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80% of GPs limit out-of-hours work because of spiralling indemnity fees

Four out of five GPs have said spiralling indemnity fees are limiting the number of out-of-hours shifts they’re willing to do, according to a survey of out of hours GPs.

The survey of 430 out of hours GPs, by out-of-hours provider group Urgent Health UK, found 79%  were limiting the number of out-of-hours shifts they undertake because of clinical indemnity premiums.

And 68% warned that if fees continue to rise they would consider cutting back their hours further, or stopping doing out of hours entirely.

NHS England has said it would look to reimburse the indemnity fees of GPs signing up to out-of-hours work in pilots announced earlier this year, after NHS leaders admitted attempts to alleviate winter pressures were hampered by a dearth of GPs.

Urgent Health UK chief executive, Dr John Horrocks, said: ‘Already across the country, many providers of out-of-hours care are struggling to fill rotas due to a range of workforce issues including the high cost of indemnity; we simply cannot afford for this situation to continue, particularly as we head towards the winter period when pressure on services is even greater.

‘I am aware that NHS England is looking closely into this crucial issue and I hope urgent action is taken to resolve it.’

Pulse recently reported that some GP groups have been negotiating indemnity cover with private insurance providers in a bid to reduce the cost of indemnity.

Readers' comments (14)

  • Yep, I limit it to precisely zero hours. Risk vs reward balance is slanted firmly at the former and my free time is very very expensive. No thanks.

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  • Ditto. Why spend the first 5 - 10 shifts just breaking even?

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  • Ditto - no OOH work at all, when to have the right to work a single OOH session of 4-8hrs a week would cost me >£800 a month.

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  • If you pay 15-30 k per year as a GP Principal, you are actually slaving for anything upto 3 months for the indemnity providers which are headed by former MPs or Lords with divine rights.
    Maybe one should consider a job which pays 20k less with no indemnity fees at all. There might also be hols and free time for families in the next position.

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  • Just not woth it, poor pay,poor working conditions,
    For working at odd late night OUT OF HOURS.
    Very tragic stories ....who to believe ...who not to
    Believe ....
    Not able to access to their own GP

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  • No one talks, no one appreciate, no one to
    Say when the pay slip will be issued,what
    Rate,what if I work, late nights I mean after 10 PM.
    All this is, if paid will be taxed,with out due
    Consideration,for cost involved for social, family,financial LOSS....no accountant
    Wants to know,difference between day hours and
    Out of hours....

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  • No out of hours for 10 years. Am deskilled. To have to pay to work in OOH would be mean I need to be sectioned to even consider it? I'm not alone.

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  • No OOH for 3 yrs #lovelife

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  • In March MPS told me that the rate would stay the same. In April they decided internally to raise their rates
    Yesterday 19th August they letter arrived rate has gone up from £9950 to £13,700 to start in 11 days!
    When I called and asked for the ema of the executive director they said they don't give it out. I advised that I am a member and that this is supposedly my organisation. Then I got it
    How nice is that!

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  • @ 4.18pm

    Another cosy cash cow for yet another parasitic organisation (to join the RCGP, BMA & GMC) feeding off the backs of doctors.

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