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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think this budget will finish us off

1000 replies

BurnoutGP · 30/10/2024 22:12

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.

OP posts:
Thread gallery
10
Spectre8 · 31/10/2024 16:10

GillBeck · 31/10/2024 15:58

We saw in the pandemic the effects of children being taught virtually.

No we didn’t. We saw the impact of children being abandoned at home with a few worksheets or links to websites uploaded for the motivated or those with parental support. What happened for most children was nothing like proper online teaching.

It's the socialisation and behaviour i am talking, where they learn about making freidns, dealong with other people etc. It not all about the logistics. You can take your kids to clubs etc to try and replicate it but you won't because that time will be short and not as regular as going to school.

EasternStandard · 31/10/2024 16:10

pleasehelpwi3 · 31/10/2024 16:02

If we are talking about details, the first post alluded to 'a tax on working people.'
Labour didn't tax working people yesterday.
You're now saying that it will affect people- yes of course it will- but that's very different. Why? Because in their manifesto Labour said they wouldn't raise taxes on working people.
And yesterday, they didn't- they kept their promise.

No government in history has ever stated in their manifesto 'our policies will not affect you financially in any way.'

What were the realistic political alternatives to sorting out the current mess? Both our public sector and public services are in a really dire situation, all thanks to the last government. No wonder they called the election early.

Blaming Labour for having to made hard choices in the budget is like blaming a cleaner who's been called to clean up the mess, for the mess.
In fact, that's not even an analogy- it's what's happened!

Edited

So you're more worried about Labour coming through ok than RF stating "This is definitely a tax on working people, let's be very clear about that."

We'll see, people who are hit might feel they are working people and feeling it due to the policies.

MrsMurphyIWish · 31/10/2024 16:11

Unbelooth · 31/10/2024 16:07

You can ask AI things. It's not just a PDF on a screen. No longer will specialist teachers be needed. No longer will children be reliant on the skill, or otherwise, of a teacher.

Classes can be facilitated by an assistant, while they interact with AI that is consistent across the whole country's year group.

I use AI in my teaching but it’s used to enhance my lessons - not replace them. I don’t want to derail the thread but it won’t replace a person. Part of teaching is being able to adapt to needs and be a facilitator of knowledge to those needs - AI can’t do that en masse. Also, exam boards are failing students on AI learnt answers as there is no critical thinking or nuance.

Sorry for the derail!!

Unbelooth · 31/10/2024 16:12

Spectre8 · 31/10/2024 16:10

It's the socialisation and behaviour i am talking, where they learn about making freidns, dealong with other people etc. It not all about the logistics. You can take your kids to clubs etc to try and replicate it but you won't because that time will be short and not as regular as going to school.

They will still go to school.

Unbelooth · 31/10/2024 16:13

MrsMurphyIWish · 31/10/2024 16:11

I use AI in my teaching but it’s used to enhance my lessons - not replace them. I don’t want to derail the thread but it won’t replace a person. Part of teaching is being able to adapt to needs and be a facilitator of knowledge to those needs - AI can’t do that en masse. Also, exam boards are failing students on AI learnt answers as there is no critical thinking or nuance.

Sorry for the derail!!

Edited

Yup. And soon it will replace your lessons. There will be facilitators, not teachers.

Just like we learn stuff from a book, and the teacher shows us how to do that.

Spectre8 · 31/10/2024 16:14

TheTidyBear · 31/10/2024 16:06

The reason I chimed in is because the 'I'm alright jack' attitude riled me up a bit. There's a good reason that businesses are 'bleating' now and it's because the tax burden has fallen on those with the narrowest shoulders. There's a lot of people making an argument, of, well if you can't afford to pay it then you shouldn't be in business. Well if that's the case we're only going to be left with a handful of large technology companies because human labour is comparatively expensive.

Now if they had raised the personal tax threshold and introduced a higher corporation tax bracket, that would have been a fair deal. I think people are too caught up in the fact that something needed to be done, but don't realise that it's not necessarily going to help working people over the long term.

There have been plenty of mumsnetters who said they would be happy to pay more tax...funny they don't go voluntarily pay it like they can now...

TheTidyBear · 31/10/2024 16:15

Spectre8 · 31/10/2024 16:10

It's the socialisation and behaviour i am talking, where they learn about making freidns, dealong with other people etc. It not all about the logistics. You can take your kids to clubs etc to try and replicate it but you won't because that time will be short and not as regular as going to school.

From an economic perspective it's not necessary for them to socialise. They can spend all day jacked into VR for the rest of their lives, that's if we need them to do any work at all.

Not advocating for this, just pointing out what happens if you make everything about numbers.

pleasehelpwi3 · 31/10/2024 16:16

Unbelooth · 31/10/2024 15:11

Businesses cannot pass the costs on, if consumers won't pay them.

So businesses will mitigate the costs by employing fewer staff.

I imagine you understand that.

I do. But that's not a tax on working people is it?
I remember all of the fuss from the right and business about the introduction of NMW, complaining that since they could no longer pay someone three quid an hour that their business would go bust etc.

If businesses can't pass the costs on, and then employ fewer staff, but other similar businesses nearby can, it would lead to a survival of the fittest. No bad thing in the long term.

I live near London. There are lots of businesses in inner London that survived ULEZ and kept on trading. Interestingly when the ULEZ was expanded to Greater London, many businesses near me said they would have to close. Always struck me as disingenuous when a business doing an identical line of work five miles away in London could trade having absorbed ULEZ costs years earlier. Either the businesses saying that ULEZ would kill them were a) not being truthful or b) inefficent.

MrsMurphyIWish · 31/10/2024 16:16

Unbelooth · 31/10/2024 16:13

Yup. And soon it will replace your lessons. There will be facilitators, not teachers.

Just like we learn stuff from a book, and the teacher shows us how to do that.

Then I’ll become a facilitator, most of teaching is that tbh. If this is an argument to say it’ll make “teaching” MW, it won’t. I still get paid the same if I teach top set GCSE or bottom - the skill is the facility. Not anyone can do that.

TheTidyBear · 31/10/2024 16:20

pleasehelpwi3 · 31/10/2024 16:16

I do. But that's not a tax on working people is it?
I remember all of the fuss from the right and business about the introduction of NMW, complaining that since they could no longer pay someone three quid an hour that their business would go bust etc.

If businesses can't pass the costs on, and then employ fewer staff, but other similar businesses nearby can, it would lead to a survival of the fittest. No bad thing in the long term.

I live near London. There are lots of businesses in inner London that survived ULEZ and kept on trading. Interestingly when the ULEZ was expanded to Greater London, many businesses near me said they would have to close. Always struck me as disingenuous when a business doing an identical line of work five miles away in London could trade having absorbed ULEZ costs years earlier. Either the businesses saying that ULEZ would kill them were a) not being truthful or b) inefficent.

And I put it to you that people have been talking about survival of the fittest being a good thing for years, and businesses should stop complaining, and the Country is in a massive mess.

Unbelooth · 31/10/2024 16:21

MrsMurphyIWish · 31/10/2024 16:16

Then I’ll become a facilitator, most of teaching is that tbh. If this is an argument to say it’ll make “teaching” MW, it won’t. I still get paid the same if I teach top set GCSE or bottom - the skill is the facility. Not anyone can do that.

God, teachers really have no idea what is coming down the line.

There will be terminals, at which children interact with AI teachers and their progress will be monitored via their login. There won't even need to be classes, or classrooms as such.

Teaching materials and skills will be consistent across the whole country.

AI is the only way to stop children/students cheating with AI.

The paradigm is shifting, teachers as we know them will no longer be needed.

pleasehelpwi3 · 31/10/2024 16:21

EasternStandard · 31/10/2024 16:10

So you're more worried about Labour coming through ok than RF stating "This is definitely a tax on working people, let's be very clear about that."

We'll see, people who are hit might feel they are working people and feeling it due to the policies.

I am worried about the truth yes- trust in politics is very low at the moment- the law breaking and corruption of the Tories under Covid had a lot to do with that- so I do think it is important to get the facts correct. Labour promised NOT to put taxes up on working people. In the Budget yesterday, they kept their promise.
This is an important detail.

I think a lot of working people aren't stupid and understand the situation Labour inherited was dire and needed drastic action to repair it!

Unbelooth · 31/10/2024 16:23

Unbelooth · 31/10/2024 16:21

God, teachers really have no idea what is coming down the line.

There will be terminals, at which children interact with AI teachers and their progress will be monitored via their login. There won't even need to be classes, or classrooms as such.

Teaching materials and skills will be consistent across the whole country.

AI is the only way to stop children/students cheating with AI.

The paradigm is shifting, teachers as we know them will no longer be needed.

Each child will be able to interact, personally and in the way they need, with their AI "teachers". It will be a massive equaliser.

SunQueen24 · 31/10/2024 16:23

OP I can sense the frustration in your voice. I’m so sorry. Thank you for your service to the NHS and the community you’ve served.

pleasehelpwi3 · 31/10/2024 16:25

Unbelooth · 31/10/2024 16:21

God, teachers really have no idea what is coming down the line.

There will be terminals, at which children interact with AI teachers and their progress will be monitored via their login. There won't even need to be classes, or classrooms as such.

Teaching materials and skills will be consistent across the whole country.

AI is the only way to stop children/students cheating with AI.

The paradigm is shifting, teachers as we know them will no longer be needed.

I'm sorry but this sounds far-fetched. Yes it could happen for some of the time, in some lessons, but overall this description is a windup and I'm not biting.

In my school some of the building is falling apart, not sure we'd be ready for this within 50 years!

TheTidyBear · 31/10/2024 16:26

pleasehelpwi3 · 31/10/2024 16:21

I am worried about the truth yes- trust in politics is very low at the moment- the law breaking and corruption of the Tories under Covid had a lot to do with that- so I do think it is important to get the facts correct. Labour promised NOT to put taxes up on working people. In the Budget yesterday, they kept their promise.
This is an important detail.

I think a lot of working people aren't stupid and understand the situation Labour inherited was dire and needed drastic action to repair it!

Ok, so I guess because they didn't promise to disproportionately tax labour intensive businesses instead of high profit making ones, that's ok?

What other justifications can we use here? The pound is going down again, that's ok because they didn't tax working people! Inflation is going to kick off again, that's ok because they didn't tax working people! My job has been automated, that's ok because they didn't tax working people!

GillBeck · 31/10/2024 16:26

Spectre8 · 31/10/2024 16:10

It's the socialisation and behaviour i am talking, where they learn about making freidns, dealong with other people etc. It not all about the logistics. You can take your kids to clubs etc to try and replicate it but you won't because that time will be short and not as regular as going to school.

The lack of socialisation and resultant behaviour during lockdown are separate issues to virtual schooling. The thousands of pupils who currently use online schools in the UK still have to learn to work with other pupils online and I am sure access many groups/sports/activities in real life. I am not a home educator but those I know are do a regular stream of activities with other home schoolers every week. And have friends in the local community.

Unbelooth · 31/10/2024 16:27

pleasehelpwi3 · 31/10/2024 16:25

I'm sorry but this sounds far-fetched. Yes it could happen for some of the time, in some lessons, but overall this description is a windup and I'm not biting.

In my school some of the building is falling apart, not sure we'd be ready for this within 50 years!

Twenty years ago, nobody thought that children would be carrying around tiny computers in their pockets.

rainingsnoring · 31/10/2024 16:29

TheTidyBear · 31/10/2024 16:06

The reason I chimed in is because the 'I'm alright jack' attitude riled me up a bit. There's a good reason that businesses are 'bleating' now and it's because the tax burden has fallen on those with the narrowest shoulders. There's a lot of people making an argument, of, well if you can't afford to pay it then you shouldn't be in business. Well if that's the case we're only going to be left with a handful of large technology companies because human labour is comparatively expensive.

Now if they had raised the personal tax threshold and introduced a higher corporation tax bracket, that would have been a fair deal. I think people are too caught up in the fact that something needed to be done, but don't realise that it's not necessarily going to help working people over the long term.

I agree with what you have said and made the point earlier in the thread that this is going to affect SMEs up and down the country, leading to much higher unemployment. This is absolutely going to hit working people. There were other tax rises that could have been made, although there are always pros and cons to everything.

EasternStandard · 31/10/2024 16:32

pleasehelpwi3 · 31/10/2024 16:21

I am worried about the truth yes- trust in politics is very low at the moment- the law breaking and corruption of the Tories under Covid had a lot to do with that- so I do think it is important to get the facts correct. Labour promised NOT to put taxes up on working people. In the Budget yesterday, they kept their promise.
This is an important detail.

I think a lot of working people aren't stupid and understand the situation Labour inherited was dire and needed drastic action to repair it!

I think Labour have damaged their own record of trust, and the polls and focus groups show this currently

The working people stuff and the pre GE line 'fully funded, fully costed' for the manifesto which did not include these huge tax rises hasn't helped

If you care about Labour which I can see you do then they might turn it around, but their handling over all the messaging has been very fudged and people do not react well to that.

Unbelooth · 31/10/2024 16:32

pleasehelpwi3 · 31/10/2024 16:25

I'm sorry but this sounds far-fetched. Yes it could happen for some of the time, in some lessons, but overall this description is a windup and I'm not biting.

In my school some of the building is falling apart, not sure we'd be ready for this within 50 years!

AI "teachers" are already being created. And they are a lot cheaper than human teachers. They don't go off sick, they don't need holidays, they don't whinge about each other.

The saved money can be put into fixing schools.

rainingsnoring · 31/10/2024 16:40

C8H10N4O2 · 31/10/2024 15:04

If your points were accurate then GP services would be pretty consistently poor or good varying only by demographic area. The opposite is true.

My practice isn't perfect but they have become probably the best practice in my local area since recruiting a proper business manager with customer service experience some years ago. For phone appointments they manage to give a reasonably good estimate of time (and they don't use a receptionist as NMW triage - a doctor or nurse does the triaging). Its not spot on - typically it will be something like "between 10-11, probably nearer to half past". Its something that patients can work with. They also moved into the 21st century technology wise many years ago.

Contrast with the neighbouring practice which expects patients to give their medical history to the receptionists and if they are lucky enough to get an appointment it will be "some point tomorrow" and woe betide you if you miss the call because you are in the loo or similar. That practice shut up shop to any face to face appointments during covid (but expected non GP staff to be in) and has had issues flagged up repeatedly during reviews.

There are at least two other practices in the area which fall in the middle - one closer to the poor practice one slightly better.

They are all similar in terms of patients per GP, all contracting to the same authority, all dealing with the same demographic.

It is ludicrous to suggest that all GPs are heroically delivering the best possible care because we all know that there are good but there are plenty of bad and lower middles and as patients we have no real way of flagging that up. If (as you imply) you are a GP you must know this because the doctors (including currently practicing GPs) and other HCPs in my family certainly do.

Edited

If you actually read my post, you will see that I mentioned a large number of factors, one of which was demographics, that have made delivering a high standard of care much more challenging.
I think what you are referring to is organisational inadequacies at one local practice rather than the standard of medicine practiced. Of course that does matter in relation to overall care. However, many patients find that they receive very good care when they are able to get an appointment, which often does involve a long wait. The situation is even worse in secondary care. Some specialties in my area have 18 months waiting list. Does that mean that the doctors are all terrible? Obviously not.
I can only speak from my own experience, both as a GP and as a patient. I've worked at around 25-30 practices and in all but one, the GPs and other staff cared about the patients and did their best to provide high quality of care within the NHS constraints. Some are pretty damn heroic at times and the huge majority care about their patients. At one, it was a different story but that was definitely the exception rather than the rule. As a patient, I have been registered at 3 different surgeries in the last 3 years. Taking account of the NHS constraints, I have been happy with the care provided by all three.
Am I saying that everything is perfect? Obviously not. Those working in the health service (who are also users) are more than aware that the system is not functioning well and that it is letting users down as well as the staff.

rainingsnoring · 31/10/2024 16:43

Unbelooth · 31/10/2024 16:23

Each child will be able to interact, personally and in the way they need, with their AI "teachers". It will be a massive equaliser.

What a horrible, dystopian future you visualise for children. A massive equaliser eh? That's unlikely.

Unbelooth · 31/10/2024 16:53

rainingsnoring · 31/10/2024 16:43

What a horrible, dystopian future you visualise for children. A massive equaliser eh? That's unlikely.

The horrible present is now. Massive inequality and unfairness because a child's learning and progress depends of the skill of their teacher.

And I was wrong about terminals. We won't even need them. It will be apps.

Bring children together in school, to socialise them. Teach them with interactive AI.

MrsMurphyIWish · 31/10/2024 17:02

Unbelooth · 31/10/2024 16:53

The horrible present is now. Massive inequality and unfairness because a child's learning and progress depends of the skill of their teacher.

And I was wrong about terminals. We won't even need them. It will be apps.

Bring children together in school, to socialise them. Teach them with interactive AI.

I don’t think inequality in schools is down to teacher skills. AI can’t fix social problems. If it can, brilliant, I would love nothing more than a level playing field for future generations.

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