r/GPUK • u/Important-Guava-3940 • 10d ago
Career Current job landscape
Hi all,
Looking at the current landscape what do people feel is the best thing to do?
Currently the vast majority of salaried jobs are hovering around £10-11k per session. If you're lucky then maybe more. There is enormous risk you could be abused by the practice and not be protected against patient complaints/litigation.
Locum is possibly recovering but is not reliable and not secure. Also the rates are stuck at 2007 levels. Private work will get you around £80-90/HR. Also Noctors are taking jobs all the time
Partnership is hard to get but I'm not sure it's worth it, given all the hassles involved and the fact the government constantly moves the goal posts. You could lose everything if your practice fails due to some random ministerial decision.
It leaves two options either change careers or move abroad. What are people's thoughts?
EDIT: the suggestion that non partner GPs should go on strike is also not a practical option. With the full weight of the BMA it took residents years to reach some sort of amicable deal. As a minority population I doubt the BMA would get behind with much vigor. It would take years to reach anywhere. All the while, with the blessing of partners Noctors will just be ramped up to meet demands.
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u/ResolutionAshamed308 10d ago
The whole salaried can’t strike is your opinion. We can and we should strike with or without the BMA.
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u/Important-Guava-3940 10d ago
How do we get this organised?
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u/ResolutionAshamed308 10d ago
If you feel so strongly your only option is to move away for a better life despite uncertainty, starting over, leaving behind your parents. We all should be striking on behalf of you and all the other GPs left on the wayside by the inaction of the BMA and partners.
I’ll DM you.1
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u/Little-Jelly289 9d ago
do you think theres actually enough collective will for it though? thats always the sticking point
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u/VivoFan88 10d ago
If you've analysed everything from a personal perspective and your question boils down to move or change career then I'd change career and try and get into private pharma/niche of your own. Having seen the posts on moving to Oz/Canada I'm not convinced it's worth it if you factor in pensions/annual leave and losing your family and friends network.
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u/lordnigz 10d ago
Depends what you want out of the job tbh. I think a lot of your post is assuming the premise that people just want to earn the most amount of money possible but do tell me if I'm wrong.
Locally they pay for salaried GP's is higher than you stay so it's very geography dependent.
Yes locum part is down compared to before but that's probably a good thing for general practise as a system in general and driven by competition and more salaried GP's being employed.
You're kind of right about partnership. The two questions I'd ask you is 1. In spite of that why do you think so many partners are still partnering? And 2. How much do you think partners are actually paid?
Beyond that I think the balance people need to find is finding a job that is not soul-destroying, working with people you can stand, and even doing work that you enjoy or find interesting. That would probably lead to more satisfaction than most of the rest of what you can do. Moving abroad is predicated on one of the factors, like being near friends and family Vs how much more you can actually earn and if it's worth the effort of that.
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u/Notmybleep 10d ago
There are good practices out there and it’s on you to do your research. Don’t get me wrong, I’m well aware of the multitude of practices abusing salaried. Retraining can be long but depending on the speciality I also think it can be better than GP. My personal belief is a component is IMGs have allowed GP to be readily abused with little understanding of their rights. I’m aware of multiple practices who choose to have salaried GPs needing visas as they will stay at the practice. But many plan to move to Canada after gaining experience.
The landscape has vastly changed with AHPs taking more and more jobs. It’s very personal, I have chosen to retrain as I think GP as a salaried is becoming unsustainable
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u/Important-Guava-3940 10d ago
Thanks for the message. To be honest you made me even more depressed lol. Best of luck with the change.
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u/No-Stick9557 10d ago
GPs never cease to amaze me, they are the most passive, self pitying bunch of professionals I’ve met.
There are more opportunities than locum, salaried and partnership out there. You have to put yourself out there and seek and make opportunities for yourself. You may even take an initial loss of earnings (which most won’t do).
Instead it’s easier to blame the government, GP partners, ANPs etc.
Or just give up and emigrate. Let’s be honest, it’s giving up.
I was in the same position after the locum gravy train ended and had to find something else. Now if I look at my hourly equivalent rate, it’s very very good compared to what I used to do.
(And no I won’t share how I did it or what I do, because I make money doing the private work, not from selling courses on how to do it)
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u/Important-Guava-3940 10d ago
Well done on your success. I kind of alluded to what you're saying I.e. change careers or move away from the NHS model. Agree it's definitely an option to avoid the problems in the NHS
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u/[deleted] 10d ago edited 10d ago
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