In message , at 09:31:20 on Tue, 13
Feb 2018, charles remarked:

It's hard for heart to feel sorry for GP's making pension
contributions when they were and may still be the best paid GPs in
the industrialised world. One received £700K last year.

out of which he paid for his premises, his practice nurses,
receptionists, etc.

I think they were probably paid for out of monies received from the NHS
based on the total number of patients within his 'empire'.

What this particular individual has perhaps done is set himself up as a
kind of "CEO of a chain of surgeries", thus taking over the management
roles of the partners who would otherwise be running each of those
surgeries themselves.

I met a GP who was doing this at the end of the 90's. Rather than be in
regular practice, he set up an "after hours" agency that individual GPs
could subscribe to, with iirc five on-call grunt GPs, plus him "running
the business". His remuneration would probably show up in the quoted
studies, even though he maybe hadn't seen an actual patient for years.

Something similar is emerging in the world of education where a "Super"
Head Teacher takes over the running of a number of schools within an
amalgamated trust, thus as well as economies of scale arising from a
larger overall business, and the better management skills because they
are genuinely better at the job, there are N-1 now-redundant head
teacher salaries looking for a home.

I'm not suggesting that *all* such spare money will go to a single
individual, but a certain amount could gravitate towards them.

--
Roland Perry