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As the GP population ages and workloads rise, non-principal GPs face unique challenges and opportunities. This discussion addresses the need for additional support in routine surgeries and the filling of long-term vacancies. In the old contract, GPs enjoyed a positive choice of varied practices with no ties to a single surgery, allowing for a desirable work-life balance. The new contract is evolving to offer stability of income and protected rights for salaried GPs, fostering portfolio careers and opportunities for specialization. With increasing demand for GPs, a brighter future awaits those willing to navigate these changes.
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What next for Non-Principals? Laurence Buckman GP Finchley & GPC Negotiator
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
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
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
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
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
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
No practice responsibilities unless you wish • Take on partial responsibility • For one surgery • For multiple sites • Management • Premises • Political
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
Who stays where • Peripatetic locum No change • Long-term locum employed GP • Assistant employed GP • Retainee & FCS GP in education • Returner in education
Huge opportunities • Better protection for salaried GPs • More GPs needed than ever • More things to do • More money around to pay for it