Though the FPP system has the intention of retaining our trained specialist from leaving government service.. There will be several issues that will arise..
As Ibrahimovic mentioned, only the specialist will get the tip. Other staffs below are MAY NOT receive anything and still forced to do the work. There are some hospitals that pay the staff "locum pay" to compensate for this workers.. But these does not come from the paying patients, and the government will have to cough up the money. It is possible they will disallow this from happening later on.
The issue is having alot of trained specialist leaving the government service Its really a no-brainer. Specialist in private are paid 200-500% more than government pay. Even if the doctors are willing to stay, they will end up put their families in debt. No fully self sponsored medical education can pay back their education loan unless they work in private. Pension money is also chicken shit compared to the salary and working life outside.
The only advantage of staying in government service is the semi-immunity against medicolegal cases.
A third issue which i find is the most important issue, is the Bias treatment toward FFP.
In certain hospitals (sorry cant name these hospitals), FFP patients get to cut ques from the non-FFP patients.
Specialist would drop and postpone their other cases to jump at these FFPs.

u sure?