Optimal size of a practice is 5-6 doctors in ten years time it s going to be very very difficult for a person to make a decent living in solo practice . When it comes to immunisations, I ll take help from anyone who can give it , regarding the proposal to use pharmacists in immunisation delivery. I concede that BPPs measure anything except good better or good practice . Doctors are fee to choose as to whether they accept the Health Care Card as an indicator of ability to pay . GPs are in the perfect position to undertake opportunistic immunisation of children .
Government has no solution for locum relief .
Those that take the path will do well . I have a feeling that the future is going to be run by general practice they have the keys to the whole of the health care system decisions, flow on costs, referral patterns . General practice is so fragmented and inward-looking should be based on larger business units . Contact the author.