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At the heart of general practice since 1960

Do GPs deserve a pay rise?

Battle has commenced on the annual pay review for GPs and here we summarise the arguments made by either side in their evidence to the Review Body on Doctors’ and Dentists’ Renumeration. 

NHS England

 

  • Called on DDRB to consider ‘what, if any, uplift is appropriate’ for 2016/17
  • Practices have a ‘choice’ to reduce expenses by creating efficiencies, including working at scale and sharing back office functions, or by hiring clinical pharmacists and other support staff to absorb workload
  • Recruitment problems will not be solved by targeting the DDRB award to hard-to-recruit areas
  • Salaried GP recruitment risks being hampered by an overall contractual uplift as practices may not pass on the increase 
  • GP workload with regards to the number of patients they are caring for per full-time GP has fallen by 6.7% in the past 10 years, and NHS England also said there had been ‘a small reduction in the number of hours worked’.

Read the full document here

 

BMA smaller

  • GPs should be treated in line with the wider economy, where pay settlements are greater than the 1% award ordained by the chancellor
  • The pay uplift should reflect ‘what is needed to recruit, retain and motivate’ doctors, not affordability constraints
  • The DDRB should re-assert independence from the Government and make a recommendation on gross earnings
  • The plan to recruit 200 US physician associates on £50k is a key concern as it would take a UK doctor 10 years to reach that level
  • The rationale for increasing the existing London weighting should be looked at again, as this allowance has not been reviewed for nearly a decade 

Read the full document here

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Readers' comments (18)

  • There are savings to be made - stop doing all unfunded work. No more removing sutures , no more doing ECGs for memory clinics, no more leg ulcer management, no more using my phlebotomist for doing hospital'out patient' blood tests etc etc.

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  • This should not be a moral argument - it is not about who 'deserves' what.
    The market has indicated that GP practices are not paid enough, as GPs are either taking on more and more work to maintain the same income, or are cutting hours, leaving, retiring, emigrating, locuming.

    The shortage of GPs tells the story.

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  • Drachula

    I was going to apply for a job. Perhaps not after all, as it looks as if it will kill me. I'll stay doing sessions and OOH and teaching and learning. Perhaps my new MA will help me escape for good?
    Anyone got any tips for where I go to look for alternative jobs?
    Any advice on escaping?

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  • The Tories talk about the free market when it suits them,when it doesn't they try to bully they're way through it.Being posh and stupid they don't understand you can not bully the market the market will bite back one way or another.

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  • It has got to the point that the only way to save our practices is to retreat to core services and decline to to do unfunded work. Otherwise General Practice is rapidly becoming unviable

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  • "Practices have a ‘choice’ to reduce expenses…. by hiring clinical pharmacists and other support staff to absorb workload"

    Dear NHSE - please can you explain how we can "reduce expenses" by hiring more staff, can you show in real terms how this actually works?

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  • Vinci Ho

    Basically , it said GP partners are not Tory Ministers running their own departments with austerity. But this philosophy has already backfired as you can the reports about David Cameron's row with the council leader of his own constituency , Oxfordshire, about how to make cuts on back office expenditure but still protecting frontline services, last week. And even Ian Duncan Smith , such a hardliner in DWP, was reported to have a row with the government now,
    The whole mentality of austerity and efficiency saving , in public sectors , has become a joke, ladies and gentlemen .
    This statement(s) from NHSE is not surprisingly ,simply a rubber stamp of this chaotic political directive

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  • Vinci Ho

    And the lack of vision ,to see that the butterfly effect of investing in general practice particularly in chaotic time like this can lead to better long term efficiency and then saving(s), simply demonstrates the shallowness , bigotry and ignorance of these politicians .

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  • GPs should act like the rest of the population in only doing what they are paid for.
    It would also be good to look at the other expenses from increased regulation from the government and indemnity due to changes brought about by the government. Then these extra costs (plus inflation) should be charged back to the government or reduce the work done to compensate for the effective wage cut which is beyond their control.

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  • This may be an eccentric view, but money is not the main problem for recruitment. It's the endless micromanagement, the bullying bureaucracy, the uncertainty from constant re-organisation, the inflated patient expectations and being personally accountable for the gap between demand and actual NHS resources,the proliferation of parasitic organisations such as the CQC that hinder rather than help.

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