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Being a portfolio GP is the only way to survive


Well I’m one of those useless uber-part-time GPs who only does two clinical sessions per week. I totally agree with those who claim I’m taking the piss, because I am taking the piss. I didn’t start it however. I didn’t unilaterally downgrade the pension. It wasn’t my fault that I was forced to do three times the workload, over my 12 hour day, than would have been safe and manageable. I didn’t make it impossible to have any kind of break; introduce lots of silly unnecessary tasks like QOF and DES; or ask secondary care to dump as much work as they could on me. I also didn’t come up with extended hours, or the idea that patients could make on-line complaints, mentioning my name, whilst remaining anonymous themselves. I spent 20 years as a partner doing the job properly. The buck really did stop with me. I knew my patients well, and became fond of many of them. I enjoyed my job, had a break at lunchtime, and felt I was appreciated and rewarded for my efforts. Then things got more and more stressful, I found myself working faster and later, and it stopped being enjoyable. The last straw was the pension change. I realised that by picking up some private work, and going salaried rather than partner (avoiding the 30% pension deduction), I could cut my sessions down to just two per week. The sessions are still about as pleasant as eating a pile of dung, but only a small pile, rather than the huge steaming pile that would otherwise be the case. Now the buck most definitely does not stop with me. There is virtually no continuity of care, no commitment, no personal relationship. I feel sorry for my patients, and my colleagues, because it’s not their fault either. But as I said, I didn’t start it…

Posted date

03 Oct 2015

Posted time