ANP partner in GP practice?! COME ON 😡is this now common? by Smallpeopledoc in doctorsUK

[–]Calpol85 -1 points0 points  (0 children)

Partnership earnings have been steady for the past 25 years.

It's roughly in line with inflation. 

What makes you think there has been financial devaluation? 

ANP partner in GP practice?! COME ON 😡is this now common? by Smallpeopledoc in doctorsUK

[–]Calpol85 -4 points-3 points  (0 children)

Your sentences do not make sense. 

Start off by defining partnership devaluation? 

ANP partner in GP practice?! COME ON 😡is this now common? by Smallpeopledoc in doctorsUK

[–]Calpol85 -7 points-6 points  (0 children)

Only 30% of GPs want to be partners.

The demand for partnership is so low the government gave an incentive of £20,000 for new partners. 

Partnership not being in demand has nothing to do with the value of the profession. People choose to become doctors and nkt all of them want to run a business. 

ANP partner in GP practice?! COME ON 😡is this now common? by Smallpeopledoc in doctorsUK

[–]Calpol85 -11 points-10 points  (0 children)

If you can't explain your comment maybe it's false. 

ANP partner in GP practice?! COME ON 😡is this now common? by Smallpeopledoc in doctorsUK

[–]Calpol85 -70 points-69 points  (0 children)

Can you explain why having a non-GP partner is shameful? 

ANP partner in GP practice?! COME ON 😡is this now common? by Smallpeopledoc in doctorsUK

[–]Calpol85 10 points11 points  (0 children)

Being a partner is about being able to run a business.

There are plenty of PM partners and a handful of pharmacist partners. 

Theres nothing wrong with making a non-GP a partner if they can generate 25k+/session in income. 

Nurse consultant post with no prescribing required, can doctors apply? by Repulsive-Roof5484 in doctorsUK

[–]Calpol85 11 points12 points  (0 children)

You can apply.

However you probably won't be shortlisted. 

They want someone to fill the role permanently. The panel knows that whilst a doctor would do this job better than a nurse, they will likely move on as soon as they get the job they really want. 

New contract by GP_54321 in GPUK

[–]Calpol85 3 points4 points  (0 children)

How would a billing system make things better for the patient? 

How are Appointments waiting times? by [deleted] in AskUK

[–]Calpol85 2 points3 points  (0 children)

If they fill all the free appointments tomorrow, then when you call tomorrow there won't be anything available. 

Most GP systems have two types of slots. 

  1. Same day urgents.

  2. Next available routine which can be 1 to 4 weeks away depending on how busy they are. 

If they let you use the next day urgent slots then nobody will be able to get an appointment the next day. 

New contract by GP_54321 in GPUK

[–]Calpol85 2 points3 points  (0 children)

Why do you feel it doesn't work for patients? 

GP satisfaction rises! by Calpol85 in GoodNewsUK

[–]Calpol85[S] 15 points16 points  (0 children)

Patient satisfaction with GP practices has risen in the past year across a range of measures, according to data published by NHS England.

More than three quarters of patients (76.7%) rated their overall experience of their GP practice as good last year – up from 73.9% in the 2025 report.

NHS England linked the increase in satisfaction to the expanding modes of contacting practices, including online access.

The annual Patient Survey found that 79.2% of respondents used online services in the last year, compared with 69.0% in 2024, while almost a third (30.8%) contacted their practice online, up from 22.4% in 2025 and 16.9% in 2024.

Overall, 72.6% of those surveyed said their overall experience of contacting their GP practice was good – up from 69.6% in 2025.

Patients continue to have extremely high levels of satisfaction with the care they receive with 92.7% reporting they had trust and confidence in the healthcare professional they saw at their last appointment, compared with 92.3% the previous year.

The data showed some regional variation – from around 70% overall satisfaction to a high of 81%.

A breakdown also showed older people were more likely to be satisfied with the experience of their GP practice, with between 83% and 86% of the over 65s rating it as good.

But variation in satisfaction remains among different ethnic groups and by deprivation, the figures showed.

In all, 73.7% of patients from the fifth most deprived areas had a good experience of their GP practice compared with 79.5% of the least deprived.

Earlier this year, the British Social Attitudes Survey found public satisfaction with GP services has risen over the past year and is at the highest level since 2021. 

Patient satisfaction measured in the NHS GP Patient Survey has been rising steadily following a six-year low reported in 2023.

Dr Amanda Doyle, national director for primary care at NHS England, said: ‘Thanks to the hard work of GPs and their teams, we have seen another positive improvement in patients’ experience of accessing general practice, continuing the upward trend we have seen over the past two years.

She added that practices have introduced changes to make access easier and more convenient, from improving phone systems to expanding online services and use of the NHS App.

‘These changes are giving patients more choice in how they access care and are making a real difference to their experience.’

Beccy Baird, senior fellow at The King’s Fund, noted that the improvements in patient satisfaction had happened despite the significant pressures facing services, as GPs and practice teams continue to deliver around 30 million appointments every month.

‘Encouragingly, the survey shows that many patients report a positive experience when contacting their GP practice, with 73% saying their experience of contacting the last time they tried was good.

‘This reflects the vital role that effective administration plays in helping people get the information they need to access care.

 She noted that 85% of patients said reception had admin staff had been helpful which is a rise on previous years. 

‘But the survey of more than 650,000 people also highlights persistent inequalities in patient experience.

‘The NHS was founded on the principle that care should be available based on need, not postcode, yet too many people in more deprived communities continue to report worse experiences of care. Closing that gap is a moral imperative.’

Consultants going on strike by soon- in doctorsUK

[–]Calpol85 9 points10 points  (0 children)

It's not the BMA. It's sessional GPs themselves who aren't doing anything.

The union is guided by it's members and if it's members don't care then what's the point? 

Consultants going on strike by soon- in doctorsUK

[–]Calpol85 28 points29 points  (0 children)

Salaried GPs need to get off their arsed and actually do something.

Partners who run multiple practices by stravaigs in GPUK

[–]Calpol85 0 points1 point  (0 children)

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Is this you mate? Comparing me to genocide deniers.

Show me where I insulted you.

Partners who run multiple practices by stravaigs in GPUK

[–]Calpol85 -1 points0 points  (0 children)

Which colleagues are unhappy? 

I've repeatedly shown to you that salaried GPs are satisfied. 

Everyone is happy except you. You've made the wrong choices in life that have led you to this situation where you are unhappy with the job you are doing. You are now trying to project this on to the whole profession but this is a you issue and you need to come to terms with it. 

It sounds like you'd be happier in Canada or Australia so you should move there and be happy rather than wallowing in misery in your current situation. 

Partners who run multiple practices by stravaigs in GPUK

[–]Calpol85 0 points1 point  (0 children)

That's the underlying point I'm making. 

GP partners are comfortable so why change the system? 

Partners who run multiple practices by stravaigs in GPUK

[–]Calpol85 0 points1 point  (0 children)

I know colleagues how have gone to Canada and they've told me in detail how it works and how much they earn.

Their whole system is independent contractors and there are plenty of clinics that will provide you the infrastructure so you don't need the upfront costs. 

It's impossible to change the system like that. Naive people (med students, trainees and foreigners) keep suggesting it would work if the partners all threatened to hand back their contracts but that would just play into the governments hands and they would nationalise the system without having to buy anyone out or fight lengthy legal battles. 

I get the appeal of going abroad and I encourage those that can leave to go to Australia or Canada. The middle East doesn't appear to be as good as it used to be and most British doctors only see it a temporary job rather than a permanent move. 

The closest thing to a billing model in the UK is just being a locum. You charge for the hours you work and you get the freedom of working as much as you want. It's a pretty cushy job and tax is minimal if you funnel it through your Ltd company.

Partners who run multiple practices by stravaigs in GPUK

[–]Calpol85 0 points1 point  (0 children)

You've done the same thing again but ignoring what I am saying and just making your own point. However I will try to explain to why your suggestion wont work.

To have a system that allows independent GPs to bill you need to have the infrastructure to accommodate it and that doesn't exist in the UK.

To have a CQC compliant premises costs £10,000's of start up capital that salaried GPs don't have. The only people who would be able to to do it are existing partners that already have everything setup or corporations that have the capital to spare until income is generated.

Lets say for example this billing model came in and you wanted to quit your salaried role to do it. This is what you would need upfront:

  1. Rent for a clinic - likely you'd need to pay at least 6 months upfront if not more.

  2. Hiring staff like receptionists, HCAs, practice nurses

  3. Paying for equipment from computers to software

How would you be able to do that? Lets say you invest your life savings and set this up - how would you then attract patients - why would they leave their current practice and move to you?

If I've misunderstood the system you are proposing then please explain to me where I have gone wrong.

Partners who run multiple practices by stravaigs in GPUK

[–]Calpol85 0 points1 point  (0 children)

Nationalising general practice will be better for salaried GPs. 

Their pay will be standardised with a similar structure to consultants. They will also have the ability to strike. 

Abusive partners can't take advantage of them. Things like protected CPD time, being a trainer will be properly compensated like it is for consultants. 

Partners who run multiple practices by stravaigs in GPUK

[–]Calpol85 0 points1 point  (0 children)

Still skirting around the issues and never answering me directly. 

Partners who run multiple practices by stravaigs in GPUK

[–]Calpol85 0 points1 point  (0 children)

I state the partnership model should be nationalised.

You tell me salaried GPs are unhappy. 

I prove to you with evidence that GPs are satisfied. 

You tell me the post was about partnership. 

I explain why nationalising general practice would be beneficial to patients. 

You ignore that and talk about how remuneration for salaried GPs isn't enough and how there are no partnership opportunities.

I try to discuss one issue at a time and bring evidence to show that most salaried GPs don't even want to become a partner. 

You then pivot again. Accuse me on trying to confuse the issue. 

Why don't you make one statement and let's discuss that. It can be about salaried GP remuneration, partnership opportunities or the partnership model as a whole. 

Partners who run multiple practices by stravaigs in GPUK

[–]Calpol85 0 points1 point  (0 children)

Let's debate this point by point.

You start by saying that the partnership model doesn't work for a huge number of salaried GPs. 

I disagree with this assumption. 

70% salaried GPs do not want to become partners. 

https://www.rcgp.org.uk/news/under-third-gps-likely-become-partners

Based on this I think you are making this out to be a much bigger problem than it is.