<<
In short, this Practice has delivered.>>

I once worked for a private company in another country---medical services. 
 It was an object lesson in how managers get ahead.
Herewith Fox's Laws for Managers----How to rip their(ie all non-managers) 
throats out.
1.  Draw up grandiose schemes.
2.  Make sure you are gone before the schemes collapse.
3.  Pay peanuts, get monkeys,  save on the budget, repeat 2.
4.  Trust no-one.
5.  Slash all submissions.
6.  Burn all submitted business plans,  think of a number of pounds and
divide by two, Then offer them that over five years.
7.  Return no calls and never answer letters.
8.  Hire the most incompetent secretary you can find so you can shred
everything incriminating when you leave/ are arrested/ beaten up by Risk,
Hotch, Fox et all---and blame it all on her.
9.  Talk of excellence but make sure no-one tries to acheive it----it costs
too much.
10. Start over somewhere else, repeat steps one to nine.

Seriously---very seriously----that private outfit I worked for wanted it to
look good to  the client.  They didn't want clinical excellence---excellent
clinicians were too demanding and they spent too much money because they
did the job right.  They wanted well-dressed well-spoken bullshitters who
could generate much heat but very little light. And they paid peanuts so
often got monkeys but not always because they recruited mostly from the
British Isles and plenty of the workers were poor idealistic sods like me
with good work ethics. 

Ahmad,  that fucker doesn't really care about your practice or you or what
you have done for your patients.   He probably wouldn't know what
standardised mortality ratios were let alone their importance.  Apropos of
that, for several years our practice turned in mortality ratios about half
the national average but I don't think anyone ever noticed. 
What he cares about is his next promotion, his productivity bonus which
right now is almost certainly contingent on him making PCGs work and what
gloss he can put on his year end report.  
So you are right to go.    You can struggle on sure,  you can try to give a
good service even in the face of official opposition (and let's be
straight, that is what you are facing)  but how long can you keep it up?  
And what shape will you in when you finally cave in and *have*to go---a bit
like me.    Do it now while you are fit and healthy with skills to sell and
"youth" on your side. 
Another story---for six months I have had disturbed sleep, vivid dreams and
nightmares,  kicking and thrashing about in bed, waking up soaked in sweat.
 Every single night.  Last week I decided I was sane enough to make a
decision about my future in GP and started thinking and listing for and
against----so far it all looks like going the same way as you.   And once I
realised how much more sensible it was to go rather than stay in NHS GP the
disturbed sleep/dreams/nightmares/sweats etc all stopped.  Just like that. 
MY subconscious was trying to get through to me I think and finally it has.
  Next week I write the letter.

All the best
Declan

PS I can't find the separate doc on what you plan to do afterwards---any
chance of mailing me a copy?
TIA


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