To think this budget will finish us off

[BurnoutGP]

I am a GP Partner of over 20 years. I am now senior partner for the last few years. We have seen year on year below inflation funding increase. With an explosion in demand and massive shift of work from secondary care. We have issues wirh recruitment.
Our partner income is shrinking year on year. We are now always overdrawn and this gets worse every month.
We just cannot soak up the MLW and NI without adequate resource uplift.
I think we will be done. I'm so very tired of the constant battle and the demand and anger while working "part time" 60hr weeks.
We will have to hand back our contract. And we wont be the only one. That will leave one surviving practice in my area.
I'm done.

Exactly! I hate how NMW has gone up. Just reduce prices of other things. I'm on £30k a year, 35 hours a week, in a professional job and went to uni. After tax, NI and student loan, I'm not on much more than the proposed increase in NMW.

Oh the irony of your post! Thanks for the laugh as your mates have completely screwed the country over I needed cheering up,

It won't solve the retention problem, because it'll still be the case that employees can earn the same in retail or similar rather than having to do personal care or be subject to attack by the people they're supporting.

Retail aren’t going to be able to afford the increase either. And they are not exempt from attack. They are also seeing increasing level of thefts, often by blatant gangs, and any attempt to stop them can result in being assaulted.

@BurnoutGP , just asking out of historical interest.
In your opinion would it have been better if all GPs had been employed by the NHS from the start? So doctors wouldn’t be involved in budgets, staffing, contracts etc… they’d be employed at an NHS health centre to see and treat patients.

The number of people on here that think a minimum wage of £12.21 is too high is frightening. It is almost impossible to live on this

Yep, it’s shit

This.

I’m pretty sure the fax culture was supposed to have been stopped a while ago. And it’s disingenuous to say “the NHS makes me”. I used to work in the NHS and am well aware of the power GPs wield if they want change.

You can still make the notes contemporaneously, you don’t have to do the ensuing actions in contact time. Added to which it’s much more sensible to use cheaper labour to do it. All this proves is how ridiculous it is for GP practices to be businesses when their owners appear incapable of running them efficiently.

I'm on £30k a year, 35 hours a week, in a professional job and went to uni. After tax, NI and student loan, I'm not on much more than the proposed increase in NMW.

Thats because of economic policy, wages have been stagnating for decades not because living wage has increased.

I’d love to know what you do for a job. You clearly haven’t ever run a business and have no grasp of cash flow and P&L

" many skilled jobs are salaried whereas many unskilled can take on extra hours and end up better off."

Can you explain what you mean here? You think unskilled people should have to do two jobs to live? You think salaried people can't take on another job?

It's nice to know that my 40+ hour week for my own business means I'm not a 'working person'
So I can have an extra tax (on top of already paying 13% more tax than a PAYE employee)
This is NuLabour2's IR35 - smack the self-employed and small business owners - and 75p pension increase for pensioners, because they all vote tory anyway

I actually don't think anyone has said that, I think people are saying they do not know how it's affordable along with NI increases, limit lowered plus the other things certain businesses have been stung with. I would hope that where possible people are paying people as well as they can/deserve.

"I am a GP Partner of over 20 years. I am now senior partner for the last few years. We have seen year on year below inflation funding increase. With an explosion in demand and massive shift of work from secondary care. We have issues wirh recruitment.
Our partner income is shrinking year on year. We are now always overdrawn and this gets worse every month."

It is clearly an issue for you, and for the patients that you serve. Serious enough for you to spend half the night posting here.

For 14 of the last 20 years that you've been a GP Partner, the health service has been mismanaged by a group of incompetent and politically myopic Secretaries of State for Healthcare such as Lansley, Hunt, Hancock, Barclay, Coffey and Atkins. None of them with any background in the public sector or healthcare (in fact, few with any background other than being political gofers), privately educated Oxbridge graduates, all of them MPs for wealthy, "safe" Conservative seats and none of them from struggling post-industrial cities and connurbations. A very narrow subset of the UK population who seemingly have little contact with the rest of the population outside of their bubble.

I hope you were just as vocal in your criticism of these people - the one's who took a reasonably well-functioning health service and brutally cut it to the bone in the name of "austerity" and tax cuts for their chums. I hope you've been pestering your MP, your professional bodies and representatives and anyone else who needs to know - telling them that working in a service that has a backlog of millions of patients is not acceptable in the 6th wealthiest country in the world. It's unacceptable for patients and for the doctors, nurses and other staff who are trying their best with too few resources.

my mates have? Do you not remember the Truss fiasco? You’re laughable. Have the day you deserve babes

I don't think so

Don’t think what @rainingsnoring? There are job vacancies in construction, hospitality, tourism, etc.

A very high percentage of employment comes from SMEs. They have been under huge pressure for the last few years. We already have rising unemployment and insolvencies. With the business rates and all the other costs, it won't be at all easy for SMEs to make profits*

So you agree some were struggling before this change? I did say some wouldn’t make it, I just don’t believe all will close and no one will start one.

Apart from that, I think we are heading for recession, probably next year.

Who knows, we never recovered from 08 & austerity, Brexit & Covid has left us on dingy ground. Certainly life is going to be more expensive for most going forward.

A Labour government has never recognised the vital skills of any workers in general, only those that can throw their weight around courtesy of a powerful union threatening to withhold payments to Labour if they don't cough up

What a cliché price of nonsense.

I actually don't think anyone has said that, I think people are saying they do not know how it's affordable along with NI increases, limit lowered plus the other things certain businesses have been stung with. I would hope that where possible people are paying people as well as they can/deserve.

I think that’s unlikely.

You're expecting a private-medicine level of service centred on you as the client from a low-budget, juggling with jelly-type NHS that can't meet your needs. As you're so busy and as time is so valuable to you, you'll need to upgrade to get the service you want. Go private, make a little more space for people who can't.

Reeves admits she has no plan in place for the inevitable global downturn should Trump win in the US elections
The IFs say the 2-4% expected global slump will destroy her estimated growth and spending plans

Yes, the one which the Tories quickly owned and got rid of the cause. Here’s hoping Starmer and his chums disappear quickly.

Yes I’ll have a lovely day- working hard to pay for the fiasco.

Have a smashing day sweetie

The Conservatives were given fourteen years so I agree with you.

The Conservatives were given fourteen years so I agree with you.

Quite, I’m a floating voter but some of these comments are ridiculous.

Hi @BurnoutGP . I know you may not read this, but I wanted to empathise that you’re having such a horrible time, and have got such a rough ride on this thread. Most people don’t understand how partnerships work, or (as you said) the origins of GP practices within the NHS. I also believe mos “normal employees” can’t ( or perhaps don’t care to) understand the horrible pressures that come with being a business owner/partner, and having the weight of he patients, staff and business survival on your shoulders in addition to the basic pressure of being a doctor responsible for people’s health.

Thank you for all you do, and from a partner in a different type of business, remember yo have to look out for yourself too, this is not your “fault” ( it is the system and the capitalist society we all seem to support) and if you have to go for your own sanity and health, then that is what must happen- sad, but there you go. Take care.

How have they owned it? They lied prior to the election about the state of the economy - as has now been confirmed.

Mate the reason we’re in this fucking mess is because of the Tories. Can you really not see that? If you can’t I genuinely am worried for your cognitive health.