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Gold, incentives and meh

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Cover your ears. The GP indemnity timebomb is about to blow


About 100 years ago, at Harvard, Dr. Cabot said that although medicine does not offer advantages to a lazy or money-seeking man, it does appeal to a strong man who wishes to do a man's work, and fight a good fight, and help humanity. Other times and wording that would not resonate well today. Quoting KingFund resources, "In 2011, 43 per cent of all doctors in England were female, exceeding 100,000 for the first time with numbers increasing at a faster rate than male doctors. Women are expected to outnumber men at some point between 2017 and 2022, accelerating demand for flexible, part-time and salaried posts raising the prospect that more doctors may be required to provide care in future years". But, I have seen clinicians moving from the bedside to management roles, some mixing the 2 roles, and quite a few leaving the profession. This is something that appeared to me as obvious about 2 decades ago, but that I have seen becoming increasingly popular over the last 15 years. Overall, it may be fair to say that a difficult profession is becoming less appealing, but the financial rewards - or the lack of it - are not necessarily what is playing a pivotal role. However, further income cuts in relative or absolute terms (such as a result of the spiking indemnity fees), may be what could trigger a retirement decision for those who can. For the younger or us, I hope they could find what they have studied for. I agree with S Cabbabe thinking: "For future physicians to succeed, they need to be freed from the tyranny of ideas imposed upon them by those not working at the bedside of the patient.". Unfortunately, this will not depend entirely on them, but largely on the political winds.

Posted date

06 Sep 2017

Posted time