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Independents' Day

GP support for fully salaried service growing

Exclusive The number of GPs supporting the idea of a fully salaried service has almost doubled in two years, while half of GPs believe partnerships won’t exist in ten years’ time, a Pulse survey has found.

The survey of 633 GPs found that 26% are in favour of a fully salaried service – compared with 14% two years ago.

Just over half - 54% - said they were against a fully salaried service, but this represented a large decrease from the 76% in 2013.

In May, the LMCs Conference voted against a motion calling for the GPC to explore ’the establishment of a fully costed and salaried GP service’.

But more GPs have cited problems with recruiting other GPs, increasing workload and stress as reasons for moving to a salaried service.

At the same time, 50% of GPs questioned did not think the partnership model of general practice will exist in 10 years – more than double the 23% who thought it would survive.

Dr Mark Coley, a salaried GP in Cheshire, said: ‘We should be paid for the hours we work.’

Dr Agnelo Fernandes, a GP partner in south London, said: ‘[The] partnership model offers greater value to patients and taxpayer but [you] need the right partners who have ability to take responsibility, sense of vocation, and ability and willingness to run a business.

‘Most GPs do not have the skills or ability to be good partners due to poor leadership skills.’

However, most GPs remain supportive of the partnership model.

Dr Stephen Tomkinson, a GP partner in Manchester, said: ‘I believe that [being in a partnership] it is what makes general practice so successful, that you have a greater ownership and responsibility to get it right, rather than working to rule on a salaried contract, from a faceless organisation.’

As part of its Five Year Forward View, NHS England has made plans for new integrated care organisations that will provide both primary and secondary care – some of which will see hospitals employing GPs.

In her final address as chair of the RCGP in 2013, Professor Clare Gerada caused controversy when she called for all GPs to become salaried, leading to her successor Dr Maureen Baker distancing the college from her comments.

Speaking about the motion at this year’s LMCs Conference, GPC chair Dr Chaand Nagpaul said: ‘I would like to see this motion not as an either or but as a motion that unifies the profession, so that we actually can provide two contractual options including partnerships, but also give real value to those who want to work differently, because this is a time when we must pull together as a profession.’

Survey results in full


Would you support a fully salaried service?

Yes: 26% (163)

No: 54% (341)

Don’t know: 20% (129)


Do you think the partnership model of general practice will exist in ten years’ time?

Yes: 23% (144)

No: 50% (319)

Don’t know: 27% (170)

Total number of respondents: 633



Readers' comments (24)

  • its a shame.

    A salaried workforce brings with it the same problems as secondary care - beaurucracy, loss of independence and lack of innovation.

    Make no mistake, partnerships work, but its the terms and conditions of the subcontracting process that is the problem.

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  • and who will own the premises and who will employ the staff and who will resolve staff issues and and and and and and

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  • Is it support or going with the flow of current health policy,individuals fighting against the tide,eventually you give up swimming and go with the flow or drown.Destruction of the partnership model and the introduction of corporates/salaried model will destroy continuity and the fabric of the NHS permanently and in my view not for the better.

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  • I understand Dr Gerada is already a salaried GP.

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  • GPs attitude to partner/salaried status is being bullied into submission by govt attacks so that the profession is more amenable to being taken over and employed by United Health

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  • Be careful what you wish. A salaried service will not be 0800 – 1830 Mon-Fri. It will be 7 days a week on a rota basis with on call, evenings and nights built in just like our hospital colleagues. Remember a Saturday is no longer different from a working week day. The pay scale on NHS employers for Salaried doctors is £55,412 with a maximum of £83,617.
    Where is this support coming from, retired GP’s ?

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  • Not doing it for less than £150 000.
    As a locum I earn £170 000 a year without breaking a sweat. Wake up everyone, we are worth a lot mre than peanuts.

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  • Or in other words - we wish it would survive, but we know it won't and we haven't taken the time to figure out the alternative.

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  • Of course HM Government wouldn't be able to create any contractual problems for a salaried service if it existed? Or would it?
    The other man's grass......

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  • Vinci Ho

    These politicians would not care whichever way. Whichever is 'value for money', in reality , cheap, that is the way. Their commitment to sustain a publicly funded health service is simply not there. This article from BBC Health News said it all:

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