This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

Gold, incentives and meh

GP leaders to vote on support for fully salaried GP profession

The GPC could negotiate a new contract with Government under which GPs give up their independent contractor status and all go salaried, LMCs have suggested.

A motion to be presented by Oxfordshire LMC at the emergency LMC Conference at the end of the month suggests that because ‘many younger GPs currently prefer to be salaried rather than partners’, the GPC should look at ‘future contractual models’ which ‘explore all options including movement away from independent contractor status’.

Although the Oxfordshire LMC motion is the only one scheduled for debate, several LMCs suggested similar motions to the agenda committee.

This included Mid Mersey LMC, which proposed a motion saying ‘that the days of independent contractors delivering safe and sustainable general practice are coming to an end and calls upon the GPC to actively support the development of a salaried GP service’.

LMCs have voted on the topic before but the motion to move to a fully salaried service has always been voted down.

A Pulse survey of over 600 GPs last autumn found that support for a fully salaried model of general practice is growing, with 26% now in favour. However just over half, 54%, remained opposed. 

The motion follows similar calls by former RCGP chair Professor Clare Gerada and NHS England in London, while NHS Hull CCG has also looked into plans for developing a fully salaried model - which it later discarded,

GPs in Scotland are already moving ‘as close as possible’ to a salaried service as part of the devolved health economy’s new contract model.

The motion in full

OXFORDSHIRE: That conference believes that many younger GPs currently prefer to be salaried rather than partners, and that in looking at future contractual models, the GPC Executive Team should explore all options including movement away from independent contractor status.

Read the agenda in full here

Readers' comments (57)

  • To
    Anonymous | Sessional/Locum GP|17 Jan 2016 12:30pm & 2.12pm

    if giving your 80 year old plus mother/grandmother(any relative actually) with multiple co-morbidities the time of day and treating them as holistically as individuals and not as some transactional commodities their only for you to 'earn a few more bucks' is being a cardigan then so be it. I'll wear the badge with pride.

    I definitely wouldn't want my beloved ones being treated by NON CARDIGAN MECENARIES only in it for the 'wonga', continuity of care be damned. (And for those who may not have worked it out yet - being able to read a patients notes DOES NOT equate to continuity of care, no matter how much you might want to perpetuate such a stupid notion to imply a sense of professionalism).

    But hey, I might be wrong there too, after all I am a CARDIGAN??!!

    Unsuitable or offensive? Report this comment

  • anon partner at 9.16

    hear hear.

    It is the elderly and rail and complex patients who need continuity because you can't possibly get a full assessment of a person in a single 10 minute consultation.

    All very well to talk about continuity for a single episode or singe problem, but for these patients there is no such thing as a single episode or a single problem.

    Fair enough for those who don't come to the docs often and who don't want a particular GP. Happy for them to see anyone, and they will be happy to see anyone.

    But the joy of this job comes from making difference to people, which only really happens if you can see them as people. And that is so much easier if you have a bit more background about them.

    Proud to be a cardigan here.

    Unsuitable or offensive? Report this comment

  • I'd say freedom from serfitude, not wanting to feel exploited by another and yes the wonga, do motivate most GPs, it's a fact. I can't see how an all salaried contract sorts out any of those.

    Quick word for the cardigans, take back OOH for your patients and I'll give you the proper credit. Otherwise you're just creating a nightmare for others.
    I got called out at 10.30 pm on an OOH shift last month by a bloke who insisted (as he was going to the outpatients that week) I write out a letter to expedite his hernia surgery. I had some choice words about using OOH services appropriately for him, but he confidently announced to me I was the one acting unreasonably and that his doctor "would have done it".

    Unsuitable or offensive? Report this comment

  • To S.K.S
    "I'd say freedom from serfitude, not wanting to feel exploited by another and yes the wonga, do motivate most GPs, it's a fact"
    Your point being...??

    Let's see, hmm...

    "I'd say freedom from serfitude, not wanting to feel exploited by another and yes the wonga, do motivate most bankers, it's a fact"

    "I'd say freedom from serfitude, not wanting to feel exploited by another and yes the wonga, do motivate most criminals, it's a fact"

    "I'd say freedom from serfitude, not wanting to feel exploited by another and yes the wonga, do motivate most lollipop, it's a fact."

    Oh I see - not being in servitude, not feeling exploited and wanting wonga is a god given right for only GPs. as a group of workers, to expect/demand. Is that what you mean? And I take it that you feel as a result of this injustice that GPs should have no sense of professionalism towards patient care because you want to stick it to the boss man.

    And what providing OOH care for acute problems has to do with providing continuity of care for patients with LTCs. only you know. Note the difference between acute (needing to be seen urgently) as opposed to chronic (ongoing management over time).

    Trust me a cardigan would not be seeing let alone writing a letter for any patient at 10.30pm to expedite hernia surgery or any other obviously inappropriate request. We cardigans do have some discretionary judgement you know, despite what some might say. But then again a cardigan probably isn't so "wonga" hungry to be doing that OOH shift in the first place!!

    Unsuitable or offensive? Report this comment

  • Oh thank you SKS! How true.

    OOH. Three letters that test the conviction of the holy cardigan.

    Hey 9.16, you might not like me treating your granny (with my mercinary, give real treatment rather than charming this old dear into thinking I am actually providing her with decent care when all I'm doing is fobbing her off with a kind smile and s**t treatment, fangle dangle evidence based ways) but lets face it, who else is going to, when you abandon your alturisitic post at 6.30pm?

    Unsuitable or offensive? Report this comment

  • "joy of this job..."
    Is this some sort of joke?

    Unsuitable or offensive? Report this comment

  • Oh Anon 11.02pm surely you mean the
    OOH - three letters that define the 'mercinary' who don't give a xxxx types who for some reason believe only they work beyond 6.30pm. You might be interested to ask some of your colleagues whether they work day shifts also, unlike 'mercinary' types, wonga-seekers, and Hunts new breed of 'greed is good' GP.

    And I do not stand corrected, I would rather my granny be treated by a multitude caring and compassionate health care professionals that do still exist and work for the sake of their patients not their wallet. I'll let you into a little secret - they do what you can't, won't should; despite what some self aggrandising egos might believe about their own importance.

    CARDIGANS OF THE WORLD UNITE!!!

    Unsuitable or offensive? Report this comment

  • They do what I can't. Hmmmm and how did you reach that conclusion? Please if you cardigans are going to unite, don't follow 00.01 - what a lacking in logic, fool.
    By the way if you want granny treated by these saints, please ensure she becomes ill between 8am and 6.30pm because although the cardigans may be working outside of these hours, they will be consumed by admin and unable to deal with her. I used to be a partner and was so for many years. So if 11.02 thinks he or she is somehow coming from a higher moral standpoint - wrong. Give up. you are living in the past. You are being exploited and you just cannot face this reality. Evil people mug off good people. That is the law of the jungle we live in. Grow up and mature from your public school, head boy, naivity. The world is a nasty place.

    Unsuitable or offensive? Report this comment

  • Cardigans of the world, please flush the chain on your way out.
    Thanks

    Unsuitable or offensive? Report this comment

  • Oh yeah and the little secret you let me in on - I didn't want you to share your BS in the first place so please don't think you are doing me a favour. Keep it to yourself.

    Unsuitable or offensive? Report this comment

View results 10 results per page20 results per page50 results per page

Have your say