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The headlines this week have been about the result of the GP list closure survey, which was sent to practices in England and needed a single answer from all partners. Just over half of practices surveyed said they would be willing to close their patient list if the situation in general practice doesn’t improve.
From that point of view, salaried and locum doctors may have been less aware of the survey or the result. If this leads to industrial action by practices, we will need to look at how we can support our colleagues. It also makes me wonder what measures salaried and locum GPs can consider if we wished to demonstrate how the workload and pressure in general practice affect us. I would be interested to know your thoughts on this.
The much-promised indemnity solution still hasn’t materialised and I know many colleagues, especially those working out of hours or in extended access settings, are waiting to know the details of the winter indemnity scheme, and how good (or bad) the overall solution will be.
We cannot get away from the fact that, in an environment where recruitment and retention is such a huge issue, indemnity costs are stopping people working. Many of us would undertake more sessions if we weren’t having to pay for the privilege. Some older GPs stepping into sessional work as part of their retirement are put off continuing to work because the cost is too high.
When the proposed answer to the problem of indemnity is eventually announced, we will know more about how much of a change this will make. We are especially worried about out of hours and the risks that colleagues are working under in that setting at the moment. Matt Mayer, sessional GPs subcommittee executive member, will be leading on this work.
Zoe Norris is the GPC sessional GPs subcommittee chair
MDU sub gone up by over £1000 for an average of three sessions a week as a locum GP. Qualified in 1976, no run ins with the GMC and no negligence cases in 41 years. I think I am low risk. Unfortunately my fees have had to go up by 20 guineas a session to pay for this increase. Can't do more sessions - too expensive. No wonder the government doesn't think there's a crisis - they'd have to do something about it if they admitted it !