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The crisis in general practice is unprecedented


Maybe the solution is to have an honest appraisal of the current way we are employed. Partners are suffering (see last week’s report). This is because we are the only professionals in the health system who have to bear the increased costs of locums, cost-of-living increases, meet all demands for more work with less resource and so on. An AE consultant does not take home less money because their department is having to rely on locums or fill the shifts him/herself to dangerous levels. Yet GP partners do. I think we are still being punished for having the pay rise in 2004 and for the ill-judged comments made by some of those who negotiated the pay rise. Sensibly, this generation of GPs are voting with their feet - they are not becoming partners (many are not even becoming permanent salaried doctors). And before I am shouted down - I said this in 1991 when i first became a partner and wrote about it in an RCGP publication in 2008 - well before my own practice became a 'super practice'. I think we should be all salaried to PCNs - with funding matched against a hospital consultant with a Bronze ACCA (or whatever they are called nowadays). We should have our face to face clinical time capped at maximum 5 sessions and the remainder of the time should be management, teaching, training and so on. We can still work in small 'partnerships' but within the PCN and if funding is not enough to meet the salary requirements then it is not our responsibility to box and cox and work harder. It would be those who provide the funding to the PCN - so the CCG I suppose or NHSE or whoever are our pay masters at the time. F/T should be capped at 8 sessions per week (as it is with hospital doctors) and we could even decide that one of these sessions is an out of hours one (maybe with hospital doctors also helping us deliver out of hours care). Just some thoughts Clare

Posted date

09 May 2019

Posted time