Risk of GP partnerships 'outweighs rewards' - review issues call for evidence

GPs are being put off partnership roles because the 'risk outweighs the rewards of the job', the doctor leading a government-backed review has warned in a call for evidence.

The first major document published as part of the review into the future of the GP partnership model sets out 23 key questions for general practice, covering workforce, workload, the business model of general practice and the role of general practice in the local healthcare system.

The 'call for evidence' document asks whether GPs should be able to hold GMS or PMS contracts through 'limited liability partnerships' to reduce the personal financial risk they take on when they become partners. It asks how greater working at scale in general practice can be encouraged and incentivised - along with greater collaboration between GPs and other NHS services.

In a foreword to the 'call for evidence' document, review chair Dr Nigel Watson says the review will examine the challenges facing the partnership model and consider how best to reinvigorate and equip it to help lead the transformation of general practice for the future'.

Read more
>
Key questions for the GP partnership review
> Government confirms partnership review terms of reference
> Emerging themes from the first month of the partnership review

GP partnership model

In an exclusive interview with GPonline last month, Dr Watson set out his view that the partnership model of general practice was not dead.

Echoing those comments in the call for evidence, he wrote: 'I strongly believe that the partnership model of general practice has not reached the end of the road. It predates the NHS and has evolved to support changing population needs, and will do so in the future.

'However, it is important to recognise that this model is not the only way to deliver care. We are learning from new models of care, and federations, super partnerships and other models all have a place in primary care.'

The call for evidence document says that GP partnerships provide 'exceptional value for money', costing less than £3 per patient per week for unlimited access to a family doctor.

Best practice

Dr Watson has begun a series of visits to look at different GP models across England, visiting Birmingham, Devon and Hull in recent weeks - and the review asks what general practice can learn from good local examples of care.

The New Forest GP argues that the independent contractor status of general practice is the 'foundation of the core strengths' of the profession. But he warns that whereas in the past buying into a partnership was seen as a good investment 'this is no longer always the case'.

He says: 'This business model comes with its risks as well as rewards; for example, the burden of holding a large mortgage, employing large numbers of staff and personal financial risk and liability. I am concerned that, for those considering becoming partners either now or in the future years of their career, the risk outweighs the rewards of the job.'

The call for evidence document asks about the role of technology, how solutions to attract GPs to partnerships may differ for people at different stages of their career, how partnership models can address workload and ease the burden of risk for partners.

It highlights 'unmanageable' workload in primary care and asks for examples of systems to address it.

The review asks how attractive features of locum and salaried working could be introduced to partnership roles, considers career progression in general practice, and how variation in pay between partnership and non-partnership roles affects doctors' career choices.

  • GPs have been urged to read the call for evidence and get in touch with the review team at GPPartnershipReview@dh.gsi.gov.uk

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

GPs urged to promote MMR catch-up as UK loses 'measles-free' status

GPs urged to promote MMR catch-up as UK loses 'measles-free' status

NHS England has urged GPs to promote catch-up vaccination programmes for MMR after...

'No way back' for practices that join integrated care provider, warns BMA

'No way back' for practices that join integrated care provider, warns BMA

Practices that 'suspend' their contract to join an integrated care provider (ICP)...

GP at Hand should only be allowed to provide NHS 111 services, says BMA

GP at Hand should only be allowed to provide NHS 111 services, says BMA

Babylon GP at Hand should no longer be allowed to register patients and instead be...

A financial guide for GP locums

A financial guide for GP locums

Medical accountant Jenny Stone provides a guide to pensions, setting your fees and...

Paying tax as a GP locum

Paying tax as a GP locum

Medical accountant Jenny Stone explains how you pay your tax as a GP locum.

DNA testing could be part of NHS health checks under government plans

DNA testing could be part of NHS health checks under government plans

The DHSC has launched a review of NHS health checks, with a view to introducing a...