Andrew wrote:

On 12/02/2018 23:49, Roger Hayter wrote:
This was a payment for providing a service.

He wasn't 'providing' a service, he was doing what all
money-grubbers do, he looked at all the juicy 'tick-box'
enhancements he could make (Offer dietary advice, kerching,
box ticked, rinse and repeat hundreds or thousands of times)
and that is how he artificially boosted his 'self employed'
income. Remember, this directly affects his NHS pension.

You totally misunderstand the situation. It was entirely the
management side that wanted all these tick-box exercises done and they
reserved part of agreed remuneration to GPs that wouldn't be given until
they were done. With some exceptions, they weren't extras, they were
things that needed to be done to maintain income. And the GPs were and
remain somewhat doubtful about the value of most of them.


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Roger Hayter