What next for NonPrincipals

1
What next for Non-Principals?

• Laurence Buckman
• GP Finchley GPC Negotiator

2
Flexible GPs in the Old Contract

• GP population is ageing
• Workload is rising
• GPs need help - routine surgeries
• Practices need help - specific clinics
• Long-term vacancies need filling
• Holiday support needed more

3
Positive Choice in the Old Contract

• Not tied to one surgery
• Opportunity to see varied practice
• No practice responsibilities
• Freedom to take time off
• Lifestyle choice
• Portfolio career

4
Flexible GPs in the New Contract

• If we have one!
• No long-term non-principals
• Full time/part time salaried to practice
• Full time/part time salaried to PCO
• Includes portfolio careers
• Academic
• PCO work

5
Positive Choice in the New Contract

• Stability of income across locations
• Salaried GPs have maternity and sick leave based
  on all NHS years
• Opportunity to build expertise
• Practice responsibilities if you wish
• Portfolio career with structure

6
Stability of income across locations

• Guaranteed minimum income
• Set by DDRB
• Practice can only give you more money
• Practice can only give you better conditions
• Protected employee rights
• You can still be a peripatetic locum

7
Opportunity to build expertise

• Single area specialisms
• CHS
• Minor Surgery
• Enhanced Services
• Quality Activity
• For one surgery
• For multiple sites
• Build your own CME / experience
• Protected time for salaried GPs

8
No practice responsibilities unless you wish

• Take on partial responsibility
• For one surgery
• For multiple sites
• Management
• Premises
• Political

9
Portfolio career with structure

• You know what you will earn
• You know what your week will look like
• You can plan it how you want
• Career can evolve over time
• No more linear change

10
Who stays where

• Peripatetic locum ? No change
• Long-term locum ?employed GP
• Assistant ? employed GP
• Retainee FCS GP ? in education
• Returner ? in education

11
Huge opportunities

• Better protection for salaried GPs
• More GPs needed than ever
• More things to do
• More money around to pay for it