Would practice nurses share GPs' pay losses?

I read with interest that practice nurses feel left out of the discussions on extended opening hours (GP, 7 March).

My practice stands to lose £22,000 if we refuse to provide extended opening. This loss will be borne by the GP principals. I doubt whether our nurses will offer to take a pay cut in recognition of our hard times.

I remember a couple of years ago when practice nurses complained that quality payments would result in GP income rising but not award the nurses any bonuses.

For three years we have continued to award our staff - including nurses - their annual pay rise, with a consequent drop in the partners' income due to the 0 per cent increase in practice income.

The nurse in the article said '... this looks like a change that will be imposed without consulting nurses ... They should be involved'. GPs have not been consulted. How does she think we feel?

Dr Husein Mawji, Colwick, Nottingham.

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