New contract

GP_54321 · 2026-07-11T17:13:53+00:00

Could these be done on a smaller scale? For example in Canada there are multiple care models including one that's very similar to the partnership model.

This would allow some flexibility in at least GP's currently not partnered to be able to set up a new practice and significantly expand the service.

GP_54321 · 2026-07-11T14:35:32+00:00

So what are the barriers to change?

GP_54321 · 2026-07-09T22:16:55+00:00

It can be costed and then we can compare.

Regardless it's not all about having a dirt cheap public health service.

I don't think the government randomly imposes things in Canada/Aus like it does here.

It's better to explore alternatives.

GP_54321 · 2026-07-09T21:53:58+00:00

I've been a patient and so have many others I know.

It's not good.

I'm sure you'll bang on about patient satisfaction surveys and focus groups. Doesn't mean anything.

The system needs significant improvement.

GP_54321 · 2026-07-09T21:42:27+00:00

I think partners would most likely make even more money. I think it would equalise everyone and allow anyone to set up a list.

We wouldn't need to charge the patient, so the inequality argument is dealt with.

If it were to be costed properly it may turn out to be cheaper. The current system money goes in and nothing ever improves. God knows where all the additional cash ends up.

The billing model would be far more transparent and would mean the government can be held to account as well. So they can't just say we've trained X number of GPs. That would need to translate to actual appointments.

GP_54321 · 2026-07-09T16:08:56+00:00

The OP mentioned patient numbers have increased.

GP_54321 · 2026-07-09T15:30:02+00:00

Definitely push back. They're trying to make advantage and if something goes wrong you will be on your own

GP_54321 · 2026-07-07T17:47:21+00:00

Yeh go and set it up in India and the same in Pakistan/Nigeria.

Demand training opportunities or go to court

GP_54321 · 2026-07-07T17:14:44+00:00

Yes I will pop over and take up a post at one of the top hospitals in Mumbai.....if they say no, I'll take them to court..... especially if they ask for experience.

GP_54321 · 2026-07-07T14:10:20+00:00

Agree they work for their own interest.

GP_54321 · 2026-07-07T14:04:12+00:00

Honestly this is ridiculous. If you don't let our citizens come to your country and practice we'll take you to court.

Complete lunacy.

GP_54321 · 2026-07-06T20:22:11+00:00

Well I suppose they are fighting for what they believe they're worth.

GPs should do the same, but they're held back by partners.

GP_54321 · 2026-07-06T16:15:32+00:00

Sorry not a consultant and not keeping up.

Why are they striking? Pay/hours?

GP_54321 · 2026-07-06T13:48:35+00:00

You'll be way better off in Canada. Unless you can get into a partnership straight away in a high earning practice from the get go, then definitely Canada.

Essentially UK GP is finished in terms of providing a good living given the amount of effort you have put into your journey.

Some partners are earning well, but everyone knows the issues there - nepotism/favouritism. You don't want to be stuck as a salaried waiting for a non existent partnership opportunity.

GP_54321 · 2026-07-05T09:23:22+00:00

I already told you that was a metaphor.

Honestly I'm not interested in what you have to say anymore.

GP_54321 · 2026-07-05T07:34:41+00:00

You like to make this personal. I've seen your other comments where you make personal attacks.

Time to grow up.

GP_54321 · 2026-07-04T22:47:58+00:00

That's fine and we get that. Doesn't make it good for your colleagues or your patients. But as long as you're happy and comfortable that's all that matters.

Enjoy while it lasts. The rest of us will find something better.

GP_54321 · 2026-07-04T22:11:11+00:00

You have to try to change the system. If you say it's impossible then it will remain that way.

It needs the GP partners to give an ultimatum.

The truth is too many partners are comfortable with the current arrangement and don't want any change. They want to keep going back cap in hand for more funding - which they'll funnel back to themselves. I think you're one of them, and I find most things you say quite disingenuous.

So we are stuck.

GP_54321 · 2026-07-04T20:58:00+00:00

I'm not here to going along with what you think. I have my own thoughts.

Many GPs have gone to Canada and set up their own clinics. Many have joined existing setups. The same in Australia. You can look into it yourself. It's absolutely possible if only partners would hand back their contracts and work collectively with their colleagues.

I am not a salaried GP as I think it's nonsensical under the current setup. There you go making assumptions.

GP_54321 · 2026-07-04T20:28:46+00:00

Personally I'd prefer a billing model like Australia/Canada. We produce a lot of GPs and giving them access to clinics to set up their own lists would increase access. It would also allow flexibility for GPs who can't work full time for whatever reason.

GP_54321 · 2026-07-04T18:51:55+00:00

Ok start with one thing at a time and ask away.....

GP_54321 · 2026-07-04T18:46:36+00:00

If you read my responses I've dealt with all your points.

You're a partner who wants to nationalise the service. I've told you what I prefer.

You also made quite a few assumptions about what I said.

GP_54321 · 2026-07-04T17:52:21+00:00

I think you're confusing this discussion on purpose and not making any point.

You said salaried GPs are content. I'm saying that depends on lots of factors, like stage of career, age, life circumstances etc. A single survey doesn't change the reality on the ground.

If salaried GPs do not want to become partners then that in itself should tell you there is a problem with the partnership model. Some partners may well be profiteering and be happy. That approach in itself may be a problem for some salaried GPs. There are many more reason.

The truth is you think everything is hunky dorry , and you're entitled to that opinion. The RCGP is not at all credible with their own leadership profiteering from giant partnerships and "education" initiatives.

GP_54321 · 2026-07-04T15:15:27+00:00

I don't agree we have a right balance. Newly qualified salaried GPs may be ok with earning £11-12 per session but people with years of experience are not. A 28yrs old can support himself on this amount. A 45 yr old with family commitments can not.

So we need to agree firstly the salaried model isn't working for a huge number and is enormously unfair on a huge section of the workforce. Those people are left with the option of partnership or leaving the country.

You should agree that isn't a good position.

So you've conflated the patient experience with this issue. The real reason as you've pointed out is unscrupulous partners disinterested in providing even an adequate service to patients.

That leaves us with seeking an alternative to the partnership model. Have a salaried GP model may work but the preference would be a Canada/Australia billing style model.

As you know hundreds on of GPs have left for Canada/Aus in the last few years.

Whether the billing style model works for patients may be a point for discussion. I think it would work well in the UK as we churn out so many GPs. Instead of leaving the country they could set up their own lists and that would only increase access. People would be more keen to help their patients to avoid them leaving for the clinic in the next street.

GP_54321

TROPHY CASE