OK - I get the drift - you're drawing the line in the sand here!

I'm suggesting that we should not take our ball and go home right now,
becaus there is potentially a big downside to that choice.

I'm personally prepare to give very very little of my own time/money to PCGs
unless I feel that it might be to the long-term advantage of my family and
my patients (in whichever order). The point of starting this thread was to
suggest (aka to muse out loud) that opting out now denies us influence for
an indefinite period, before we have found out whether the syetem can be
worked to improve the terms of service.

For example, can we do anything with this one-way valve into the GMS budget
to improve practice income where a partner is away on PCG business. If we're
not on the board the answer is a definite no. If we're there then maybe.

Mark Pasola

PS I forgive you the use of the word drivel since you are clearly upset :-)

> -----Original Message-----
> From: [log in to unmask]
> [mailto:[log in to unmask]]On Behalf Of Graham Balin
> Sent: 17 October 1998 12:55
> To: [log in to unmask]
> Subject: Re: What happens if we don't co-operate with PCGs?
>
>
>
>
> On Sat, 17 Oct 1998 10:55:06 +0100
> "Mark Pasola" <[log in to unmask]> wrote:
>
> >
> > Now is definitely the wrong time to throw away such influence
> as we have,
> > and especially over an issue that could once again be depicted
> as "reaching
> > for our wallets". If we pull out it should be over an issue of high
> > moral/ethical principle, not money.
> I'm sorry, but what a load of drivel.
>
> For years we have been moaning about ever-increasing workload, 'new'
> work not being rewarded, running faster to stand still, clawbacks,
> phased awards etc and once again you are advocating *not* taking a
> stand.So we will now all have to do unpaid management work, give up
> evenings to attend meetings and on and on , and all so you can sit back
> and say to people that you are not making a stand about money.
>
> Tell us Mark, how much of your pay are you prepared to give to the NHS
> to make it 'run better'. 10K, 20K perhaps? When do you feel you are being
> exploited? 1 evening unpaid a week, 2,3 perhaps?
>
> > Short-term, the p**s is being taken. Long term we might be able
> to fix some
> > of these penny-pinching injustices through persistence,
> reasoned argument,
> > and possibly progressing up to Trust status where we will
> presumably have
> > more control.
>
> Oh yes??References? And when you get to Trust status, at huge cost to
> you and your family, when *presumably* you get more control, what if you
> find you don't manage to stop the 'penny-pinching'? Then will you
> resign...oh no, of course not, that would be about money, wouldn't it.
>
>    All your doomsday scenarios can still happen, with or without
>    PCGs.What we need is determined leadership, and a will to say NO even
>    if it is about the dreaded M-word.
>
> > Comments welcome
>
> Well, you did ask! ;-)
>
> Cheerio,
>
> Graham
>
> 'Good health is merely the slowest possible rate at
>  which one can die.'
>



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