Darzi review rules out short-term contracts

The introduction of short-term contracts into general practice has been ruled out by Dr Michael Dixon, chairman of the NHS Alliance and a contributor to the Darzi review.

Dr Michael Dixon
Dr Michael Dixon

In an open letter to GP, Dr Dixon confirmed that the review had discussed short-term GP contracts because it wanted to consider all options.

But he said the plan had been ‘rapidly excluded because we believe that general practice is about long-term relationships, providing continuity and personal care. These require long-term personal and financial commitment'.

But Dr Dixon added that retaining the long-term contract would require a ‘quid pro quo'. ‘When we ask for some protection, the price is that we must keep to the moral high ground as family doctors, local leaders and commissioners.

‘If we seek to profit either from our peers, by offering only salaried positions rather than partnerships; or from our patients, by putting our businesses before them, then we can only expect the full force of the open market.' 

Dr Dixon added that GPs were capable of doing more, and called on them to be confident about their future.


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