BMWZ4MC said:
pvr said:
Bit confusing though, wasn't there the issue with GPs under labour tripling their salary and halving their workload (i.e. 9 - 5 only, no weekends etc)?
I assume you guys are not GPs then ...
We don't like talk about GPs! They negotiated their own contracts, effectively acting as small businesses with licences to manufacture Mercedes, golf clubs, and country houses!
Thats a bit unfair!
GPs did negotiate a good contract but prior to it they were doing far more work (many I know did 1 in 3 night 24 hours oncalls and sat morning surgery before this) then consultants who often had his senior registrar (again no longer exists) do most emergency work for him, effectively sitting at home. Even now I go in for 8am, work till 11:30, then home visits, then mountain of paper works at lunch break, followed by afternoon surgery, finishing around 6pm. That is if I'm not doing late evening surgery on top or if I'm the duty doctor (when I'll generally finish nearer 7pm). And yes, I often end up taking work home - dont forget most GPs manage their own surgery, so we have to look at non medical things like stuffing, expenditure, QOF/government targets, PCT issues, PBC budget, 5 year plans, accounts etc etc. And most of us do this in our private time (one afternoon/week for admin isn't enough time to address all the above). This amounts to well over 60 hours/week in actual work load, during which I get swarn, threatened, black mailed, and even got a knife pulled out once (I know of several GPs who were robbed during house visits).
I do know how secondary care work as I worked from 2000-2008 in hospital, and amount of work a junior doctor does is much less now then when I first qualified (around 70 hours/week!).
Also (almost all) GPs are small business - they have always been an independant contractors and hence they are subcontracting from NHS - a contract called GMS or PMS contract. Hence we are self employed (which in itself comes with whole host of stigma - try and get a mortgage/loan now as a selfemployed and you'll see!), and have to cover our own work load & insurance. I pay over £7k/year on indemnity & locum insurance. NHS Hospital doctors are not independant contractors - they are employed by the hospital. So you could see GPs and hospital doctors cannot negotiate a contract together!
Sorry its a bit of a rant but its a bit upsetting to see a fellow doctor making such comment......