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We need to reinstate seniority payments

From Dr George Kassianos, Bracknell, Berkshire

As we are all aware, partners are resigning and becoming salaried or locums or retiring altogether.

One important reason is the fact that earnings are similar (and sometimes even more) for salaried or locum GPs and without all the responsibilities of being a partner. The seniority allowance used to help partners have a financial distance from salaried and locum GPs. Its suspension and stage withdrawal has ironed out the financial differences of these positions, causing the resignations from partnerships.

If income is eroded, why stay in working so hard that you have no life?

If the Government wants to keep GPs in practice, it must immediately restore the seniority allowance.

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Readers' comments (10)

  • Sure most will agree. An ideal quick win for the forward view.

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  • I agree - it is absolute madness to abolish this payment.
    It was one of the main factors that persuaded GPs to remain as Partners after the age of 50.

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  • Sadly I don't think the government are remotely interested in retaining older experienced GPs otherwise they'd have done this already.

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  • Partners were given more powers and money in 2004. 10 year later we have a dependent and helpless patient population, failed systems, massive deficits and countless fat cats on LMC and CCG boards. Partners had their chance and they blew it. You can now disgracefully F OFF.

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  • Wish I was a fat cat, no CCG boards in Scotland & I don't remember any options being available in 2004. Minimal pay rise disappeared in increased expenses & superann years ago. I will F OFF in due course but will try & do it gracefully.

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  • Pure cost cutting. It should probably be reformed into a more general retention payment kicking in earlier and ramping up faster.

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  • Dear Dr Kassianos,
    I absolutely agree with your point.
    I recently e mailed Simon Stevens at
    making just that point.
    Subsequently, I have been e mailed by someone from NHS England to make an appointment for Dr Arvind Madan, GP Director of Primary Care, England,to have a telephone discussion with me.
    Perhaps if sufficient numbers of us e mail Simon Steven's team, they might listen......

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  • It does seem odd that senior partners are essentially seeing their income drop which is an encouragement to take retirement early when we need as many GPs as possible at present. The seniority payments are supposed to go into the global sum though all I see is a reduction in DES and LES payments, increased service charges and indemnity fees and an ever increasing workload. As with Dr Shaw, no extra income from boards etc but a simple 10 session week plus share of Saturdays. Now at age where can retire but love the job so no plans.

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  • Some GPs wake up to find £55000 slashed from their budget, another 30000.
    This is a bum Contract and the sooner it goes bust, the better.
    Let it go, mates.
    One for all, all for one.

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  • or just give up the shackles of partnership and join the locum ranks. so much nicer.

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