GP Partnerships
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I am no longer keen on "GP Partnership" unless I can have full power and control of the Practice Contract, the Practice and the bank Account for myself.
I have had many bad "GP Partners" over 20 years who have poor Business skills ; poor life skills and Management skills. There have been many arguments over money and workload; and money stolen fro the bank account 18 years ago by two past colleagues who were "suspended" and "Struck off" by the GMC.
Business Partnership is risky because of many bad , dishonest , mentally ill and lying colleagues. I think that 25% of people (and doctors) have mental health issues including Anxiety, Depression, Personality Disorder (Abnormal Personality), Bipolar Disorder, Psychosis etc. Another 20% are bigoted and racist; so Business Parnershiprs are risky.
Bad GP Partnerships are full of envy, scheming, conniving, devious behaviour, dishonesty, abuse and gaining full power of the bank account for oneself !
As a "Partner" one must be able to cope with anything that life throws at you; including disputes, complaints and legal cases. This is a true reflection of real life arguments.
Once you have set up full control of the Practice or Clinic; you can then run it for 30 to 40 years until you retire.
Being a "GP Partner" is like holding a poisoned glass of wine; because you have to deal with NHS Complaints and potential prosecutions against the Practice; and Partnership disputes with colleagues. Beware - this poisoned wine may poison you and kill you !
Beware the scenario where the bad new junior Partner and the Practice Manager are racist and incompetent; and conspire against the Senior Partner. It is better to be the only Partner (boss) in the Practice and be bossy. The Juniors give each other supportive job refernces een though they are incapable and make lots of serioud mistakes.
Many newly qualified GPs have never read the BMA Guidelines on Partnerships so are not aware that thye need to pay in 15K to 20K after the first year to buy into the "Partnership". This is the normal method in Partnerships of Doctors, Accountants, Solicitors and Dentists.
I also think the around 20% of UK patients and staff are racist - I have mentioned this to the GMC, BMA and LMC. This is very stressful. I think the NHS Complaints system is biased against NHS staff - I have raised these concerns with the GMC, BMA, LMC and my local MP.
Get the book on "GP Partnership Disputes" from this website.
f the senior GP works 2 or 3 days per week he/she will need one admin. session per week blocked off to check staff job contracts, accounts, bank statements, ICB (Health Authority) payment statements, legal cases, building maintenance staff management and staff discipline, monitoring the performance of the Practice Manager (PM), attending Locality & Health Board meetings etc. etc.
He/she will also need one extra session blocked off to do UK CQC work; another session to do UK QOF work; so he/she will need around 3 session per week blocked off for all these admin. duties. I have discussed this with the LMCs and BMA over the years.
So I think being a well paid "Salaried GP" is often a better option and is less hassle than Partnership disputes. If one is logical and clear minded then one can still do well; Invest money over 30 years and be comfortable in Retirement.
I think there is a big dilemma here because old doctors need to sell their share of the "capital" (money in the business) to new younger doctors to retire; and take their money out of the Practice Accounts.
In the Indian Subcontinent and the UK; GP Practices are often family business; with relatives working as Managers, Nurses, Doctors within the same Practice.
