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A lack of jobs is forcing GPs out of the NHS with some taking up work as Uber drivers to pay the bills, experts have told Sky News.

The “ridiculous” situation has been blamed on chronic underfunding and the rising costs of running a general practice – meaning there is not enough money to recruit.

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It comes at a time when demand for GP appointments is greater than ever, with medics fearing the situation will get worse once the rise in employers’ national insurance comes into effect in April, as GP surgeries are not exempt.

According to a new survey by the British Medical Association (BMA), one in five GPs in England are already planning a career change because they can’t find any or enough work.

The poll of 1,400 family doctors tallies with the findings of a survey by Dr Steve Taylor of 1,000 GPs, which found one third are either underemployed or out of work.

Dr Taylor, a Manchester-based GP of 30 years and a spokesperson for the Doctors Association, told Sky News he was aware of some newly qualified GPs working gig economy jobs like Uber drivers “as a fill in just to pay the bills”.

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He said: “In simple terms practices haven’t had enough money to employ the new GPs that we are training, so there are doctors that are unemployed and a large proportion of GPs are under employed – so they are not working hours they’d want to work.”

He added that “four years ago that wouldn’t have been an issue”, with one applicant going for a salaried job at his practice back then – compared to 30 applicants competing for one job now.

Dr Taylor called the situation a “crisis” and said his “big worry” is that “will we end up with a two-tier system like dentistry”, with private providers sucking up out-of-work GPs.

‘Ridiculous GPs can’t find work’

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‘We may get to the stage of turning people away from A&E,’ said Royal Berkshire Hospital’s emergency department clinical lead.

The BMA’s survey said 47% of respondents were expecting to make changes to their career – with the most popular option being to take clinical jobs outside the NHS (43%).

Respondents also considered taking up GP opportunities abroad (40%) and leaving healthcare altogether (38%).

Dr Mark Steggles, chair of the BMA’s sessional GP committee, said: “At a time of immense pressure on the NHS, and patients waiting too long to be seen, it’s ridiculous that so many GPs can’t find work.

“These findings confirm our worst fears. Not only is the issue spreading through the profession, but it’s also leaving many wondering why they should bother staying in the NHS at all, further depriving patients of the vital care they need.”

What has the government done?

Wes Streeting says government's top priority is security
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Wes Streeting says government’s top priority is security

The survey comes after a study by the Health Foundation found access to a GP is the public’s top NHS concern – posing a potential headache for the government as it prioritises bringing down hospital waiting lists in its plan to fix the health service.

The government said in December it would give GPs an extra £889m to slash red tape and spend more time with patients.

Health Secretary Wes Streeting has sought to address the recruitment problem by expanding the Additional Roles Reimbursement Scheme (ARRS) – a £1.4bn funding pot introduced in 2019 to hire non-GP roles, such as dieticians and social prescribers, across Primary Care Networks (PCNS).

PCNS are groups of GP practices, and last summer Mr Streeting announced £82m boost to the scheme so it could be expanded to GPs, in response to unemployment concerns.

But experts said it is not a long-term solution as it only applies to 1,000 newly qualified GPs on fixed-term contracts – making the roles hard to fill. The job also requires working across as many as 15 practices within one PCN, often at lower salaries as the reimbursement rate is at the bottom end of the GP pay scale.

The BMA said money for extra staff should go directly to GP practices and the amount should be increased, warning of a “mass exodus” if nothing is done.

Mr Steggles said there is a “real risk” of a huge increase of unemployment rates in August, when 4,000 new GP trainees will qualify.

The rise in employer NI could also exacerbate the situation, said Shropshire GP Jessica Harvey, who added practices are already being “squeezed” by the cost of living with no spare cash to recruit.

“It’s an unprecedented crisis,” she said. “There’s not enough GPs, we can’t afford more doctors, practices are closing, patients are suffering from chronic underfunding and to have NI placed on top of that is causing an incredible amount of unnecessary stress.”

A Department of Health and Social Care spokesperson said: “This government inherited a ludicrous situation where patients can’t get a GP, yet qualified GPs couldn’t get a job.

“We acted immediately to cut red tape and have already proposed the biggest boost to GP funding in years – an extra £889m.

“We are committed to recruiting an extra 1,000 GPs as promised.”

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Kosovo PM Albin Kurti: We feel ‘obligation’ to host UK migrant return hub

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Kosovo PM Albin Kurti: We feel 'obligation' to host UK migrant return hub

Kosovo feels a “political duty” to process failed migrants from the UK, if legal issues can be overcome, the country’s prime minister has told Sky News.

Albin Kurti said there is “limited capacity” in the small nation, which has a population of fewer than two million people, but that he expected a “successful result” from negotiations.

Talks are under way, he confirmed, between officials from both countries about a migrant returns deal for those whose claims have been ruled ineligible by the UK, and are awaiting deportation to their country of origin.

A Home Office team is exploring options for how one could work, Sky News understands, although no formal request has yet been made to Kosovo to host a facility.

Mr Kurti, who is attending a Western Balkans Summit in London this week, said: “We want to help the UK, we consider that that is our friendly and political duty.

“We have limited capacity but still we want to help, and as we speak, there is regular communication between our teams of state officials from our ministry of internal affairs and lawyers about how to do this smoothly for mutual benefit.

“Of course, we want, as a country, to benefit but we consider it first and foremost our obligation to help you because you helped us a great deal and will never forget that.”

Rescued migrants are brought in by the RNLI to Dover earlier this month. Pic: PA
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Rescued migrants are brought in by the RNLI to Dover earlier this month. Pic: PA

Western Balkans key allies

Sir Keir Starmer has identified the countries of the Western Balkans as key allies in the fight against irregular migration, with 22,000 people using this route to reach the UK last year.

The UK government has signed agreements to tackle smuggling gangs with Serbia, Albania, North Macedonia and Kosovo.

Keir Starmer said earlier this year that the government was in talks with unnamed countries about setting up “return hubs” which he called an “important innovation” for individuals who have exhausted all appeals in the UK system.

Kosovo is the first to confirm these negotiations are under way, and further discussions about it are likely in the margins of this week’s summit.

The small eastern European nation and the UK have strong ties, with Sir Tony Blair feted in the country for his government’s role in spearheading NATO airstrikes on Serbia in 1999, which helped end the Kosovo War.

In June, Kosovo made an agreement with the US, negotiated under the Biden administration, to take up to 50 US deportees who met certain criteria. But it is understood only one or two have arrived due to legal issues.

Kosovo would likely be seeking a defence agreement and UK investment in return, with the country concerned about Russian aggression and hostility from neighbouring Serbia.

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Tony Blair receiving a hero's welcome in Kosovo in 1999. Pic: Reuters
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Tony Blair receiving a hero’s welcome in Kosovo in 1999. Pic: Reuters

Kosovo wants security support

Mr Kurti added: “We would like mainly to get support in security – be that through strategic agreements, or through equipment and projects we might do. Our two teams are working on this, but I think this will have a successful result.”

It is not expected the UK will make a formal request until further legal issues are worked through, which could be significant.

A controversial deal made by Italy in 2023 to send thousands of migrants to two detention centres in Albania has cost millions of euros and been halted by multiple legal obstacles.

Andi Hoxhaj, Balkan expert at King’s College, said: “Such a deal is unlikely to happen at the Summit. Nevertheless, I expect some statement indicating that the UK and one or two Western Balkan countries are close to reaching an agreement.”

“Establishing an agreement with the UK would not be politically sensitive in Kosovo. The country continues to seek deeper ties with one of its strongest allies-one that played a crucial role in its path to independence.”

Kosovo has convict deal with Denmark

Sir Keir was left embarrassed on a visit to the Albanian capital in May when he announced the UK was in talks about return hubs in the Balkans, only for Albanian Prime Minister Edi Rama to say he would not allow the UK to “dump immigrants” in his country when it is in a “marriage” with Italy.

Under Yvette Cooper, the Foreign Office has shifted focus to migration – with more staff working on the issue, drawing up sanctions on people smugglers and pursuing returns agreements.

Kosovo has also ratified a deal with Denmark – another active contributor to the NATO-led Kosovo peacekeeping force – to take 300 convicts from its overcrowded prisons, due to start in 2027.

Return hubs are different from offshore processing – which is what the Conservatives had proposed with the Rwanda scheme.

It is proposed that individuals would only be sent to a return hub if their claim for asylum in the UK had been rejected – and they were awaiting deportation.

By sending them to a third country, the government hopes it will prevent people trying to frustrate and delay the process of removal and that it could act as a deterrent to people coming in small boats.

Only 3% of people of small boat arrivals in 2018-24, or around 5,000 people, were returned from the UK, according to the Oxford Migration Observatory, although removals of failed migrants from all routes has increased in the past year.

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Police should focus on ‘tackling real crime’, No 10 says, after Met Police halts non-crime hate probes

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Police should focus on 'tackling real crime', No 10 says, after Met Police halts non-crime hate probes

Officers should focus on “tackling real crime and policing the streets”, Downing Street has said – after the Metropolitan Police announced it is no longer investigating non-crime hate incidents.

The announcement by Britain’s biggest force on Monday came after it emerged Father Ted creator Graham Linehan will face no further action after he was arrested at Heathrow Airport on suspicion of inciting violence over three posts he made on X about transgender issues.

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Sir Keir Starmer’s spokesman said police forces will “get the clarity they need to keep our streets safe” when a review of non-crime hate incidents by the National Police Chiefs’ Council and College of Policing is published in December.

“The police should focus on tackling real crime and policing the streets,” he said.

“The home secretary has asked that this review be completed at pace, working with the National Police Chiefs’ Council and the College of Policing.

“We look forward to receiving its findings as soon as possible, so that the other forces get the clarity they need to keep our streets safe.”

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He said the government will “always work with police chiefs to make sure criminal law and guidance reflects the common-sense approach we all want to see in policing”.

After Linehan’s September arrest, Met Police Commissioner Sir Mark Rowley said officers were in “an impossible position” when dealing with statements made online.

File pic: iStock
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File pic: iStock

On Monday, a Met spokesperson said the commissioner had been “clear he doesn’t believe officers should be policing toxic culture war debates, with current laws and rules on inciting violence online leaving them in an impossible position”.

The force said the decision to no longer investigate non-crime hate incidents would now “provide clearer direction for officers, reduce ambiguity and enable them to focus on matters that meet the threshold for criminal investigations”.

Justice minister Sarah Sackman said it is “welcome news” the Met will now be focusing on crimes such as phone snatching, mugging, antisocial behaviour and violent crime.

Asked if other forces should follow the Met’s decision, she said: “I think that other forces need to make the decisions that are right for their communities.

“But I’m sure that communities up and down the country would want that renewed focus on violent crime, on antisocial behaviour, and on actual hate crime.”

The Met said it will still record non-crime hate incidents to use as “valuable pieces of intelligence to establish potential patterns of behaviour or criminality”.

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Fed mulls ‘skinny’ payment accounts to open rails for fintech, crypto firms

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Fed mulls ‘skinny’ payment accounts to open rails for fintech, crypto firms

Fed mulls ‘skinny’ payment accounts to open rails for fintech, crypto firms

Industry watchers welcomed the idea of “skinny” master accounts as another sign of the end of crypto’s banking troubles, in what insiders describe as “Operation Chokepoint 2.0.”

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