Why not become a locum? Earn more, Standard hours of your own choice, no administration and control of your own life? Training bribes won’t work: undercapacity controls the rules

Why not become a locum? Earn more, Standard hours of your own choice, no administration and control of your own life? If I was a GP today, would I worry about losing my status as a “principal” or GP partner? Obviously GPs want to feel secure and this is a historic attraction of the professions, which my mother always reminded me of when choosing a career. Now they are feeling insecure and out of control of their own lives, and with the added disincentive of forced mobility on top of having a family late, there are going to be fewer and fewer applicants. Wales is trying to counter this lack of applicants into GP Training with a Welsh Deanery contract, but a perverse incentive might be that then they can move trainees around – as hospitals such as Withybush close down departments… It won’t work when Wales is less popular than England for other reasons – educational standards being a major concern for doctors. When England increases it’s number of recruits to Core Medical Training, suddenly, it is Wales that suffers from the neglectful undercapacity….

Recent budget cuts in Sheffield (Alex Evans in The Star 11th July 2015: Over 60 Sheffield GP surgeries face huge budget cuts after funding shake-up)

… the worst-affected practices in some of the city’s most deprived areas facing potential closure.

NHS England funding changes mean 62 out of 87 city surgeries will lose funding.

A total of 11 surgeries will lose more than £20 per weighted patient – up to £30.97 – equivalent to several hundred thousand pounds per year.

Sheffield MPs seek ‘urgent’ meeting over GP funding cuts …

Five Sheffield GP surgeries pose ‘high risk’ of poor care …

Sheffield GP surgery faces closure after huge cash cut

David Deans for Walesonline 13th July 2015 reports: Welsh NHS to directly employee trainee general practitioners in move to attract more GPs



This entry was posted in A Personal View, General Practitioners, Perverse Incentives, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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