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.

One must assume that KS and RR do not see mothers as hard working people, or they would consider UK’s very high child care prices in the budget.

Do you think that Boots do it for free 😆

The pp is right, this kind of enjoyment is madness. The latest headline BBC Warning workers' pay will be hit after Budget, warns the Resolution Foundation

From the article

'That amounted to a 'tax on working people', James Smith of the Resolution Foundation said.'

'The foundation expects wage rises to be hit by a combination of an already challenging outlook, weaker growth due to increased taxes on employment and higher inflation.'

This is a foundation with the stated aim to improve the standard of living of low-to-middle income families

So all this glee and you lost stuff is a bit shortsighted. Do you work?

10 year yields are rising @Blossomtoes

The markets are not liking your Chancellors budget…

Getting close to Liz Truss!

Husband is also a GP partner and has been researching this today. Here’s what things are looking like (GP Partners FB group) - screenshot attached as pic.

No there isn't plenty of jobs out there. There are some jobs on zero hr contracts or NMW but thats it - it's a race to the bottom.

@BurnoutGP said at 8.30 they were done with this thread. Which is a shame because I private messaged them later than that with a viable solution.

Any other GPs on here looking for help it is available. So PM me.

All the weekends I spent vaccinating people against flu and covid, forget that, you will have to pay me.

You already are paid to do this.

I think this has now been explained to you. Apart from that, the nurses don't give vaccinations without at least one GP on site just in case a life threatening emergency arises.
However, the chief point that @Flixon was making is that partners do a massive amount of additional work, not just direct patient contact, which is what half the public seem to think is all they do. I made a similar point upthread when posters kept suggesting nationalising General Practice. Sure they could do that but it would be more expensive rather than less because so much GP and secondary care work is done outside of paid house because of goodwill. That goodwill has fallen a lot recently after many, many years of being ground down.

I agree people are forgetting that as wage increases tagnate or are lower, many companies will be passing on costs to consumers so we end up paying more for things with same money we have meaning we end up buying less or not at all. So we ended up worse off.

Again, the poster was explaining that, if all GPs became salaried, they would need to be paid per session for a certain number of hours work. Extra work would require an extra payment. So a flu clinic of 4 hours or 4 hours doing admin would require a sessional payment. Currently, GPs just squeeze in paperwork, stay late/ work at weekends to do this. That would stop.

They could use the money currently used to pay GPs to do this to pay nurses to do it - like they do in Scotland.

GPs are hard working, but sometimes you don’t do yourself any favours with your arguments.

What you actually mean but are not saying about ‘goodwill’ is the concept of goodwill as a intangible asset - the additional value of the business as a going concern rather than a sum of its parts. Things like regular customers and reputation. Not extra hours worked, which nearly all professionals do and is reflected in salaries.

@Blondiie I’m not sure why you replied with all that waffle to my post? Where on earth did I claim average wages have gone up 40%?! I’ve also not claimed that some businesses won’t be able to absorb these costs. I don’t think it’s me who has missed the point…

I agree people are forgetting that as wage increases tagnate or are lower, many companies will be passing on costs to consumers so we end up paying more for things with same money we have meaning we end up buying less or not at all. So we ended up worse off.

I don’t think anyone doesn’t understand that. If income tax is increased you have no choice, as a consumer you have some choice. Not for everything of course but still some choice.

As an employer, I don't have a choice over what my suppliers are charging me. They, too, are passing the increased costs along. People do forget that there's a supply chain, and at every stage there are now more costs.

And if the consumers at the end of the chain don't want to pay the extra costs? The business goes bust. Well done Labour!

I guess the other unique thing about the partnered self-employed G.P’s is I believe (could be wrong and I’m sure someone will tell me if I am!) that they still have access to the NHS pension scheme. I get that there are probably different schemes, some more generous than others, and personal contributions are made etc but it’s still, an unusual, if not a unique employment situation.

I can’t think of another “self-employed” person who would be able to access and pay into an employer run scheme.

I’m not having a go at GP’s as mine are very good and as far as I can tell work very hard.

it’s just the employment/contract/partnership situation does seem to have grown into something very complex and must take quite a lot of management time/resource both by GP practices and the NHS commercial people who are managing the contracts.

@Unbelooth I understand supply chains. I used to work in buying.

And if the consumers at the end of the chain don't want to pay the extra costs? The business goes bust. Well done Labour!

As anyone argued otherwise?

“The number of companies that went bust last year in England and Wales hit a 30-year high, according to the latest figures., external
More than 25,000 company insolvencies were registered in 2023, the highest number since 1993, as firms struggled with rising costs and interest rates.”

Good for you. But as I said, people do forget that it's a supply chain, not just your pub raising the prices on a pint and laying off that extra bar person for the sake of it.

You responded to my post which didn’t mention supply chains so I was just letting you know. HTH.

Really? How do the local pharmacists manage to run thriving vaccination centres with a choice of fixed time appointments without the presence of a GP? Surely a nurse is just as well qualified as a pharmacist to administer standard vaccinations.

Those security measures for data loss prevention were spot on and should be in place.

What should also be in place is an audited method of sending a copy of a record to approved recipients.

As with your FAX issues - this is not a medical problem at all, its a consequence of seperate NHS funded groups simply refusing to cooperate or agree on basic protocols for absolute basics with nobody accountable for the consequences or costs.

Obviously not but it shows that you don’t need years of training to do it. It’s a waste of valuable GP time.

Except it's not a tax on working people is it, as tax on payslips isn't going up.
Details and understanding details are important.
Thanks to the almighty fuck up of the Tories, a lot of which they hid, this new government didn't have many choices and needed to raise a lot of cash. I imagine you understand that.
Some of the money they need to raise will come from businessess. How they pass those costs on, is on them. Not the goverment.
I work as a teacher and I am very grateful to this government for the pay rise they have given me, and the extra funding in the budget for schools, education and particularly SEND.