In a message dated 11/02/98 21:41:53 GMT,  [log in to unmask]
writes:
<< salaried GPs, don't want to buy into the property..
 Hm - I've got an idea.. *all* partners go salaried, and sell the surgery
 to a firm of solicitors - or accountants - or someone.Where would we
 practice? *That* would be a problem for the employers - PCG? HA? -
 anyway,not me! ;->> (we can all fantisise.. ;->>>>>>)
 Oh brave new world.. >>
Hi Mary
A bit late with this one, but this is the scenario as I see it, extrapolating
from what I've read/heard so far:-

GPs forced to go salaried to protect income at certain level.
Own premises - sorry you've had to sell them because there's no funding left
to run them or to pay your staff - cash has run out for that side of things. 
Each practice in towns re-located to 'Super-surgery' (Not my words!) based at
a Tesco, Sainsbury's or Safeway megastore, who've also got the dispensing
rights.
You can see from the above that the government has not 'bought us out' or paid
for new premises, we've been forced to take the above action to survive in
this 'Brave New World'. Guess who will take the 'flak' from the general public
for the above action - us, as they'll consider that we wanted to be a part of
the 'Newtown Amalgamated GPs', rather than staying that friendly little
practice down the road.

Unfortunately the present White paper looks far less benign than the 1990
contract, and I really can foresee much of the above happening. Regarding the
new PCGs, despite what Ahmad is saying about militancy, there won't be any.
I'd love to stand up to be counted, but not many otherws will be, they are all
too busy seeing who the best people to 'get into bed' with are. 

The old card is being played yet again, and we are all falling for it around
the country - unfortunately - despite not liking what the outcome will be for
us. The 'old card' is that there's a lot of work for the average GP practice
to be done regarding re-organisation - no time or money for this, and it's got
to be done quickly. Whether you like it or not you'll end up doing it, as the
usual threat will be that if you don't do the 'deed', then someone will do it
for you and the outcome will be worse. If we all stood united ...............
- but we won't!

At least with the New Contract of 1990 and Fundholding there was choice,
whereas now there is none. I am sure that all innovation in GP will go, and
that many good GPs will be lost at a time when recruitment is at a low ebb.
I've always been proud to be part of our practice, and have worked hard with
the other partners to make it what it is today. With all practices in our area
brought down to the same level, the incentives have gone. I'd like to think
that the above is rather 'far-fetched', but somehow I don't think that it is.

Anyone know of any good jobs going for this tired GP? 

Paul Bromley

 
 


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