In a post in Pulse magazine an experienced GP explains why the House of Cards that is General Practice in its current state is crumbling .
Posted by: Shaba Nabi
13 November 2015
“……..Partners in small and medium-sized practices, who see the cards falling around them, are petrified of being the ‘last man standing’ and being left with all the practice liabilities. They RLE (retire, locum or emigrate) and this results in a previously functioning practice suddenly becoming destabilised as it is unable to replace partners. ……..
Our partnership contracts belong somewhere in quaint Peter and Jane books, while all around us we see the rise of APMS contracts, marketisation of the health service and AQP. We are being asked to compete within a corporate business world, yet we are still shackled by the independent contractor rules of 1948. How many accountants or lawyers are personally responsible for their firm’s liabilities if it goes bust? The answer is that they are all part of a limited liability partnership, or LLP. This has the same structure as a GP partnership but limits liabilities in the same way as a limited company. The reason GPs can’t change to this structure is simple – it does not allow you to hold a GMS contract or be a vehicle for NHS pensions.”