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.

You wrote that after I just explained that the new minimum wage means that people working standard hours will earn £25k, and people doing just a bit of overtime on minimum wage will earn £30k?

How is that not enough to survive on? The rest of the country seems to survive on it.

I work as a phlebotomist/HCA in a GP surgery, My part time hours add up to 20 hours a week, and every week I do 5 hours of unpaid work on top of that. My pay is £11.68 ph.
the reason I have to do the additional 1hr 30 per day is because the IT systems we use are archaic, so it takes me that long to print blood forms, etc . There are 2 main IT systems used in primary care and both are rubbish. And it doesn’t automatically sync with the hospital system. IT in the NHS needs expensive reform.

GP practices are run on the good will all of the staff who regularly do unpaid work, and I’m sure the same could be said across hospitals too.

We are a large GPs with 6 surgery’s under one group, which is privately owned, and I would predict employs 100 staff.

This budget is going to make wait times to see GPs and get basic tests even longer thanks to the NI and minimum wage changes. I know our surgeries are booking “annual” medication reviews for March next year.

The taxes RR has imposed will basically mean GP practices won’t be able to hire more staff as the costs will be too high. I really feel sorry for all SMEs.

I run care agency, we just like BurntoutGP we are overdrawn each month, though I do 59hrs a week we have 23 staff some hrly rate some on salary, the council will only pay their minimum, we have to factor in that price travelling time ,mileage ,people's pension, that's without the overheads of running the office . Staff training days , ppe we have cut back on full time staff more part timers than full, but if no more money is going into social care we will not be able to charge more , I can't see us surviving next year with the increases. We do nhs short term care who pay slightly more, But I'm tired sick of it , we get no recognition for the service we provide , people get better recognition sweeping the road, just fed up with it all, I was a nurse for 10yrs prior to going into the social care side and the care sector is dam hard , never valued, so now to hang up the apron.

I don’t see how upping the minimum wage is going to help close the gap between the rich and poor.

I didn’t realise gp practices were private. My gp practice has gone downhill the last couple of years, since it merged with two other practices. Not sure what they spend their money on but they aren’t doing a very good job. Even my gp of twenty years has been forced to leave, which is crazy because he is a wonderful gp.

That applies to local authorities too. And the NHS. And government agencies.

OK, but you have a £50K limit, presumably you service the debt and get back to £0 or near enough regularly.

As a small manufacturer we often use our facility with the bank when procuring materials, that's what its there for, so long as its serviced, that's fine.

You realise it was Brexit, Johnson being irresponsible and Truss being insane that have fucked out economy?!

You believe that just “surviving” is acceptable, @shuggles? For how long? A full, working life?

What’s your annual income? (and your expenditure)

They can't wave a magic wand. The money has to come from somewhere.

I'm really fed up of the moaning in this place since the change of government. Just bloody get on with it or fuck off out of the country, bloody overpriviliged, overpaid upper middle class Tory twats. See how much tax you'll be paying anywhere else in Europe. A lot more. If you want good public services and serious investment in the future we need to pay for it. Cry me a fucking river.

Are you ok? You seem to be ranting having quoted my post but not making much sense about what I wrote.

My friend has always voted labour by the way, and you'll see I acknowledge the damaged done by the Tories if you read my post.

Come back in a year & show us these ‘good public services’🤣 you’re either hopelessly devoted, blindly optimistic or not v bright.

DH had the fun task today of telling the CEO that the NI increase will cost the company £1 million per year, starting in 5 months’ time. Their profit last year was £2 million. Didn’t go down very well.

Thanks for explaining @TempestTost

I agree with you about the European healthcare models.

This is just a standard post for @rainfallpurevividcat

Yes, I saw your comment on that thread. How's about you think about this:

Our pub pays for suppliers such as vintners, wholesalers, brewers, all of whom deliver to us. All of who now have to pay not only the increased minimum wage, but the increased employer's national insurance. They pass that on to us.

We also have to pay increased energy and cost of living rates, such as food and oil.

We also have to pay increased minimum wage, and employers NI rate.

Who do we pass that on to? Our customers. Which is unsustainable. So another pub closes. Causing more people to lose their jobs.

Profit being the figure after all deductions, that still gives a million cooling its heals, not bad.

My self-employed personal trainer friend is bricking it re: school fees VAT. Not because he has kids in private education. Because he knows that what he does is a luxury, and that when belts need tightening, he is an easy service for his clients to cut.

Well done, this is amazing.

again very naive question apologies. But won’t you be paid more because of the doctors pay increases? And do you not her any nhs funding? I thought we were raising taxes to pay the nhs?

If a business has to rely on exploiting its workers then yes, it’s unsustainable and needs to close.

We don't have anyone to even pass it on to. We just soak up ever reducing profit. And work harder every year.

In a year? It will take longer than that to undo their ideological destruction by the last government.

Let me introduce you to the concept of working capital, and future investment. Without which a business does not survive.

The doctors pay increase is for hospital doctors, not GPs. It's the same for nurses and any other NHS pay rise, it only applies to agenda for change staff.

This.

We’re a country of moaners. The choir of moaners is led and dominated by the constant whingeing of public sector workers. The private and business sector just moans a bit of descant.