I don't want to pour cold water on the salaried option, but looking at the
numbers, one fly in the ointment as far as being salaried is concerned is
that GPs in the more profitable practices are going to be taking a
substantial pay cut.
PCGs/PCTs are going to end up with a management structure that looks a bit
like a mini HA, which will quite rapidly impinge on sacred cows like
clinical freedom (perhaps not a bad thing) bear in mind the groups will have
to deal with their share of the HA overspend quite early on - a present,
nationally, each group will have to find about £1 million of savings. This
does not auger well for generous pay settlements!
Andrew
Dr. Andrew N. Herd MRCGP [log in to unmask]
Family Physician, Medical Adviser to Durham Health Authority
Lecturer in Primary Care, Durham University
Medical Editor, Practice Computing
-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 19 January 1998 21:58
Subject: salaried gp's
I have been told that a significant number of gp's locally are
seriously considering becoming salaried.
What will happen to their lists?
What will happen to their premises if they own them?
If their former patients are absorbed by surronding practices, what
will the salaried gp's then do?
Where will these practices get new partners from if they don't wish
to avail themselves of the services of the salaried gp's?
Dr David J Plews
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