On Sat, 17 Oct 1998 17:04:06 +0100, Mark Pasola wrote:
>Ahmad, some serious questions.
>What is your estimate of the proportion of GPs who will walk away from the
>NHS, and what level of provocation would be required for them to do so?
Incentives and the right alternatives are what is required not
provocation.
If the job I outlined earlier is actually a real prospect that we can
offer GPs, I believe many would sign up (including Midge who said to
me: "may be"!)
One would need a critical mass. Can the NHS deliver with 1000 or
10,000 GPs outside it?
>I suggest that the majority will be fearful of leaving the security of that
>secure but mediocre income, not to mention cost-rent etc which guarantees
>that they can pay the mortgage.
1. It is not real security (witness what happened to the consultants)
2. Do you really believe that the independent contractor status is
safe?
3. You said it: mediocre income
4. I don't have cost rent. I have notional rent. If you are working
in Chambers minus all the crap you have to do for the NHS, premises
become a different ball game
>Few of us know anything but the public service, and beleive in it too?
So do I. Generations of Risks did. The public service I believe in is
that of the patients not becoming a government stoodge
>How will chambers meet the health needs of the poor, the day after we all
>resign from the NHS, if the Govt has not agreed to pay?
The government will have to pay. There will be the equivalent of the
Legal Aid Board (Medical Aid Board?)
>What do we do when the embarrassed and aggrieved govt decides that it can
>train up nurses to do the bulk of primary care, supported by a few
>"consultants" in primary care?
Do you really think this is remotely feasible or doable? I doubt it
very much. What? A health service without doctors? More like
Mozambique than the UK, I'd say! The public will not allow it.
Have a look at: http://home.clara.net/bgoss/privatepractice.html
Sign up and take it round the corner to see if it's got wheels :-)
Best...
Ahmad
________________________________________
Dr Ahmad Risk
http://mednetics.org
Office: +44 (1273) 748198
Home: +44 (1273) 724866
Fax: +44 (1273) 748198
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