Ticking bomb that could put GPs on the dole
Is the new contract the end of GPs in the UK? It contains a ticking bomb which will soon put most GPs on the dole. There is going to be no limit to a GP's list size. A PCO could appoint one GP for 20,000 people and hire nurse practitioners to provide GP services.
Theoretically there would be need for just one GP in UK and everybody registered with him and the Government to bring over 30,000 nurses from India and train them for a year as nurse practitioners.
In a three-man, 7,000-patient practice it could fire or fail to replace two GPs at a £140,000 saving and hire say four nurse practitioners at £20,000 each. This would result in two-thirds of GPs being out of work within two years.
PCOs will plead poverty. The 3,500 limit per GP must be retained.
Dr S Mohindra