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Lest we forget, health policy should be evidence based


I have no issue with private practice. But it should be 100% private, self funded and like all real businesses, it should rise and fall on its own merits. No bailouts. No extra funding from local health trusts. No fee paid by the NHS for "registering" new patients and growing your list size to sub 40,000..PATIENTS PAY THE FULL COST OF EVERYTHING. For the NHS, what we need is a system that pays GPs for the amount and complexity of work they do on a daily basis..not some global sum, not some pool of cash split between partners where one is seeing 40 patients and the other is at some skive off LMC meeting for the afternoon. We need payment per item of service.. as they have in Australia where the GP morale is second highest only to Norway.For good reason. One is truly self employed. Work as hard or as easily as you want with all the security of a salary/partnership in many ways..but with none of the bull****. No appraisal, no revalidation..medical bodies that actually stand up for their members and take no nonsense. Why do we pay the GMC? Why do we pay the BMA or the RCGP? They have done NOTHING to protect Drs interests and what we see now is the sad result or our apathy and division, our utter feeble minded grumbling that allows our "betters" to make decisions for us. MAD JOHN, Consultant of the Absurd(and new NICE approved UK sub speciality)

Posted date

11 Dec 2018

Posted time