Non-principals want best of both worlds
Non-principals seem to want to be in the private sector regarding setting their own fees but want the benefits of the NHS in terms of the superannuation scheme. I spent many years as a locum and found it hard to ask for money. I therefore welcomed the guidance fees.
I am now a prinicipal and am aware it involves an awful lot more than just the surgeries. Despite being so-called self-employed, our income is dictated by the Government. If non-principals wish to work outside of these restrictions then they should do so wholly, including the NHS pension.
They are either in the NHS and allowed to benefit but then subject to earning limits as NHS GPs are or they are private, set their own limits and finance their own pensions and so on.
Also the implications of not addressing this could be devastating. If non-principals are going to be earning more than principals with many of the benefits then many doctors myself included will be only too happy to drop the responsibility, particularly as the benefits of family doctoring seem to be eroded by the Government.
Dr Jane Wight