This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

A faulty production line

Live Q&A: Dr Chaand Nagpaul

We will be holding a live Q&A session with Dr Chaand Nagpaul, chair of the GPC and number one in Pulse’s Power 50 GPs today at 4pm

If you want to get involved, leave your questions in the comments below, email us at feedback@pulsetoday.co.uk with the email subject ‘Chaand Nagpaul Q&A’ or check back on the homepage today at 4pm to join in the discussion live.

Related images

  • Dr Chaand Nagpaul

Readers' comments (15)

  • Is our profession going to have any place for those who want to be partner with a dedication to continuity of care and at the same time not go bankrupt?

    Unsuitable or offensive? Report this comment

  • 1. Would you consider industrial action if secretary of state take unilateral decision on contract change in 2015?

    Unsuitable or offensive? Report this comment

  • Dr Nagpaul,
    Do you think there is an element of racism at the top of the NHS? If there is, how are you going to tackle it?

    Unsuitable or offensive? Report this comment

  • My view is that the GP profession has already been fragmented (divide and conquer) by the new GP contract and the resulting lucrative salaried GP contract in 2005. This (especially in London and outer London) had led to scarcity of partnership posts resulting now after 8 years in a large group of salaried gps by default. They are not recognised but constitue at least 3/4 of sessional or salaried Gps and perhaps 50% of the workforce. It is these Gps who will fill private companies posts and indirectly help the eventual disolution of independent general practice. Has anyone ever thought to equalise or do away with the division of salaried/partner?

    Unsuitable or offensive? Report this comment

  • Dear Dr Nagpaul
    Well done for all the work you have done till now!!
    We are a group of GP trainees who are extremely disturbed after reading Prof Esmail's conclusions regarding racism in CSA exam. The RCGP is not doing anything about this. This exam has left an artificial scarcity of GP's at grass root level. Those affected have otherwise completed all other aspects of their training. I know you ae not involved with the exams but thought would raise a question here because of your influence on those at the top.
    What would and what could you do to reassure these trainees?

    Unsuitable or offensive? Report this comment

  • This comment has been edited by the moderator.

  • Dr Nagpaul,

    Many of us are worried about exposure to future practice redundancy payments which may erode the capital and property equity we have built up over many years.
    CQC, revalidation, commissioning, recruitment crisis etc is exacerbating greatly the stresses of our jobs and threatens our health.
    We also worry about future pension changes that may be in the pipeline.

    Is there anything you can say that may persuade us to delay VER, which seems to me to be the most rational course of action?

    Unsuitable or offensive? Report this comment

  • Let common sense prevail

    Do you feel that there is a realistic prospect of the increased investment, or shift in resources, that is required to support the future development of primary care?

    Unsuitable or offensive? Report this comment

  • If all GPs are going to become salaried, how much will the salary be?

    Unsuitable or offensive? Report this comment

  • Dr.Nagpaul,at a time when most of the country has been subjected to austerity measures and the NHS is creaking from underfunding eg closure of A/E,why does BMA and LMC continue to defend Growth payments to PMS practices.They are not trequired to anything extra,the additional amount merely ends up as higher profit for principals,particularly single handed ones and the amounts can be as much as2-3 hundred thousand pounds.Surely this would be better spent in funding or incentivising all practices eg in extended hrs.This would have the effect of equelising funding and improvement in all practices.
    If we add to thisthe money wasted in urgent carecentres I think groups of practices in a locality may be able to provide their own urgent care and extended hrs in much better way,therby reducing the pressure on A/E

    Unsuitable or offensive? Report this comment

  • 1)I have been a new partner for 2 years. My colleagues are retiring early due to stress others are emigrating. I hear there is the possibility of independent status being taken away? Grassroot GP's SHOULD not and DO NOT want this- for doctors' and patients' sake. Will you stand in front of JEREMY stare him in the face and tell him we WILL NOT BE MOVED?

    2) How are you going to give more PRESS ATTENTION to the subject of care data extraction to generate a National debate before it is too late? I feel the best interest of patients' is not being served by the current DOH and the sneaky health and social care bill clause.

    Unsuitable or offensive? Report this comment

  • What are you going to do to stop further unilateral erosion of the GP 'contract'? We had a fair deal in 2004 which has been steadily ruined by HMG ever since....

    Unsuitable or offensive? Report this comment

  • Richard Melton

    Dr Nagpaul, I read that the out-going chairperson of the RCGP has called for a salaried service for GPs. I hear that calls by the BMA and GPC in particular, for more representation by women doctors, go unanswered (for many easily understood and laudable reasons). THE GPS OF THE FUTURE ARE GOING TO BE MAINLY WOMEN.
    Has the time come for the GPC to grasp the nettle and ask its constituents what type of GP they want to be in the future? The question has to be properly informed by potential scenarios as impartially derived as possible.
    ASKING GPS WHAT THEIR CAREER AIMS ARE MUST INFORM AND STEER THE DEVELOPMENT OF PRIMARY CARE - TAKE THE INITIATIVE NOW BEFORE OTHER STEAL IT!
    What do you think about this idea? - the answers may not be the ones you expect but at least middle age men could then truly claim their mandate to negotiate!

    Unsuitable or offensive? Report this comment

  • 57 last March. Can you see any light at the end of my tunnel or are they permanently switched off? If I can't get ant encouragement from the top, I'll be gone within 12 months.

    Unsuitable or offensive? Report this comment

  • Dear Dr Nagpaul
    Qn 1: Will you ask the government to apologise to the public on television/news on misguiding them over the 8-8 and 7/7 successful pilot in Manchester which hasnt even started? Its a probity issue
    Qn 2: Giving up independent status would mean that GPs will and can take long holidays, move from one surgery to next, lack of continuity of care and eventually back door privatisation. The future generations of Drs will hesitate to choose general practice. Will you fight this?
    Qn 3. Will you comment on Dr Gerada's suggestion of all GPs becoming salaried. Is she declaring her interests in this proposal? Is it right that a Dr who profits from having many salaried GPs under her umbrella gives such a suggestion?
    Qn4. I am very proud to be a GP but in last 1-2yrs my motivation has been eroded due to continuous attack from the media and the government. How can you help with this?
    thank you Sir

    Unsuitable or offensive? Report this comment

  • how will you ensure that the governments agenda about 7 day opening is quashed, given that most of the GP's I know will resign and then be able to work more humane hours and have a choice about life. are we playing into the hands of Jermey Hunt who famously said the the NHS is the UK's biggest 65 year old mistake? and how will the BMA now fight further for our pensions ?

    Unsuitable or offensive? Report this comment

Have your say