Cookie policy notice

By continuing to use this site you agree to our cookies policy below:
Since 26 May 2011, the law now states that cookies on websites can ony be used with your specific consent. Cookies allow us to ensure that you enjoy the best browsing experience.

This site is intended for health professionals only

At the heart of general practice since 1960

Lack of 'financial incentives' driving young doctors away from general practice

A lack of financial incentives could be the reason why the NHS is facing difficulties in recruiting young doctors to general practice, a new report has concluded. 

The Health Foundation’s report, ‘Fit for purpose? Workforce policy in the English NHS’, said that the financial gains set out for GPs in the 2004 General Medical Services (GMS) contract, have been gradually eroded over the years.

The contract initially appeared to have served GPs well by ending their responsibility to directly provide out-of-hours services to patients and by substantially increasing income, the report said, but this is misleading because over the years these benefits have been watered down.

Last year, health secretary Jeremy Hunt said the 2004 GMS contract was to blame for the subsequent lack of investment in general practice, adding that 'the profession has been starved of resources progressively, with increases in hospital doctors but not increases in primary care doctors.’

However, Pulse recently reported that GPs are set to receive a 1% pay uplift next year, after an agreement was reached in February over 2016/17 contract negotiations between the GPC and the Government. 

The agreement included increased investment of £220m into the GP contract - a 3.2% total funding uplift - of which 1% has been calculated to the be pay uplift and 2.2% reimbursement to meet rising expenses facing practices. 

The Health Foundation’s report said: ‘GPs were perceived to have done very well out of the early years of the new contracts, although many of the financial gains have been eroded in subsequent negotiating rounds. This factor that may be feeding the continuing difficulty in attracting young doctors into family medicine.’­­ 


Readers' comments (10)

  • the new ccg fees and employer NI has eroded the uplift and profits should fall again brilliant negotiations by the BMA
    co-commissioning will see enhanced services raided to plug hospital deficits
    its over

    Unsuitable or offensive? Report this comment

  • Ok so what is their plan? Continue to diminish the take home pay of GPs? Continue to increase the dumping of everything on our desks? I want out and it's not about money. It is about the complete inadequate cohesion of secondary care community services and social care and ABSOLUTELY EVERYTHING dumped our way.
    Last working day today.....phew. good luck everyone

    Unsuitable or offensive? Report this comment

  • I only have a few more months to work. The job has now become completely untenable. The only reason to do it is if you have no other alternative.

    Unsuitable or offensive? Report this comment

  • No shit Sherlock!

    Unsuitable or offensive? Report this comment

  • 1% profit increase would not cover my indemnity fee increase- hence no pay rise

    Unsuitable or offensive? Report this comment

  • this is the problem - we don't have truly vocational doctors anymore i.e. doctors who will willingly incur huge debts to work at minimum wage 24/7 and give up family and friends to care for their patients. All modern doctors want is MONEY to pay for their debts and bills, they expect to have a right to family life, and they expect to get time to sleep and eat. Our patients deserve better. Thankfully the governments plan is working well and soon we will purge the system of these types of doctors - all that will be left will be truly vocational doctors. Steve Field will then have a profession he will not be ashamed of.

    Unsuitable or offensive? Report this comment

  • why do these reports if there is no action to address the problems??

    Unsuitable or offensive? Report this comment

  • You would have to pay me £300k per year to make me even consider general practice in UK!

    Unsuitable or offensive? Report this comment

  • First day of not being a partner. Absolute bliss. Start on Monday helping with the mrs internet business. No hassle.

    no amount of money would entice me to return

    Unsuitable or offensive? Report this comment

  • It is not just the REAL, ABSOLUTE 50% fall per item, [ Jeremy Hunt's penance], it is the REAL fear of bankruptcy, when you are a partner and everyone starts leaving. [ Read Peverley = he got so anxious, he was admitted with AF]. Add the REAL threat of a complaint and GMC.
    No job is worth that anxiety, when you could be an engineer, computer whizz etc with the same brains.
    I love the practice of medicine, but litigation is putting it into FEAR category.

    Unsuitable or offensive? Report this comment

Have your say