Swimming against the tide

Some people are saying that GPs would be better off as a salaried service, being employed by hospital trusts or private contractors. It feels like swimming against the tide to stay with the current GMS contract even though that gives us stability and has to be nationally negotiated. Rather than just disagreeing I want to … Read more

What not to read

We all get too much email. And we imagine that one day we will get organised, delete the rubbish and get control. But sadly this is a myth. There isn’t enough time to read all the useful things. We fear missing some critical gem of knowledge if we don’t read everything. But that is based on the … Read more

How to build your team – without making them quit

We’ve all lived through utterly awful “team building” experiences – like building towers out of straws or embarrassing role playing games. So much so that for most people “team building” makes their blood run cold. But we all work in teams so making our teams function better is important. The question is, what actually works to … Read more

Making Sense of GP Accounts

GP accounts are fairly straighforward to read once you get to know your way around them and they will help you understand how we make the money we pay ourselves. Talking to recently qualified GPs it is not something which is well taught so here is a simple guide of what things are and what … Read more

How To Recruit a GP Partner

Recruit for character not for skills This will be a person who will work with you long-term and who will become part of your inner circle, your team. Who they are is more important than what they know. As well as the obvious integrity, courage, humility and honour you should look for someone who increases … Read more

Guerrilla General Practice

Throughout my career people have been telling me that Partnerships and Personal General Practice were doomed. They said I couldn’t just carry on being a local GP and needed to be absorbed into a big organisation which would run things because that was more efficient. Being somewhat sceptical, we decided to carry on as we … Read more

The Infinite Game of General Practice

Everyone knows how a Finite Game works. Like a football or tennis match, you know the players, how to score and how long it will last. The game finishes, a winner is announced, and the players go on to new games. An Infinite Game(*) is different. Players come and go, and your objective is to … Read more