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Salaried GPs made redundant as PCTs 'shut up shop'

By Alisdair Stirling | 18 Nov 2011

Exclusive Hundreds of salaried GPs employed by PCTs could face redundancy as trusts across England cut costs and prepare to be abolished, it was warned this week, after one trust announced it was axing all its salaried GP posts.

Pulse revealed in May that NHS Central Lancashire had told three GPs, employed directly by the PCT and available for practices to book as locums, that their jobs were under review. The GPs were given a 30-day consultation period, and then a trial to see if the service they provide could become more cost-effective, but were told this week they will be made redundant.

Dr Richard Fieldhouse, chief executive of the National Association of Sessional GPs, said there was no current estimate of how many salaried GPs are employed by PCTs, but warned there would be more redundancies.

‘It appears that PCTs are shutting up shop and getting rid of their salaried GPs,' he said. ‘There are bound to be other cases of this.'

A 2003 Audit Commission survey showed 58% of PCTs employed salaried GPs - some as many as 26 - with an average of 3.9 per PCT, although numbers are believed to have fallen in recent years.

Dr Edoardo Cervoni, a GP specialist in ENT medicine who was told he was being made redundant after nine years working for NHS Central Lancashire, said: ‘I have been going through the dictionary trying to find terms to express my disappointment.'

‘My wife is a practice nurse locally, my kids are in school. The disruption is going to be magnificent. The worst is I had a job lined up in Italy and lost it because of staying on for the three month trial period.'

‘It´s not that the Ford factory has closed and we´re not going to be making cars any more. My skill set is still going to be needed. It´s an emotional blow and a professional blow. The damage to me cannot be computed.'

Mike Maguire, NHS Lancashire director of commissioning development, said: 'Earlier this year we carried out a consultation into the salaried GP service, during which we wrote to the host practices, all GP practices in central Lancashire and the LMC.

'The consultation highlighted that the service is significantly underused and is therefore not cost neutral.'

'We will not continue to provide a salaried GP service and will do everything we can to support the three members of staff affected.'

READERS' COMMENTS

Anonymous, Sessional/Locum GP,
19 Nov 2011
How many doctors are affected just three or hundreds?
Practices prefr to provide services via nursing staff instead
Yes this has been noted
Actually this is leading to locum posts for doctors as usually at least one doctor is required to manage THE EVER INCREASING risk and to deal with the ever increasing back log of admin and other activities the nurses are not able to deal with
The work is risky and most locums avoid such practices
Shame on PCT'S AND PARTNERS FOR ALLOWING SUCH DANGEROUS PRACTICES
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Anonymous, Other healthcare professional,
19 Nov 2011
3 salaried GPs made redundant, yes THREE, not three hundred, and this is a headline?
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Anonymous, PCT,
21 Nov 2011
How is this an exclusive exactly? The notification of PCT abolition has been floating around long enough - if they're PCT employees of course they'll follow the same process as the rest of us......
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Daryl Mullen, GP Partner,
21 Nov 2011
The point is these are frontline health service workers involved in direct patient contact. ie the one the Government said wouldn't be affected by Government cuts.
Yes its 3 GP but that means a minimum loss of 252 patient appointments a week or over 11000 a year.
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Mark Pasola, GP,
21 Nov 2011
"My skill set is still going to be needed" said Dr Edoardo Cervoni.

Exactly. So apply for another job locally, or do some locuming for goodess sake. Out in the real world, non-doctors are losing their jobs with nothing to go to. What is the involuntary unemployment rate amongst trained GPs. Yes - zero! Zilch. All that is happening here is the transfer of employment from the PCT to the private sector ( GP practices and aPMS providers). Where's the scandal there? Dr Mullen's attempt at making a politcal point is rather pathetic.
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Anonymous, Sessional/Locum GP,
21 Nov 2011
I think its easy for others to criticise if they have never been in this position themselves. Having been made redundant in the early part of this year I can tell you it had a huge impact not only financially but on my confidence. As a doctor this isn't a situation one would expect to find themselves in. Through out our training we have always had a career path. Unfortunately Its not as easy to get locum work and availability depends on the area you work in. There are many locums in my area and practices have their pick and work isn't regular. Yes many non doctors are losing their jobs etc but as a doctor ( or even a dentist) you have to pay your GMC, MPS etc and you cannot work without insurance, so with no money coming in how is one supposed to pay it to then work the locum job? We don't all have masses of savings in the bank!
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Anonymous, Manager,
22 Nov 2011
This has been on the cards for a long time - the smarter PCTs would have already strategically prepared for this and encouraged their GPs to find other posts as well as negotiating with local practices that are looking for GPs to also consider the GPs that are potentially at risk, as well as marketing them out as locums (they would have found jobs by now and left!!!)
If you look after your staff, you will find that you do not lose a valuable resource from your area, more often than not, they will find employment whether on a permanent basis or as a locum - but the flip side of this is that many managers running the salaried service will say that they do not have time to market their sessional GPs as locums...HR are available and should be looking to help find suitable alternative employment of which the independent practices are one.
If you are considering work as a locum - remember not to price yourself out of the market and also do not pick and choose which work you will complete - this is what makes a practice choose someone else over you.
Keep positive - everyone in the NHS is in the same boat, yet most of us carry on for the patients sake...
If we look at this in another way - the redundancy payment made to a GP would save a couple of admin posts....food for thought...
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