The strains on income caused by rationed resources on GPs

The DDRB, even after constant interference from government, says a GPs target income before tax should be £…

https://www.bma.org.uk/pay-and-contracts/pay/gp-pay/ddrb-uplift-202526-faqs

DDRB 2026 opaque recommendations

A GP partnership of, say, two GPs receives income from say, 4000 patients at £169 per head, per year-and a patient may consult 2-10 x a year, or more.... 4000 x £169 = £676,000
plus item of service fees, say £xxx

plus educationl grants
teaching practice extra workload
no fees for extra stress, worry, supervision, risk of medico-legal, GMC hearings,being struck off...if dangerous unqualified PAs are foisted on them

less expenses
mortgage
rates
electric
gas
water
receptionist,
manager,
IT leasing,
nursing and
staff wages (AfC 6%, should be more…)

Typically, each GP earns only £ before tax
despite working long hours on paperwork, emails, test results, squeezing in real emergencies, consulting with more than is safe, managing day to day problems-

like sick GPs off work: stress, burnout, alcohol and divorce, suicide…

Government “promise” online booking… This is request for an appointment-each must be triaged and judged for urgency.
The GP must close “Ask My GP” or “Accurx” when the slots are full. Does ACCURX spy on GPs, reporting them to DHSS if closed down for the day?

More GPs are the only way to increase access.

Government promise “same day Access” to urgent cases. What do they think overworked GPs do every day, every week, for capitation fees that are capped for years?

Government promise Darzi centres, hubs-staffed by PAs, ACPs-in a strategy to force real experienced qualified GPs out of practices.

Many GPs have left the NHS. Many practices have quit their loss making contracts.

This is DHSS official strategy-a two tier system
the wealthy pay privately for qualified GPs
the poor get second class, unqualified quacks...