think that just one entity should be singled out.

  • Should GPs engage in industrial action?

    AM's comment 20 Jul 2017 9:27am

    20 July 2017
    "President Macron of France faced his most serious test yet when the armed forces chief resigned, saying he could not guarantee security with the present defence budget."

    Similarly GPs cannot guarantee safety with the present Health Budget

  • GPs told to identify ghost patients every year in 'disgraceful' list cleansing drive

    AM's comment 20 Jul 2016 12:26pm

    This is cherry picking in Capitation.

    There are some patients that never come - but others can attend the Surgery 20 times a year.
    If they want PbR then by all means be fair about this and introduce it.....

  • Health secretary Jeremy Hunt pleased to remain in 'best job'

    AM's comment 15 Jul 2016 5:42am

    I agree that he was kept because nobody else wanted the job at this stage.
    On the positive side, the PM has been tough so far and I think he was allowed to stay on condition he cleaned up his act and softened his stance towards the pillars of the NHS.

  • Hunt says health secretary is likely his 'last big job in politics'

    AM's comment 26 Apr 2016 1:04pm

    You can say that again!

  • Mr Cameron, the NHS is not safe in your hands

    AM's comment 06 Feb 2016 9:20am

    Alan Measroch
    GP Partner Swindon

  • Rocketing CQC fees will worsen patient care

    AM's comment 12 Nov 2015 10:31am

    Can somebody explain if there is a flaw in these figures:

    The CQC is half funded by the Government and half by Providers.

    The 2015 /16 CQC Income is: Government £120 million and Providers £113 million.

    Therefore a 40% decrease by Government amounts to £48 million which it expects providers to pick up on(!).
    Nevertheless £48 million added to our £113 million should be a 42% increase next year (not the 85% proposed)with inflationary increases after that ( and not a 667% increase by 2019/20).

    This begs the question of what the CQC is hoping to do with the eventual 667% it is asking for!

  • Should GP pay be published? Yes

    AM's comment 12 Jan 2014 9:41pm

    Stating GP Practice income will be helpful in giving transparency to the detail of work we do.
    I often ask acquaintances what they think GPs should earn on average per patient annually taking into account that patients have potentially unlimited access to GP and Nurse appointments including telephonic advice, phlebotomy, minor procedures and home visits. One family member who thought we were overpaid suggested £500. I asked our Community Matron while discussing some of our patients uncovered by Risk Stratification and she said £1500!
    To be transparent:- GPs are allocated just 8% of the NHS Budget. The average GP gets just £59 per patient per annum net of Practice expenses. They are paid £130 gross but average expenses run at 57% of income. Included in that £130 figure is £20 for QOF (Quality Outcomes Framework). The problem with QOF is that it is about money that achieves Government targets rather than a resource used for acute patient care. How hard GPs work for their income and the value this provides is reflected in that £59/annum figure (£4.92/month or £1.13/week). Fulltime GPs will take home less than half this amount after taxation and pension contributions that have doubled over the past several years though providing a lesser end benefit.
    Our biggest concern however is whether with the resources at hand and the ever increasing amount of work we are expected to do for the same income, we can continue to provide quality care to all, including the growing population of older complex frail patients with increasing co-morbidity.