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At the heart of general practice since 1960

Publishing GP earnings is more complex than ministers think

If GPs have to publish their earnings, Bob Senior asks, how will those figures becalculated? Will they be accurate? And what purpose will it serve?

In the new contract announced last month, GPs have been asked to publish the average earnings of all partners and salaried doctors working at the practice by April 2016 on their website.

The net per-practice figure that is published will need to include earnings from NHS England, CCGs and local authorities for the provision of GP services that relate to the contract and which would have previously been commissioned by PCTs. 

Expenses involved in providing the core services, including employers’ pension contributions, will be deducted from the core income to arrive at an ‘earnings’ figure.

However, costs relating to premises will not be included. Although the contract does not spell it out, I imagine that all notional rent, cost rent, loan interest paid and rent paid are likely to be removed from the calculations. Non-core income (private income, student fees, out-of-hours income) should not be included either.   

Complex sums

The 2015/16 contract guidance also introduces fresh complications. Practices must report the mean net earnings of GPs in the practice for 2014/15, including contractors, salaried GPs and any locums working in the practice for longer than six months. The implication is that core contract profits have locum costs and salaried GP costs added back, with the end result then being divided by the number of partners, salaried GPs and long-term locums. 

The result is likely to be a meaningless figure, produced after considerable aggravation and additional cost, none of which GPs need.

Even if comparable results can be produced, patients are unlikely to be up in arms. Certainly, some GPs in low-earning practices may discover what can be earned elsewhere and be encouraged by the figures to apply for jobs out of the area. 

And it may get worse. NHS England has revealed that GPs will be expected to publish individual net earnings from 2016/17. In my opinion, the whole concept should follow the path of many great Government ideas and be quietly shelved.

Bob Senior is chair of the Association of Independent Specialist Medical Accountants and head of medical services at Baker Tilly

Readers' comments (6)

  • yes thats true
    but and there is a but-specially in our parts of woods
    vast majority of the practices are fair but struggling but there are large practices above 5500 who have only one partner and the rest is made up by retired locums-one practice is waiting for a relative to finish training-i donot think these are good examples of good patient care???

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  • I do not think the Government of the day has better things to do, how on earth, a GP's salary on the website is going to help anyone.

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  • I have no problem with this at all. The average profit per patient year in NI is £ 60.00.
    This covers 6 consultations [ 60% of workload] and blood tests, prescriptions,letters,telephone calls etc [ 40% of workload]
    So, I get paid £ 6 [60% of £10] per consult.
    When you factor in tax, NIC, Pension contributions [ employer and employee], take home per consultation is £2.50.
    That is cheap labour.

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  • agree gps have nothing to fear.
    however we should hold in contempt the fools introducing such pointless lunacy...they are so utterly out of touch that i cease to be amazed.previously they were pathetically stupid wreckers..the pre-election delusional ideas of our esteemed leaders is now so unhinged as to be surreal

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  • Pipin Singh

    absolutely ridiculous.

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  • Am I bothered? If my published income makes patient care better, let them have it. I think it just goes to show how their brains work.

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