![]() ![]() Clarke and all subsequent health secretaries simply did/do not understand that the work output and efficiency of a traditional GP makes them far cheaper overall than employing ever increasing numbers of noctors, and that the situation will continue to deteriorate unless GPs are again given true recognition, which is unlikely to happen. It started in 1989 with the development of the 1990 Red Book changes because Kenneth Clarke thought GPs were overpaid – he famously quoted GP earnings as gross not net without mentioning expenses, and quipped about “GPs nervously feeling their wallets” whilst altering the pay structure to make taking on new GP partners without a significant pay drop for all the partners virtually impossible. Tom Ruston, the underfunding and dismantling of general practice has been progressing for 3 decades not just the last one.
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