The under-representation of salaried and sessional GPs in medical politics risks pulling the profession apart, according to a Londonwide LMCs report.
Salaried GPs report being 'exploited' by some partnerships, but believe they lack representation to tackle these problems because LMCs are dominated by partners.
Evidence from employed GPs suggests they are increasingly at the mercy of their GP employers keen to maximise their practice income.
But LMCs have failed to reflect the needs of the growing number of salaried GPs, leaving them voiceless. Only 12.5 per cent of LMC seats in London are taken by sessional GPs although they comprise 40 per cent of the London workforce.
The report 'Leading with Diversity' says: 'An ominous rift is opening up within the profession between employing partners and the salaried GPs they employ.
'LMCs need to take a lead in nurturing the careers of younger doctors by promoting good employment practice.'
The Londonwide report challenges LMCs to devise a code of practice to ensure fair representation by September.
Focus groups convened for the report said that some salaried GPs were not given contracts, others had no annual pay rises and promises of partnerships failed to materialise.
Additionally, GPs from other EU countries were paid up to £20 an hour less than locals.
GPC chairman Dr Laurence Buckman said: 'I believe it is the case that salaried GPs are under-represented.'
However, he disagreed with claims that salaried GPs are being exploited.
'It's a very emotive term,' said Dr Buckman. 'There have always been doctors who have not treated other doctors fairly.'
The BMA is working on a campaign to encourage practices to offer more partnerships to salaried GPs, he added.
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