Obviously financially favors locums over partners.
Is it any wonder that almost all newly qualified GPs are becoming portfolio/locum Gps?
Latterly,APMS contracts contracts were too much hassle and not economically viable for the corporates[ most are getting out or reducing] and too much time and hassle for NHSE and the CCGs to monitor.
Much better to get GMS /PMS/Federation GPs to pick this up if they will do it!
So sorry for your loss Dr Chand, my thoughts are with you and your family at this difficult time
Great article. Completely agree. I’m really enjoying being a sessional GP having been a GP partner and a salaried GP in the last five years too. I can see why most of the new GPs are opting for this career path at this current time as the conditions very much favour it.
No I quite like Dimping.
Completely agree. Targets without The resources just cause frustration. The young doctors are voting with their feet and not joining the profession as They can see it’s clearly unsustainable and not a pleasant working environment. 3.6% increase in NHS is welcome however will barely address the large gaps and problems that are built up in the last five years. There will need to be significant political change to address the tax issues if we are to fully fund an NHS system that meets the needs of an increasing elderly population. We are nowhere near that at the moment. I can understand how the young doctor is looking at this and decides that the best thing to do is to go to Australia for a few years, Become a portfolio doctor, or become an entrepreneurial Locum.
I have worked as a GP at a struggling practice. We found it difficult to recruit non GP health care professionals with the right skills at the right price who were prepared to do all the work required. Large gaps in care were left as we ran out of money, compared the previous situation where GP partners got on and did extra work as needed. You have a problem Houston.
Hearts in the right place. One for the personal journal I think.
Just fab. So funny.what a great writer.
Great article Jaimie, well done
This is a very important article.
In reality many GP surgeries are on this brink.
NHSE/CCG are aware and concerned, but little action to change the direction.
It will now need massive injection of resource to turn this around, whether its STPs, Federations or individual practices doing the turnaround.
As is happening in Bridlington, I think NHSE/CCG will need to offer salaried GPs £130k a year to tempt them back in to the challenged areas.
Great summary of the unfolding wave of GP implosion.
As the average GP workload is unsustainable in the medium term, higher workload areas such as social deprived and elderly predominant populations are untenable even in the short-term.
Hence, GP word of mouth to avoid these jobs which are not manageable or fulfilling.
It will now take a lot of sustained investment to turn this situation around.
No sign of this yet!
The government do not care as they accept that this implosion of traditional GP is "creative destruction" on the road to STP/ACO/working at scale which they hope will be the solution to all the current problems.[Not likely, but an understandable hope]
This type of BMA gesturing will make no difference to the outcome as we are heading to a new structure and contracts which will be negotiated locally.
Brilliant idea. Electronic stethoscope to listen to chest and heart possible in future.
Remote uber style consultation for all the future if funding is very constrained and HMG continue to allow traditional GP ( which I value and think offers good value for money) practices to go under.
This seems a logical step to the further skill mixing of primary care that will have to happen with the likely NHS budget.
In 5 years there will be few traditional GPs.
Fewer GP "leads" will team lead HCA, ANPs, Pharmacists and check computer generated responses to online consultations.
It might be a better job then the current overloaded stressful situation if you like that sort of thing.
Its not important whether its NHSE trying to hold the fort,cock up or conspiracy as behind them there is little political true will from any party to adequately financially support GP in its present form in common with many public sector good things unless there is a massive problem [Like having adequately resourced
and monitored decent building and fire safety regulations]
GP trainees are appropriately savvy consumers and are opting out of traditional career arrangements until things are clearer and fairer.
The next iteration of general practice will not be what people are used to or what they want, but as its needed it will need to happen and be made attractive enough to encourage enough people to do it.
These are difficult uncertain times, and we are part of that unfolding uncertain change.
Luckily, we have great people, with a great NHS, so I think it will be alright in the end.
But its going to a really difficult next few years.