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.

Nope, Bevan wanted to, but the BMA kicked off about the nationalisation plans, so he backed down - so they have no economies of scale that you find in the NHS itself (well in theory you should!!)

And now you are beginning to get it. We will walk away, in order not to go bankrupt. And other businesses - who are, let's not forget, employers - will too.

And people won't be able to afford care homes. Or nurseries.

This policy does not come without consequences.

Same. I thought in this budget there were going to be a definition of small business and exemptions so that really only the big multinationals took the hit being described in this thread.

I also agree it's time to bring all of primary care back into a reformed national health.

Universities should stop paying their vice chancellors double the PM's salary before they come crying about going bust.

I have no idea what point you're even trying to make. Why would you reduce their hours now or even in 3 months time when the change doesn't actually happen until April?

Because minimum wage is not enough to survive on without benefit top ups

They were less commercialised last century. In early 2000s, healthcare companies began to be able to bid on contracts. Prior to that each GP was an independent contractor (self employed).:

I don't understand why Britain has so little money. Anyone know?

We are 10k overdrawn at the end of every month yes. Sometimes it's less if we have additional income like eg flu etc. We have had to pay off 2 retired partners in the last few years so it will eventually settle but not with no uplifts to match more outgoings..

GPs are Independent contractors to the NHS, they never wanted to be NHS employees … they didn’t want the NHS in the first place.

Thanks for all you do OP. And for saving the life of the three month old baby. This gave me chills tonight.

This is why all doctors should be salaried employees of the NHS and not private businesses. It’s so very wrong.

Quite. It's RIDICULOUS for working people to have to be subsidised with benefits and having to go to food banks. Work must pay.

Brexit. Covid fraud. Succession of MPs & PMs out to boost their personal portfolios at the expense of the country.

Therefore nationalisations solves the problem, you no longer have to be worried about the business side of things or the dubious morality of pushing drugs for reward per stab.

OFFS. Somebody said "At least give it three months!" as though this budget would somehow bed in and be different.

There are numbers we are looking at, numbers we are being charged, that will kick in in April. And our small business, that employs local people, cannot afford them.

Indeed.

Then if they can't cope, and I'm not surprised they can't, they are doctors, not business administrators, its time for the NHS to absorb all the GP practices, apply economies of scale and standardise the service.

Then the doctors can get back to what we want them to do, and I'm sure they want to do, practice medicine.

Maybe, I don't know the answer. I'm not sure the government fully understands the issues and pressures faced.

To be honest, my main concern at the moment is for my friends wellbeing. I think she will walk away, as will many like her, taking their needed years of experience with them and I think that is frightening. We need experienced GPs.

It's not just Labours budget that has done it, it's obviously the Tories before them as well. I think my friend was hopeful that Labour would improve things though, after so many shit years, but with today's news, that doesn't seem to be the case.

Does this mean (curious to know) that the state won’t be topping up so many “minimum wage” wages now there is going to be an increase?

Except for the GPs that work for healthcare companies like Operose
https://www.bbc.co.uk/news/health-61759643

The GPs that didn’t want to be employees of the NHS and the BMA leaders that made that call have been dead the past thirty years. The current generations may feel differently.

Having worked in a GP practice and in depth knowledge of the business side of it, the only employees on NMW was the filing clerk.

This is unfortunately just the beginning - but, nothing more we can do now. Those who thought this government would make things better were sold a lie - we will all have to pay for it. so sorry op - you have my sympathy.

Yes really not sure why you think I would make it up

What's your salary Op?

Maybe time to revisit the idea and ballot the BMA membership then.