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.
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?
Image: 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.”
There were some wins for the UK at the Western Balkans Summit at Lancaster House in central London today.
The UK unveiled a fresh list of sanctions – and believes it has made some headway convincing the EU to follow suit by placing restrictions on the likes of Kosovo passport forgers.
British participants also claimed to be pleased that Serbia and Montenegro were added to a joint migration taskforce and said UK and EU law enforcement would work even more closely.
But was it a moment where Sir Keir Starmer could convincingly claim to have taken a decisive step towards smashing the gangs, which was one of the goals he claimed he had for the summit this afternoon? Absolutely not.
While presented domestically as a means to tackle illegal immigration, in fact, the Western Balkans Summit was not primarily about migration, and I understood the talks focused on many other areas, including growth opportunities and EU enlargement.
Indeed, I was told that return hubs were not even on the prime minister’s agenda.
Image: The leaders posed for a ‘family photo’. Pic: PA
Perhaps unsurprisingly, western Balkan leaders did not want to talk about that and the summit was not designed in the first place to focus on that agenda, regardless of how it was presented to the domestic media.
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The backdrop for the summit couldn’t have been more tricky. The number of immigrants who crossed the Channel exceeded the number in 2024 on Wednesday.
Meanwhile, the first of the 46 migrants returned to France made their way back over the Channel, claiming France is an unsafe country.
There was finger pointing from British officials about why the French police had not done more to detain and deter this man from returning.
And the truth is, migrants who leave the UK are returning – because in many cases we are giving them the cash to do so.
That aside, there is also a nervousness that the French one-in, one-out deal may collapse entirely in a matter of weeks.
Only 42 individuals have been removed from the UK to date but the EU has to authorise this plan for the long-term and it is far from clear that it will survive.
To have secured the long term future of that deal at an international summit would be a big success. Today’s were on a much smaller scale.
It has emerged he only pays a “peppercorn rent” on the property – a legal term used in leases to show that rent technically exists, so the lease is valid, but it’s nominal – often £1 a year or even nothing at all.
Liberal Democrat leader Sir Ed Davey has called for a select committee inquiry into the Crown Estate, in which Prince Andrew would be called to give evidence.
Speaking in Prime Minister’s Questions, Sir Ed said: “Given the revelations about Royal Lodge, does the prime minister agree that this House needs to properly scrutinise the Crown Estate to ensure taxpayers’ interests are protected.
“The chancellor herself has said that the current arrangements are wrong.
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“So will the prime minister support a select committee inquiry, so all those involved can be called for evidence, including the current occupant?”
Responding, Prime Minister Sir Keir Starmer said: “It’s important in relation to all Crown properties that there is proper scrutiny, and I certainly support that.”
A document from the Crown Estate, which oversees the Royal Family’s land and property holdings, shows Andrew signed a 75-year lease on the Royal Lodge in 2003.
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Prince Andrew faces renewed scrutiny over his royal title and taxpayer-funded residence at Royal Lodge.
It reveals he paid £1m for the lease and that since then he has paid “one peppercorn” of rent “if demanded” per year.
Andrew was also required to pay a further £7.5m for refurbishments completed in 2005, according to a report by the National Audit Office.
The agreement also contains a clause that states the Crown Estate would have to pay Andrew around £558,000 if he gave up the lease.
The royal is under pressure to do just that amid continued scrutiny over his relationship with paedophile financier Jeffrey Epstein.
There has also been fresh focus on his sex accuser Virginia Giuffre’s allegations, which Andrew denies, after the publication of her posthumous memoirs.
Senior Tory Robert Jenrick said it was “about time Prince Andrew took himself off to live in private” as “the public are sick of him”.
Asked about his living arrangement on Tuesday, Chancellor Rachel Reeves told the BBC: “I do think people should pay their way and pay their fair share.”
A migrant who was deported back to France under the government’s flagship “one in, one out” scheme has returned to the UK on a small boat.
The Iranian national was initially detained when he entered the UK on a small boat on 6 August. He was removed under the government’s deal with France on 19 September, and he returned on 18 October.
He has been detained once again, and Sky News understands that the government is set to expedite his removal back to France.
The “one in, one out” treaty with France allows the UK to return anyone who arrives in the UK on a small boat back to France, in exchange for France sending to the UK the same number of people who have never previously tried to enter illegally.
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What is the UK-France migrant returns deal?
The man told The Guardian newspaper that he had been a victim of modern slavery at the hands of people smugglers in northern France.
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“If I had felt that France was safe for me I would never have returned to the UK,” he claimed.
“When we were returned to France we were taken to a shelter in Paris. I didn’t dare to go out because I was afraid for my life. The smugglers are very dangerous. They always carry weapons and knives. I fell into the trap of a human trafficking network in the forests of France before I crossed to the UK from France the first time.
“They took me like a worthless object, forced me to work, abused me, and threatened me with a gun and told me I would be killed if I made the slightest protest. Every day and every night, I was filled with terror and stress. Every day I live in fear and anxiety, every loud noise, every shadow, every strange face scares me.
“When I reached UK the first time and Home Office asked what had happened to me I was crying and couldn’t speak about this because of shame.”
The UK government’s position is that France is a safe country.
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PM and Macron agree migrant deal
‘Rwanda is further than France’
The aim of the agreement with France is to create a disincentive for migrants to make the dangerous crossing across the Channel. But Downing Street repeatedly refused to describe the scheme as a “deterrent” this afternoon, insisting that the scheme is among a number of measures the government is taking to stop small boat crossings.
A Home Office spokesperson said in a statement: “We will not accept any abuse of our borders, and we will do everything in our power to remove those without the legal right to be here.
“Individuals who are returned under the pilot and subsequently attempt to re-enter the UK illegally will be removed.”
Former Tory home secretary James Cleverly quipped on social media that “Rwanda is a lot further away than France”, arguing that had their embattled scheme got off the ground, it would have been harder for migrants to make the return journey.
The prime minister is hosting Western Balkans leaders on Wednesday as the government tries to crack down on people smuggling and illegal migration.
While the exact number of people who have made the crossing today is not set to be published until tomorrow, Home Office sources have confirmed that more than 36,816 people – the total for 2024 – have now crossed the Channel so far in 2025.
Home Secretary Shabana Mahmood said in a statement: “The previous government left our borders in crisis, and we are still living with the consequences. These figures are shameful – the British people deserve better.
“This government is taking action. We have detained and removed more than 35,000 who were here illegally. Our historic deal with the French means those who arrive on small boats are now being sent back.
“But it is clear we must go further and faster – removing more of those here illegally, and stopping migrants from making small boat crossings in the first place.
“And I have been clear: I will do whatever it takes to restore order to our border.”