“The Results are In”
The Final Report
The final report is set out in a document which you can download here.
The results are contained in a Spreadsheet which is attached to this page. You will need to know the number allocated to your form to look up your results and compare them with others practice managers.
The data entered has been collected from the survey forms.
The location shown is the county as some respondents preferred that their precise locality was not mentioned. In any future survey it would be useful to differentiate more clearly between a rural and non-rural practice. It would also be more informative to show those practices with a dispensary (not an attached retail pharmacy) Where this information has been shown it has been ascertained from a practice web site. However some respondents wished to remain anonymous and therefore to a small degree the information may be incomplete.
A large number of practices take part in a Vocational Training Scheme and again it would be useful to show those who have attached medical students as well as or instead of GP Registrars.
The MPC column shows the average list size per WTE doctor working in a practice. A high average list over 2,500 patients might be suggestive of a very busy practice whilst a practice with an average list size below 1,800 patients might be coping better. A small number of practice managers earn more than £40,000 pa although the practice list size is lower than 5,000 patients. This is normally explained by the fact that the practice provide other services such as an out of hours centre.
The Survey shows the total number of staff hours (where known) and then shows an average number of whole time staff per WT doctor. The GP payments system used to provide funding for two whole time equivalent staff per GP. It is interesting to note that this ‘average’ is still being adhered to. Practices do however no employ additional staff that would not have been included in the ‘old fashioned’ allocation of two WTE staff, such as nurse practitioners and health care assistants.
Enquiries were made of those practice managers who declared that they had an outside commitment. The responses revealed a significant time commitment either paid or unpaid to outside bodies such as a CCG, GP Federation or Alliance and other bodies such as the local Deanery, and the CQC. There needs to be some clarity about how these activities are funded. What about the superannuation element?
Another area in the opinion of the author is the question of what is full time working. Is it the NHS standard of 37.5 hours. The results show many still work 37 hours and less. If practice managers are working all hours ‘God Sends’ then should it not be reflected in a standard working week of 37.5 hours and overtime paid. The instance of overtime and bonus payments seems to be negligible. Again another survey would ask more questions in this area.
Further work is need to look at the effect of premises, leased, owned, shared or otherwise and the use of payroll and accounting software. There are many practices using an agency for payroll. Is this the cheaper option?
Your comments would be very welcome on the Survey Results.
You can either contact me at firstname.lastname@example.org or take part in the Practice Index Forum found on www.practiceindex.co.uk.
I intend to send a copy of the spreadsheet to those PMs who have given their email address along with a note of the survey number.