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Independents' Day

Majority of GPs in one town to become salaried working under local trust

Exclusive A majority of GP practices in one town have decided to take on a new employed status, working under the local community trust. 

As previously reported, all 11 practices in Gosport, south Hampshire, had been given the offer by the South Hampshire 'multispecialty community provider' (MCP) vanguard – part of NHS England's plans for 'new models of care', designed to provide both primary and secondary care.

Six have now come back to say they would like to take up the offer, with the partners moving to an employed status under the MCP – which is run by the Southern Health NHS Foundation Trust – and giving up their responsibilities for premises.

Out of the remaining five, four have said they want to retain their partnership status for now as ‘it is still working for them’, while one practice remains undecided.

But even the four practices that will not join the MCP on a salaried basis have declared that they want to form part of the MCP under the new voluntary contract being developed for implementation from next year.

Dr Donal Collins, GP lead of the South Hampshire MCP vanguard, said that even without the undecided practice, this meant at least 82,000 out of the area's 86,000 patients would be covered by the MCP.

The idea to offer the employed partner status came about in a bid to 'de-risk' general practice, as Pulse reported before, amid dire problems with recruitment of GPs that was destabilising practices and putting partner earnings and assets at risk.

Dr Collins said: 'We presented to the peninsula probably about six weeks ago the concept of an employed model, and so on Thursday we had a follow-up meeting where we asked them, having had some time to think about it, what do we do now.

'Six of the practices on the peninsula said "we want to be fully in the employed model”, and four of the practices said that “we want to be fully involved in the MCP voluntary contract", which will be probably ready to go from April next year.'

It is as yet undecided whether the MCP contract will sit on top of practices’ existing contracts or if it will replace them, so it may be possible for those four practices to retain their existing contracts.

The practices that are taking on the employed status will be working for the MCP as soon as their transition – which is already in progress – is complete.

The MCP contract was announced last year by Prime Minister David Cameron, who said it would ditch QOF and include a seven-day access requirement and the South Hampshire MCP will be one of six pilot areas to take it on in shadow form from next April.

The community, secondary and primary care joint models will be working with a registered list, under a population budget, and will receive funding in return for achieving predetermined outcomes.

Dr Collins said: 'The only thing we know for definite about the MCP contract is that it needs to be built around a registered list, it needs to provide an extended primary care team with integrated care and it will be about seven-day primary care.'

He said there ‘probably will be add-ons to that around frailty, diabetes, mental health’ but that 'the details are pretty sketchy at the moment'.


Readers' comments (8)

  • If this is the way it will be in my patch so be it.

    I am nearly 50. I have given my best years to a partnership of 5, now just 2 and 4 salarieds. I was once the fresh faced baby, but as 17 years went by, one my partners have drifted off and when I run into them in the pub or the supermarket they look better and healthier in retirement than ever they did 5 years ago when we shared a staff room. I envy them every day I reverse off my drive.

    But if I am salaried, I think forcing myself in with flu, or sciatica, or depression, as I have done before, might be too much for me. That paperwork will stay stuffed in a drawer. And I'll need ages off from clinical time for CPD, for appraisal and for answering mail.

    Expect productivity in primary care to collapse overnight.

    But still, as long as Mr and Mrs Daily Telegraph can pop in to have a chinwag about their CVD risk on a Sunday afternoon, that's all that matters. What do workers matter when everything is patient centred these days?

    Has anyone at the top actually got a plan?

    It's all getting too Pythonesque for me these days.

    Time for a long holiday. About a year should do.

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  • Salaried.. Lot of paid and sick leave. Hurrray

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  • Took Early Retirement

    Gosport: Gateway to Fareham.

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  • And then TUPE will apply. So we become assets to transfer to the highest bidder. Wonderful.

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  • I had an arrogant cow in PCT who would nag and bully GPs in the southeast. I wonder whether we would be going back to those days. Fortunately, she moved in as a Practice Manager with a Private group the moment they got a lucrative Contract which I suppose she helped them procure. Whatever, I would be glad to rid of my Practice and go salaried if I can get my 6 weeks of holidays and have a good night's sleep with pharmacists and nurse practitioners on the spot under indemnity from CCG.

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  • Anonymous | Practice Manager22 Jun 2016 9:16am

    Sadly, you are right and there will probably only be one practice manager for all the practices so there will also be redundancies.

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  • When I became a Partner in 1981, no-one interfered with us and we just got on and did "stuff" albeit that "stuff"included 24/7 care 365 days a year and intra-partum obstetrics.We were kings of our own (mortgaged) castle, had our own District Nursing team,midwives and Health Visitors(remember them?) and were on first name terms with our excellent consultant colleagues at what was then our safe and efficient DGH.With Individual Lists, our patients knew and trusted us, and complaints were almost unheard of.
    The paradigm has not just "shifted" it has been smashed.No-one in their right mind would entertain becoming a Partner nowadays.What possible value still pertains to "Independent contractor " status?
    What Gosport does today, the World does tomorrow!

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  • It would be good to k ow what the deal was for salaried.

    Do they get SPA and admin sessions like consultants. Do you get time off for teaching and proper study leave like hospital doctors.

    Most of us full time is 8 or 9 (some do 10) clinical sessions. Hospital doctors do about 6.

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