I consider myself to be a coalface-working GP and I have worked in general practice for many years. I did not vote for the new GMS contract but signed it on behalf of the surgery when it was voted for by the majority of GPs.
A cornerstone of the new contract was the essential relationship between the MPIG and the global sum. This ensures the practice has financial stability and is therefore important to our practice and to many others. I would like to raise four points.
I understood that if I signed the contract this could only be altered if both signatories to the contract agreed the changes. If changes were not agreed, I understood that the old contract stood until a new contract could be put in place and signed.
Who are the negotiators on behalf of general practice? Are they elected and do they have an obligation to consult signatories on the GP side of the new GP contract?
Are the negotiators coalface-working GPs or do they in fact work at the pit head? Is this a classic example of the pit head not knowing what is going on at the coalface?
Do these negotiators live on a different planet to the majority of non-medico-political coalface- working GPs?
GPs would like to express their views more vocally, but we simply do not have the time to become involved in this sort of politics.
Dr John Wilson, Kibworth, Leicestershire.