Older GPs wish to remain self employed – but do the new ones? If you run down the system, committment is less.

Do we want a committed GP workforce? If so we need to treat GPs and their practices as if they were businesses that the state values. Older GPs wish to remain self employed – but do the new ones? If you run down the system, committment is less. The hearts and minds of most junior doctors are no longer with the Health Services and they see themselves as a scarce commodity, overworked and stressed whatever they do, so they might as well get paid well, and maximise their lifestyle choices. This is why there are so many part time GPs. The same will happen in Hospitals. It seems ironic that whilst the governement tries to get as many people as possible off it’s payroll elsewhere, that peers recommend going the other way.  Do they think it’s worked with Nurses? (Nurses gear up for action over pay cap) How many patients will a salaried doctor have to see in a day? At present he/she deals with them all….  This “problem” is a result of undercapacity rationing, and will only be solved by overcapacity panning – in over 10 years..

Image result for salaried GP cartoon

Chris Smyth on April 5th reports in the Times: It’s time GPs went on the staff, say peers

GPs must be employed directly by the NHS as their “small business” model is holding back patient care, a House of Lords committee says.

Patients also need to take responsibility for eating and exercising properly rather than just demanding the NHS patch them up when they fall ill.

Condemning a government “culture of short-termism”, the Lords select committee on the long-term sustainability of the NHS recommends a decade of funding increases for health and social care in line with economic growth. The NHS must also stop relying on foreign doctors and nurses, the committee report says.

Hospitals will have to change “radically”, including closures and centralisations of specialist care.

Simon Stevens, head of NHS England, wants more patients treated in GP surgeries with tests, specialist consultations and mental health therapy available. The report published today says achieving this will require an end to the 1948 model where family doctors own and run individual surgeries.

Initial correspondence in the Times is sympathetic with the peers. I expect later correspondence will be more balanced.

Nick Bostock for GPonline reports 28th March 2017: ‘Unclear’ how GP services can be maintained in face of workforce crisis, warns DDRB and on 29th March Full-time GP workforce dropped by 445 in three months to December 2016

Image result for salaried GP cartoon





This entry was posted in A Personal View, General Practitioners, 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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