>>How could the contract be written better?
Some money needs to follow the GP.
Not a salaried service as that will be less efficient.
Eg. Practice income = (List size x £xx.xx) + (GP partner sessions provided x £yy.yy)
Other fudge factors are already part of the sum - a patient is 'worth' more if they are very young/old or from a deprived postcode.
In Scotland the number of whole time GPs over the past 15 years has dropped very slightly. This is despite a small amount of population growth, a greater proportion of elderly patients, and a much higher level of multimorbidity.
I suspect in England the situation is similar or worse.
Consultant numbers on the other hand are something like 50-70% higher than 15 years ago. I want to know WTF they're doing :-)
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