In his speech to open the LMCs Conference 2016, the GPC chairman hit out at 'pernicious' CQC regulation, soaring indemnity costs and the GP workforce crisis, and warned that NHS England's GP Forward View was 'not the final word' in rescuing general practice.
Dr Nagpaul called for an honest debate about NHS funding, and vowed to fight to 'rescue our proud profession'.
He told the conference: 'Our campaign must also expose the elephant in the room, which is money. While general practice will finally get a larger slice of the NHS cake, it remains a cake that’s woefully too small to feed the needs of the population.
'A rationed cake in which we spend less of our national wealth on health than most of the western world, where we have a fraction of the hospital beds of France and Germany and lag behind most other OECD countries in our doctor and nurse numbers.
'We need an honest wider debate about NHS funding, but also about what general practice can deliver within its current meagre resource.'
The GPC chairman warned that CQC inspections cut thousands of GP appointments, and led to 'millions of pounds squandered in nit-picking senseless processes', and reiterated calls for the process to be 'culled'.
He hit out at soaring workload, pointing to findings that GPs are increasingly switching to part-time work to help them cope.
'Making the job do-able and rewarding will reverse this trend and itself expand workforce capacity,' he said. 'And with government figures stating 38% of GPs intend to quit in the next five years, mass resignation is not a threat –it’s an impending reality. The government must ensure we retain the current workforce, in particular tackling the perverse factors driving older GPs to leave early.'
Dr Nagpaul added that GPs 'must' be allowed longer per consultation, warning that it was neither 'humane nor defensible' for GPs to manage patients with complex conditions in 10-minute time slots.
'GPs must be given longer consultation times in the interest of safe care, even if it means exposing a waiting list to see us.'