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Like Andrew, my fees have not increased for 10 years, despite rises in GOS fees over that time and what appearto be higher than inflation rate increaee in charges for dispensed spectacles in many practices.
When a new practice contracts me, saying I have been recommended, I often wonder if that recommendation is to do with the quality of my work and the relationship I develop with the other practice staff, or with fact that I am (reluctantly) willing to work for 10 year old locum rate of £250?
Practices used to ask what your fee was, nowadays they tell you what it is.
On very infrequent occasion when I gave managed to negotiate a higher fee, I usually have to wait a much longer time to receive my fee……up to 4 months in some cases.