And yet, GPs’ earnings, measured by the profits they make are holding their own. Not all, but overall the average profits are maintained. So there is no quenching of the fire to beat high earning GPs, and the cuts continue.
As I mentioned in a recent blog, GPs have been able to maintain their profits by cutting back their reliance on salaried GPs and locums and doing more of the work themselves. So government pays less, the GPs work harder, but get beaten harder as a consequence.
The Nuffield report should provide evidence to the DoH that this is happening, it needs to have its ears open.