In full: NHS England on why the independent annual review of GP expenses should be ditched

Readers' comments (2)

• Anonymous | Salaried GP24 Nov 2014 10:05am

  why do we allow the myth that we are independent contractors to persist.
  
  In what sense are we independent? when one sided contracts can be imposed? when we are being forced to publish pay?
  
  NHSE are truly a sinister organisation

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• Anonymous | GP Partner24 Nov 2014 11:54am

  This is why NHSE want it but as a retiring principal I would say the myth plays completely into the hands of the politicians and private firms by allowing them to duck responsibility for destroying general practice. Shame on our leaders over many years (I speak as someone who voted NO to GMS2 and took IA) and on the many GPs who have let them sell us down the river
  
  " Independent contractors, by their
  very nature, are able to influence the level of
  income and expenditure
  which
  their businesses experience.
  0.8
  F
  ocuss
  ing on GMPs:
  (a)
  additional income could also be gained from NHS and other public sector
  work. For example, in providing enhanced services such as extended
  opening hours and receiving payments under the Extended Hours Directed
  Enhanced Service. In addition, p
  ractices
  provid
  ing
  high quality services that
  respond to patient need can attract more patients and therefore funding;
  and
  (b)
  expenses could be reduced through seeking greater efficiencies, for
  example, through:
  (i)
  the introduction of federated approaches and sh
  aring of back office
  functions and staff
  across practices
  ;
  4
  (ii)
  appropriate increased delegation to other members of the practice
  team; and
  (iii)
  partnership working with local pharmacies

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