I suppose that one could argue that they are not connected, BUT
difficult in a way to think otherwise when you are expected to do the
same work that you did last year, but for less money because a chunk
of this is being deducted and then that chunk is being used and
offered back for doing extra out of hours work. You are thinking and
talking like the politicians in a way here Gavin.
I understand fully what you are saying, and accept your argument. When
you do the sums and you are having a total gain of £16.00 then it is a
no-brainer. Add to this that we would have to make up 10 hours before
getting the DES then it really is madness.
The problem lies however in the fact that money is already very tight
for our practice, especiallly with increased expenses and no
additional funding. Take the chunk away from our day income as it
stands at the moment and the practice itself is now looking as though
it cannot continue fincnacially and sustain the 3-part time partners.
All of this is making me see that there is only one way to go - out of
GP land as a principal.
Paul Bromley
On 12/02/2008, Gavin Jamie <[log in to unmask]> wrote:
> Paul Bromley wrote:
> > Hardly optional though if we have a large chunk of cash deducted for
> > not doing it. We have already paid to get rid of OOH and then get
> > this. Someone will next confirm that we need to maintain the same
> > working conditions as 'in hours' - i.e. deal with phone, emergencies,
> > visits. drop-ins at the surgery ete, and all of the unexpected stuff
> > that makes the average day a nightmare.
> >
> > If it is optional with no financial penalty then none of us would
> > touch it. I was doing PAID OOH until 12 months ago to supplement my
> > income, but decided with the tax hit that it was not economically
> > worth it.
> >
> > Paul Bromley.
>
> There is no connection with the money lost and the money you will gain
> from doing the DES. There is a tendency to think of it as "your" money,
> but it isn't. You will lose for doing the daytime stuff whatever happens.
>
> You have three choices.
> 1. Go home and lump it
> 2. Do the DES for less than £50 an hour before tax and pension. Locums
> get more than this.
> 3. Do something else to get the cash. Insurance reports or medicals,
> locuming, doing OOH shifts, doing a shift in A&E. All of these are
> likely to pay better than the extended hours DES.
>
> Personally I would get about £34 an hour under the DES. Pension is 21.5%
> and tax is 40%. My wife would get quite cross if I went out for £16
> (take home) an hour on Saturday mornings.
>
--
Best Wishes
Paul Bromley
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