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.

Only profoundly stupid people take steps to try to circumvent paying for care. Local authorities are all over financial records and adept at spotting deprivation of funds. Self funding provides choice, the last thing I’d want is to end my days in a care home the state deems appropriate. The same goes for most people with the means to pay.

It came from the Budget. Businesses with four or fewer employees are exempt.

You dismissing people as 'stupid' doesn't mean that tax avoidance doesn't happen a lot. Lots of people do not want to pay for care or various other things when they can afford to do so. Until that changes, it's going to probably be impossible to improve these things or make them fairer.

Ok, yes, you’re right, though the poster didn’t say that, I’m guessing it’s probably what she meant.

Attempting to avoid care costs isn’t tax avoidance, it’s deprivation of assets and local authorities are all over it now, to the point whereby it’s virtually impossible. They’re empowered to review financial records going back years and they’re fully aware of all the tricks. Some of them even employ poachers turned gamekeeper in the form of former financial advisers.

It’s not that difficult decisions don’t have to be made that I have a problem with… it’s the incompetence and/or callousness of those decisions… that match and surpass anything the Tories did when in power.

What kind of reasonable chancellor, when confronted with a budget gap decides, a) to help bridge that gap by taking money from a pensioner on just £11,500 per year (ie state pension), and b) take massive sums from GPs and social care providers so a load more money can be found fund for directly provided NHS healthcare, when decimating general practice and social care will just add billions of unnecessary cost onto the NHS, with worse health outcomes when people are unable to get social care due to lack of care homes, or can’t see GPs because more and more close.

its just stupid… deeply, deeply stupid.

Load of absolute balls.
The Tories shredded everything, think they didn't? Delusional.
Jump on this if you want, nothing anyone will say will change my mind, not when I had to sit and lose one of my baby twins in the middle of a covid packed waiting room in the hospital, I waited for the Tories to start to build even one more of the 40 extra hospitals they had promised to save even one more parent from the Hell I endured but like everything else they said, it was a lie.
That was the only thing the Tories were any good at.

Be serious? You think a few steps in one budget can undo 14 years? It's not me who needs to be serious!

I mean, at the end of the day, that’s a straw man. The point is an unprecedented number of people were angry enough with the Tories handling of things that they gave them a defeat unprecedented for pretty much any party of any stripe, maybe since the Whigs were wiped out.

I mean Brown had his vote split by the SNP, Greens and Lib-Dems and still didn’t get as much a drubbing. Even the historically unpopular Corbyn faired better with the British public - let that sink in!

I’m so sorry you lost a baby, but I doubt that was the Tories fault, I’m not sure what point you’re trying to make. Are you saying a newer hospital would have stopped your loss?

When people say “nothing anyone can say will make me change my mind” it signals a thought process not based on any rational model. So not really worth anything in a debate.

Every govt inherits a mess, RR seems to think she’s a special case

Hopefully, that is the case. I guess those rather dodgy accounts and lawyers will be working extra hard to find loopholes!

Once more, I ask you - at what stage will you stop blaming the Tories, or will it be ad infinitum?

If your mind is made up, so be it.

Just don’t expect others to roll over and agree with you.

How do they stop people spending their money of cruises and expensive travel? Or expensive cars over their lifetime. Or using their earnings to pay for nights out and designer clothing instead of saving it in their 40s. Or not having a job that earns enough to build up adequate savings?

but Labour’s budget actually REDUCES funding for social care when you take into account NLW and NI

Has anyone picked up on this yet? One major problem for the NHS is social care as beds can't be freed. Councils are at the edge already. Private schools will send more SEN dc to state and they are struggling with EHCPs already at £10.7bn for SEN

It seems some knock on effects have been ignored

Many would. Of course you'd need I think at least 3 employed GPs to replace 2 partners because of all the extra work partners do that isn't noticed. Maybe more.

How long do you think it will take to get us back to where we were before their mess?

I don't need people to agree with me, I'm not bloody 12 lol...the proof of the pudding will be in the eating I guess. We will see in 5 years time where we are.

Like what? GPs seem to do a lot of work that could be delegated to less scarce resources. One here says they’re administering flu and Covid jabs - nurses and pharmacists can do that. I imagine many GPs do stuff that has little impact on patient care that could easily be done by someone else.

PP can’t possibly blame Liz Truss for what happened after that mini budget. After all it was just one budget and only a couple of weeks.

I don’t think the impact on social care has been recognised fully at all…There have been some articles about the social care sector, but this hasn’t really gained traction - social care is sadly a Cinderella service, and sadly Labour are not different to the Tories on this… worse even.

I’ve run the figures (it’s part of my job) and they’re dire… Social care providers have a lot of people that are paid the NLW who are part time… the very people most impacted by the drop in threshold from £9,100 to £5,000. The NI impact alone is equivalent to a £1bn+ cut… Either the Government pulls a rabbit out of the hat on this, or we’ll have providers or councils in serious trouble.

And SEND funding is in absolute crisis… multi-billion deficits nationally that are completely unsustainable. It seems the Government have focussed myopically on the NHS… the shit hasn’t really hit the fan on this yet.

I really don't know why the minimum wage has increased yet again...

To answer that specific question (without commenting on the original topic of discussion): Because "earning a living" should mean that a worker is able to live off their earnings? Capitalism prioritises shareholders over workers and one consequence is a low-wage society. It shouldn't surprise anyone that a Labour government would prioritise workers wages over company profits (by requiring businesses to allocate some of their profits towards "liveable" wages).

I am pretty confident that you will not need to wait five years, but hey ho.

“It seems some knock on effects have been ignored”

Exactly… it’s the incompetence of this budget that angers me. The Tories weren’t great, but they weren’t this incompetent.