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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)

  • CARDIGANS OF THE WORLD - BUTTON IT!

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  • Don't blame LMCs, blame yourself for electing your beloved glib talkers as members of this institution who are now preparing an enema for you.

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  • As a retired former hospital doctor, partner, sessional GP/locum , salaried GP and OOH provider I frankly wouldn't want to be treated by any of the bickering twits that have contributed to this debate thus far. What a bunch of snivelling self obsessed individuals you all are! You have a damn good job with a pretty reasonable salary regardless of how you get paid, and it you don't like it - leave . You do have a choice you know!

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  • "Cardigans of the world unite"?

    -That's exactly the problem - they don't. They drift along doing what THEY think is right and refusing to see the need for anger or change or confrontation (with patients or with politicians) and think that by shrugging and saying "n'kay" they are providing an altruistic service.

    We would be in a much better position if such people grew a pair and stood up for a decent service that could be sustained, and not just giving in to whatever bull scheme that the administrators come up with next, or every demand their patients throw their way.

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  • I will wear a cardigan if I'm paid enough. Size does matter when it comes to the salary . So how much are we talking about ?

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  • Not enough that's for sure .100/hr @ 30 / week = 150k . Like that's going to happen .

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  • Suggest asking anyone who has worked as a GP for Virgin about how that went if you do not understand why this is a Very Bad Idea.

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  • @"Salmon | GP Partner18 Jan 2016 11:36am

    Suggest asking anyone who has worked as a GP for Virgin about how that went if you do not understand why this is a Very Bad Idea."

    I'm going to the conference in a fortnight and I'd be keen to hear salaried testimony actually. I don't yet know how I'll vote on this. Do salaried GPs in big organisations have more stress or less than their independenat contractor colleagues? What about workload/work-life balance/admin/freedom/integrity?

    I've only ever been a Partner so I'm interested to hear about life on a salary. Personally I would love to know how much money I'll have each month for starters.

    I don't think it boils down to choice of knitwear though ;-)

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  • According to the retired doctor who is hanging around here because we are interested in some has-been's opinon, we are twits who he/she would not want to be treated by. We are also reminded that we can choose to leave.
    Well you are retired which means sooner or later your health will fail. I wonder if you will be quite so dismissive when that day comes.

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  • To 11:01pm

    ''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.''

    Unfortunately this is EXACTLY what you cardigan types have been doing. All this 'holistic' nonsense has generated inappropriate expectations.

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