300K for a GP?

The average GP doesn’t earn this much, but anyway, earning 300K as an NHS GP is now possible. How? The usual way is for one GP to be the managing director of several NHS surgeries. Most will employ salaried doctors and nurses to deliver care; the profit becomes singularly that of the managing doctor/director. It’s not illegal, and in fact it is a structure which is being positively encouraged by the government past and present – and PCTs who want to franchise out bits of the NHS to private providers who work on this model.

I don’t like it. I work in a practice where all doctors are partners. It means that we all have a say in how things are run, which means checks and balances as a constant. It means we have the chance to develop clinical interests and follow them through, it means that we are careful about the use of resources and as efficient as possible. It also means that stable medical staffing is more likely, as one is tied in to a small contracting business. That doesn’t mean that salaried or locum doctors aren’t also valuable and useful to patients and the NHS – not at all. Many practices employ  salaried doctors where that doctor, for whatever reason, doesn’t want to be responsible or tied in to the business, organisational side of the practice. But a pure business model, where one doctor/manager is overseeing  many practices I think is a step too far for the lure of ‘efficiency savings’.  The cost savings which attract private providers to the area do come from somewhere, and that is mainly in front line staff. Is it right for the NHS to be allowing such profit to be drawn?

2 Responses to “300K for a GP?”

  1. Anonymous September 28, 2010 at 8:04 pm #

  2. Anonymous September 28, 2010 at 8:05 pm #

    “What’s it like to be a salaried GP? Not much fun that’s what. I came into general practice with the rather foolish idea that I would eventually end up a Partner, help think up some innovative changes, improve patient care and be my own boss. I mistakenly thought that I’d be a salaried GP for a year before finding a partnership. Now nearly 5 years later I’m still a salaried and partnerships remain as rare as rocking horse droppings.

    I’m getting really fed up with the barrage of emails reminding us of all the QOF points we have missed, a big chunk of which could be done by the receptionists but for whatever reason they can’t bring themselves to do it.

    Extra work to do? Down on the QOF points? Extra vists to see? Bounce it to the salaried GPs. It’s the attitude of the partners that I find disrespectful. If it’s a choice between getting a partner to do something or a salaried it almost always gets bounced to the salaried GP – after all you have to make sure you get your money’s worth out of them.

    I know lots of salaried GPs are sick to death of getting flogged by the Partners. The partners can cancel clinics at the drop of a hat, go on courses, meetings, anything that takes their fancy. Salarieds? No such luck. If it doesn’t bring money into the ‘practice pot’ (partners’ pockets) they are not interested.
    Click here to find out more!

    Work is meant to be distributed fairly, but it’s laughable when the partners claim they do the same as the salarieds. They don’t. Don’t kid yourself.

    I know some salaried GPs have been given permission to pursue some management activity (QOF chasing) but with no extra pay or time to do it in. Why bother? It’s getting like that now at work. Why bother? – I’m paid to do my clinics, fill in some forms and do visits. If it is anything else then I am not interested.

    It is terribly sad that it’s getting this way. The goodwill of the salaried GP is evaporating fast. Partners need to treat us with respect and have a radical rethink about how they use the increasing salaried GP workforce. That Darzi clinic down the road is starting to look quite appealing… ”

    … and a GP partner’s comment

    Stop whinging. If you don’t like it then go elsewhere or are you saying that ‘beggars can’t be choosers’?

    Source: http://www.pulsetoday.co.uk/story.asp?storycode=4123777