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CAMHS won't see you now

We GPs are jammy beggars really and I feel quite guilty

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Amid the feverish hand-wringing about the reporting of GP pay, am I alone in feeling twinges of guilt? There were so many GPs spluttering with indignant rage I had concerns a new apoplectic register would be needed for the QOF next year.

The road towards the 'super-practice' leads from nGMS and is damaging general practice. One of the main pillars of the smaller practice model was the need to cover out-of-hours care.

This was a fundamental force in holding together small groups of GPs as partners. With the new contract, why bother employing more partners?

Accountants are euphemistically encouraging partners to consider 'future-proofing your practice'. Articles abound on the good sense of employing nurse practitioners, pharmacists, salaried GPs, etc – anyone, as long as they don't share the profits and they can do some, if not all, of the work of a partner.

Morally there is no difference between a super-practice and a private provider.

Perhaps we need to recognise the birth of a new GPSI. Those GPs with a special interest in maximising profits (GIMPs)

have been sneaking off to the toilet for a furtive read of financial magazines for far too long.

Alternatively, the GIMPs could look to their consciences rather than their wallets. GPs are jammy beggars working fewer hours for more pay.

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