An NHS official has suggested that vulnerable practices could be left to wither by the system.
You may remember from recent blogs that I have been banging on about releasing the pendulum that has swung so far against the interests of GPs that things could really only get better. But, last week there was a step backwards.
I remember my son Matthew asking me when he was very young which was stronger, a lion or a tiger? Another popular topic was whether a shark could win a fight with a Tyrannosaurus rex.
I would like to introduce you to four former friends of GPs, IANI, IAGI, TANI, and TAGI.
General practice is at a low point, but maybe it is time for the pendulum to swing back, says Laurence Slavin.
It has been a busy month, and having seen a number of GP practices there are some clear trends in how they are faring.
I was listening to the news on my way in to work last week and I heard that health secretary Jeremy Hunt wants to clamp down on abuses in the NHS, including excessive charging by staffing agencies and the 'use of 24-hour retirement'. What? Is 24-hour retirement abusive?
'Publish and be damned' might have been appropriate for the Duke of Wellington to cry, but are GPs prepared to publish their earnings and face their patients?
Events from the past week have done little to help GPs' finances, says Laurence Slavin.
I remember the past as a time when the summers were longer and sunnier, young people were respectful to their elders and politicians resigned with honour when they messed up.
Some years ago, as part of our firm's teambuilding exercises, we had a motivation speaker who wanted us to believe (as he did) that we can do anything.
The government has access to clever people, so why will it take so long to change the Carr-Hill formula to take account of deprivation, asks Laurence Slavin.
I have recently been pondering writing a series of articles or posts about 'what size of practice is most efficient'.
Despite the change in leadership at the GPC, it seems that the GP profession is being dragged ever closer to the edge of a cliff.
One of the great advantages of being an accountant is that you get to see all kinds of businesses, some run well, some not so well. We get a macro view on not only the efficiency of the business, but whether the model within which the business operates is the most suitable.