Average (mean) earnings per GP in 2015/16= £41,498 per annum
Number of GPs in practice in 2015/16 = 4
This includes: 3 part time partners
1 part time salaried GP
These numbers probably don’t mean that much to most people but these are the figures we have to publish.
Another possibly more meaningful figure is how much the surgery gets paid to provide a year of care to a patient.
For Shakespeare Surgery we receive £122.63 per patient per year from the NHS. This works out at just over 47 pence per day per patient for services during a typical 5 day working week, or £2.35 per week
If you were spending your money on other things in life what else might you buy?
· £122 is the cost of GP medical care for you for one whole year
· £120 is the price of the cheapest Sim only phone contract
· £190 is the cheapest season ticket to Wigan Warriors
· £221 is the cost of getting the Daily Mail† Monday to Saturday
· £156 is the cost of a pint of beer once a week
· £264 is the cost of a basic Sky TV package
· £348 is the average cost to insure your dog
· £513.80 is the equivalent cost of private GP cover from BUPA at £70 per consultation
£122.63 is for all the care we give to one of our patients for one year. It includes paying for all our doctors, our nurse, our health care assistant, our manager, our receptionists, the administration costs of running our surgery building, buying and maintaining our equipment, training our staff including medical students and registrars as well as paying for some of the drugs that we use in surgery such as some vaccinations. For this patients can attend the Surgery any day Monday to Friday as often as is clinically needed.
Each year as a surgery we offer over 17,000 GP appointments, over 4,300 nurse appointments and over 750 health care assistant appointments.
On average each patient will need over 7 appointments per year. Many more poorly or vulnerable people see us considerably more than seven times per year. However even at the average number this means the NHS pays the surgery £16.68 for each appointment.
Our feedback from patients remains very high and in the latest national Patient Survey, as reported in the Wigan Observer, we were the 4th best practice (http://www.wigantoday.net/news/revealed-wigan-s-best-and-worst-gp-surgeries-as-rated-by-you-1-7803254) in Wigan with 90.7% of patients rating us as good or better. Last year we were also rated as “good” by the CQC for the services we offer.
We hope this shows in a slightly more meaningful manner what the average income figures for GPs mean and what you receive for this money.
We are grateful for your ongoing support and trust in what are difficult times in the NHS over the last year. We look forwards to the coming year where we will continue to work with all our patients and help them get the best possible care.
Please follow the link to our CQC inspection report:
Concerns About Inaccurate Software And Statins Use
Possibly you have read in local and national papers about a concern related to prescribing of medications called statins by GPs due to an IT hitch and wondered does it affect you?
There is a programme called QRISK. Drs and Nurses use this in low risk people who have never had a heart attack or stroke but who may have “high cholesterol” or “blood pressure” to calculate the risk of a stroke in the next ten years. It uses a number of factors including the patients age, sex, blood pressure, smoking history and, cholesterol. This aids the clinicians to have an informed consultation with patients about the risks and significance of tests. It helps us all to then decide should we treat cholesterol with medications called Statins (Simvastatin, rosuvastatin and atorvasatatin are the main ones used locally). As a practice we have used this programme since we moved to a new computer system in around 2014; prior we used a slightly older programme called JBS2.
When the new computer system suppliers wrote their software in 2009 they made an error with setting up how QRISK calculates the risk. This means when the clinicians used the inbuilt systmOne version of the tool, someone may have a risk under calculated, correctly calculated or over calculated compared to the real risk. This potentially means people have been reassured when they should not have been, been reassured/treated correctly or treated when the benefits may not have been there from treatment.
SystmOne have now recognised this problem in recent weeks. They have run the tool again on every patient we have used it on since October 2015. They have written to us with the patients where the score was inaccurate and we have checked the notes.
For these patients we have written to them to invite them in for a review and to discuss the implications of any changes of these scores. To provide some reassurance in total the tool was used around by us 93 times since 1st October and the affected numbers where the score was wrong is very low (less than 10 for us as a practice).
There are around a further 90 patients who used the tool prior to 1st October 2015 since the time we moved to the new system in around 2014 which SystmOne will do a similar calculation about in the coming days. There is no easy means for us to do this calculation as SystmOne has now suspended the tool. When we get their new scores we will do a similar review of the information and directly contact those affected patients.
What do I do now?
In the short term there is no cause for concerns and if you are taking these medications, please keep taking them. The most recently affected group of patients now should have a letter and we look forward to seeing you soon to explain in more detail. For anyone else who is worried we hope this information is of help. If you need more information please book a routine appointment with one of the doctors or nurses and we will see if we can answer any remaining queries.