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Non-principal jobs looking attractive

The proposals do nothing to encourage existing locums, GPRs or newly-qualified doctors to become GP principals.

My practice's regular locums have told me exactly that. Their reasons are surely echoed by the majority of non-principals. They would continue to earn a comparable income to principals with less effort and responsibility plus more flexibility.

It is clear that GP principal incomes will not rise much over the next two years and, after the Carr-Hill debacle, far from certain that 2005/6 will bring substantial rises. It is also obvious that practice workload will not improve.

The contract is a least as complicated as the Red Book with no limit on list sizes and little change in allocations.

The short-term upshot of a likely No vote will be an increase in PMS applications and piecemeal introduction of the contract proposals negotiated at a local level. It will remain difficult to recruit partners.

Non-principals will only be attracted to partnerships when our jobs seem more attractive than theirs. The reverse would continue under the new contract.

Dr John Couch



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