GPs reject MBAs. It’s no wonder… GP recruitment scheme offering MBAs scrapped after it attracts no GPs…

My own experience in having an MBA is not good. Whilst the degree was of great help personally, and I could see that Trust Boards had need of GPs with such qualifications, the operational aspects are not seen as important to most board members or disengaged physicians, and nobody is interested to hear the strategic views of the profession… Politicians and the bulk of the administrators feel that we are biased..  Since health boards have excluded GPs (until recently), and ignore their advice anyway, strategic influence is denied the MBA GP. As for “regional influence” or “national influence” this has always been denied. Operational management at practice level is enhanced by an MBA, and in a small self employed business this is an advantage. As the rules of the game are used to lever GPs into ever bigger organisations a GP with an MBA would be useful – but are larger practices what patients want? Most young doctors chose to do medicine to care, be practical and active, solve a diagnosis,  and avoid paper shuffling, bottom sitting jobs… General Practice has become the latter, even without an MBA!

See below some of the posts which reveal how the rules of the game are made… and Pulse’s related articles. It is no wonder, with so many retirements due, and after so little strategic influence, that GPs are favouring a salaried service. Government will then get the culture, the illness and absenteeism rates it deserves..

Sofia Lind reports for Pulse 28th October 2015: GP recruitment scheme offering MBAs scrapped after it attracts no GPs

A radical recruitment scheme offering sabbaticals and MBAs to GPs willing to come and work in under-staffed practices has been scrapped after failing to recruit a single new GP in a year, Pulse can reveal.

The scheme, launched in October last year by NHS Hull CCG, offered a package of incentives aimed at keeping GPs in the area for six years, as it was particularly hit by the national recruitment crisis.

Although it is not funded by Government’s 10-point plan for relieving the GP recruitment crisis, NHS England followed NHS Hull CCG’s lead and offered GP trainees ’an additional flexible year of training, where they can… get an MBA in leadership skills or another academic pursuit’.

GP leaders said the similarity of the schemes meant this was what they might ‘expect to see’ nationally.

Hull’s scheme, for which the CCG, Hull City Council, Hull and East Yorkshire Hospitals NHS Trust and the Hull York Medical School had made available £600,000 has so far only spent £5,000 – all on advertising costs – as no new GPs have joined.

As part of the deal, the CCG promised to find overseas placements for trainee and qualified GPs, to fund an MBA or a Master’s degree in education or leadership. In return it expected GPs to work across multiple under-staffed practices and remain in Hull for a minimum of six years.

Responding to a Pulse FOI request, NHS Hull CCG said: ‘The CCG has not recruited any GPs as a result of the scheme.’

The FOI response further revealed that the scheme was ‘amended and re-launched in May 2015’ to reduce the time applicants needed to spend in Hull to three years, give more flexibility in terms of sessions worked and scrap the idea of rotation between practices.

It added: ’We received five applicants to the second offer, all of which were shortlisted. However four withdrew prior to interview and the final candidate was not appointed.’

An NHS Hull CCG spokesperson said: ‘The scheme, following two unsuccessful recruitment attempts, is not still on offer. However the CCG is looking at various other ways to support general practice and address workforce issues.’

Dr Susie Bayley, vice chair of GP Survival, said: ‘The innovative scheme run by Hull CCG is similar to what we are expecting to see nationally, as CCGs use money from the 10 point recruitment plan to tie GPs into longer term salaried posts [but] there are several problems with this.’

She said the problems included doctors being ‘hesitant to commit themselves to long-term schemes’, while there was still ‘a great deal of mistrust’ between GPs and the Department of Health regarding its ‘long-term vision’ for general practice, and as such schemes would need to offer a more ‘considerable incentive’.

Dr Russell Walshaw, chief executive of the Humberside Group of LMCs, said: ‘Maybe CCGs aren’t the best [organisations] for recruiting for GP practices. It may be better for practices to recruit their own doctors.’

One of NHS England’s ten points to tackle the recruitment crisis said: ’Offering GP trainees an additional ‘flexible’ year of training where they can train in a special interest, get an MBA in leadership skills or another academic pursuit.’

This is the latest proposal for relieving the pressures in Hull, previously including a suggestion of moving to a wholly salaried model of general practice which the CCG said was ‘never a plan’.

Meanwhile, NHS Hull CCG has also set out plans for all of its 55 GP practices to come together by geography and merge into eight super practices by April 2017.

The CCG spokesperson said: ’We hope that by practices working together collaboratively and developing new models of care they will be in a better position to deliver an expanded range of services which will make working in Hull as a GP potentially a more attractive proposition.

North Wales is shamed by WG rules of the game in health – and no applicants for Welsh Health Trusts, which now need to change their names.

Post-coded rules? 25 vital cancer drugs deemed ‘too expensive’ for the NHS will have to be rationed within weeks unless drastic changes are made

Private member’s bill aims to repeal competition rules in NHS

Dame Barbara has her gong and Gary Walker does not…. It should be the other way around. Whistleblowers not valued..

Shameful, inexcusable, unacceptable – and symptomatic of a wider malaise. Does this represent our modern “civilization”?

Power to the people as Manchester takes control of £6bn health budget

The Overt Rationing News – just for the last few days

Trying to defuse some of the invective against NHS managers.

Mid Staffordshire NHS trust fined for ‘avoidable and tragic death’ – we may all need an advocate..

Rurality and Utilitarian decision making: Wales is let down by its inept politicians.

Imploding NHS

The media does publish “good news” – but far too early, raising expectations unreasonably…. Do you know what is not covered in your Regional Health service?

Care Homes

Wales is the first Region to crack on questioning current philosophy

Knee Jerk responses and short-term actions are not in the long term interest of health.. In a “free market” politicians threaten to cap agency/locum fees.

Fewer than half the population know who runs Welsh NHS, says poll

The Any Qualified Provider decision

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This entry was posted in A Personal View, Commissioning, Medical Education, 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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