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Top GP warns NI rise will make waiting times worse
Top GP warns NI rise will make waiting times worse

Yahoo

time04-05-2025

  • Health
  • Yahoo

Top GP warns NI rise will make waiting times worse

GP waiting times in Wales will get worse as a result of increases to businesses' National Insurance contributions, a senior doctor has warned. Dr Rowena Christmas, chairwoman of the Royal College of General Practitioners (RCGP) Wales, said the changes announced by Chancellor Rachel Reeves in the Budget felt like an "absolute crisis" and a "crushing disappointment". The UK government said it had provided funding to support businesses with NI increases. But the Welsh government said this was based on England's costs rather than Wales' actual needs and Downing Street had left it with a "significant shortfall". Unlike other NHS services, GP practices operate as private businesses and are funded by government contracts, which means they are not exempt from the NI increases, which came into effect last month. GP partners now have to pay NI at 15% on salaries above £5,000 instead of 13.8% on salaries above £9,100. Back of queue threat for people who miss NHS appointments Under fire GP company hands more surgeries back Monmouthshire-based Dr Christmas said funding cuts, inflation and the rise in the cost of living had made it difficult for GPs to keep going. "It's hard to be so pessimistic, but this is such a catastrophic situation we suddenly find ourselves in out of nowhere," she said. She added the new tax rate would cost her practice £20,000 a year, with larger practices facing additional costs of up to £90,000. In January the BMA's Welsh GP committee voted to accept an updated pay offer, which includes a one-off £23m payment aimed at stabilising practices. Dr Christmas said the new agreement was "a very welcome relief" but warned it would not solve the long-term challenges and called for GP practices to be exempt from the NI rise. "If we can't turn that into recurrent funding, we're back to square one or even worse off. It's a temporary breather," she added. "We all know what's best for patients. But if we're constantly trying to pick up the pieces, we can't do that quality job that we need to that will save the NHS in the long run." Dr Meleri Evans, an Anglesey GP, said her practice expected to pay between £30,000 and £50,000 more a year. She said: "This means we're going to have to change the way that we do business and the reality is that the only way that a GP partner can do that is to look at reducing the services they currently provide. "For the majority of people that comes down to reducing staffing costs. So there are certainly going to be very difficult decisions, including possible redundancies." In response to the Budget and growing worries within the profession, the British Medical Association's Welsh GP committee entered into negotiations with the Welsh government earlier this year to revise the General Medical Services contract for 2024-25. The UK government said health was a devolved matter and was an issue for the Welsh government, but added that ministers in Cardiff Bay had received additional funding on top of £21bn for changes in NI for employers. The Welsh government said: "Our initial estimate is devolved public sector employers in Wales face a £253m extra cost. The approach the UK government is taking leaves us with a significant shortfall." It added increases should be be fully funded by Westminster and it was pressing the Treasury on this issue. Top GP says doctors are united in fear about NHS GPs and Welsh NHS face collapse, doctors say

GP waiting times in Wales 'will get worse' due to NI increase
GP waiting times in Wales 'will get worse' due to NI increase

BBC News

time04-05-2025

  • Health
  • BBC News

GP waiting times in Wales 'will get worse' due to NI increase

GP waiting times in Wales will get worse as a result of increases to businesses' National Insurance contributions, a senior doctor has Rowena Christmas, chairwoman of the Royal College of General Practitioners (RCGP) Wales, said the changes announced by Chancellor Rachel Reeves in the Budget felt like an "absolute crisis" and a "crushing disappointment". The UK government said it had provided funding to support businesses with NI increases. But the Welsh government said this was based on England's costs rather than Wales' actual needs and Downing Street had left it with a "significant shortfall". Unlike other NHS services, GP practices operate as private businesses and are funded by government contracts, which means they are not exempt from the NI increases, which came into effect last month. GP partners now have to pay NI at 15% on salaries above £5,000 instead of 13.8% on salaries above £9,100. Monmouthshire-based Dr Christmas said funding cuts, inflation and the rise in the cost of living had made it difficult for GPs to keep going."It's hard to be so pessimistic, but this is such a catastrophic situation we suddenly find ourselves in out of nowhere," she added the new tax rate would cost her practice £20,000 a year, with larger practices facing additional costs of up to £90,000. In January the BMA's Welsh GP committee voted to accept an updated pay offer, which includes a one-off £23m payment aimed at stabilising Christmas said the new agreement was "a very welcome relief" but warned it would not solve the long-term challenges and called for GP practices to be exempt from the NI rise."If we can't turn that into recurrent funding, we're back to square one or even worse off. It's a temporary breather," she added."We all know what's best for patients. But if we're constantly trying to pick up the pieces, we can't do that quality job that we need to that will save the NHS in the long run." Dr Meleri Evans, an Anglesey GP, said her practice expected to pay between £30,000 and £50,000 more a said: "This means we're going to have to change the way that we do business and the reality is that the only way that a GP partner can do that is to look at reducing the services they currently provide."For the majority of people that comes down to reducing staffing costs. So there are certainly going to be very difficult decisions, including possible redundancies."In response to the Budget and growing worries within the profession, the British Medical Association's Welsh GP committee entered into negotiations with the Welsh government earlier this year to revise the General Medical Services contract for 2024-25. The UK government said health was a devolved matter and was an issue for the Welsh government, but added that ministers in Cardiff Bay had received additional funding on top of £21bn for changes in NI for employers. The Welsh government said: "Our initial estimate is devolved public sector employers in Wales face a £253m extra cost. The approach the UK government is taking leaves us with a significant shortfall."It added increases should be be fully funded by Westminster and it was pressing the Treasury on this issue.

Dragons' Den soap business investment would have made dad proud
Dragons' Den soap business investment would have made dad proud

BBC News

time01-03-2025

  • Business
  • BBC News

Dragons' Den soap business investment would have made dad proud

A woman who secured £50,000 for a stake in her hard soap dispenser business on BBC's Dragons' Den has said her late father would have been "absolutely bursting with pride" at her Hicks revealed she was offered the opportunity to record the episode at another time with the show's five investors or "dragons" as it followed his recent she said postponing would have made him "cross" owing to "my dad's work ethic"."It was a really tough, really challenging thing to do. But, having experienced the loss of... my dearly beloved dad, walking into five dragons felt somewhat easier to be honest," she said. Founder Ms Hicks' business idea came about while at home with her three children during lockdown in March 2020 as she had wanted to reduce single-use plastics, especially soap bottles, in their every day life."I made lots of changes around the house for more eco-friendly alternatives, but one area we really struggled with was solid [soap] bars for hand, hair and body washing. "Nobody wanted to share the bar, and it was really impractical."From that she created Monmouthshire-based SNOAP and her pitch with husband Antony started a bidding war with the show's entrepreneurs all wanting to invest. The couple eventually accepted £50,000 for a 7.5% stake with a joint bid from "dragons" Peter Jones and Deborah to BBC Radio Wales Breakfast Ms Hicks said her father would have been "absolutely bursting with pride" at her success but would have had a strong opinion if she had postponed the pitch following his death."If he had thought he had stopped me doing something that could benefit myself my family, I have three children... he would have been cross," she said."My dad's work ethic and my mother's actually is very, very strong, and their belief in me is very strong as well."She said business had been "just insane in the best possible way" since the show was broadcast on Thursday, with interest from as far afield as Australia."We had people even turn up at the office to collect their orders yesterday, having driven up from Newport and so on," she said."So it's been absolutely... overwhelmingly amazing."

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