That's how I understood you. You can't on the one hand say "if you
meet the targets you will get the money" and on the other say "you
performed too well, so you can't expect the reward" and expect to
retain any credibility.
Bill
On 21 Jan 2007, at 23:38, Michael Leuty wrote:
> On 21/01/07, Fay Wilson <[log in to unmask]> wrote:
>> We don't at the moment want Pat to feel that earnings are none of her
>> business as we are asking the DDRB to pronounce on GP earnings!
>
> Matters are not as clear cut as I was suggesting, since the Government
> provide a pension scheme based on individual partners' shares of their
> profits.
>
>> I think what Mike means is that it is not the government's
>> business what
>> proportion of income is taken as profit.
>
> My gist was indeed a horse of that colour. :-)
>
> There was a clear shift in emphasis with the new contract. Intended
> net remuneration went out of the window along with all the fine tuning
> that helped to maintain it, such as staff reimbursement. All the talk
> was of contracts, performers, services, LES DES KES and JES, and
> bonuses for performance. Now that most GPs are doing rather better, as
> was widely predicted at the time, the Government have sudden taken a
> new interest in defining what our net remuneration should be.
>
> Like Bill, I suspect that if they cap our net income then practices
> will simply stop providing extra services, as there will be no
> incentive to do so.
>
> I think that reverting to the DDRB is a backward step. We should be
> insisting on inflation-linked rise in global sums, and no additions to
> QOF without more points. One of the key benefits of the new contract
> was "no new work without new money". Unless we take a firm line on
> that, we will find ourselves working harder and harder to prevent our
> income falling.
>
> I'm sure the GPC are well aware of all this, but fear that GPs would
> not back them up with industrial action. I wonder if we would. There
> seems to be more scope at present to upset Government plans without
> harming patients.
>
> --
> Michael Leuty
> Nottingham, UK
>
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