Video: GPC proposes 'fifth option' for reforming practice boundaries consultation

The GPC is set to suggest a fifth option in its response to the DoH consultation on removing practice boundaries.

Dr Laurence Buckman, chairman of the GPC, said the committee did not think any of the four DoH proposals were feasible, and would instead be suggesting a fifth option.

He suggested this would be a 'collection of our previous thoughts on the matter', but said it would 'obviously include fuzzy borders'.

He said: 'Not surprisingly it will be a collection of our previous thoughts on the matter, so if you read our previous document in January you wont be very far off where we are now. What we are trying to do is use our suggestions on top of the DoH proposals because we don't think these four proposals will do what patients or politicians want.'

In the GPC's roadmap for reforming practice boundaries released in January, the GPC proposed an overhaul of temporary resident arrangements to enable patients to ‘seek the full range of GP services on an immediate basis when they are away from their registered practice more effectively than at present'.

Under the plans, GPs would offer to treat all unregistered patients on an ad hoc basis as well as a temporarily resident one, with a 'payment by results' funding mechanism to ensure practices are rewarded for each episode of care.

The document also included a series of local solutions would also boost access, such as making boundaries more ‘fuzzy' and using technology to provide remote consultations.

What the GPC proposed in January
  • Reform temporary resident arrangements.
  • More remote consultations.
  • PCTs work with practices to resolve 'open but full' list reforms.
  • More flexible 'fuzzy' boundaries.
  • Highlight benefits of federations and small rural providers.

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