DES rates described as 'insulting'

Directed enhanced services (DESs) in Northern Ireland are poorly written, badly negotiated and pay rates are insulting to the profession, LMCs believe.

GP leaders carried motions criticising the DESs and their implementation, and called for future services to be designed by active clinicians.

Southern LMC chairman Dr Theo Nugent said the DESs were released in January and February this year for completion by the end of the financial year.

He said they must be rolled out faster, preferably in time for the start of a financial year.

Northern LMC chairman Dr Colin Hegan said: 'We did not negotiate these DESs - we were asked for our opinion and simply ignored.'

LMCs also pointed to problems with safety of patient records. They hit out at plans to keep an increasing amount of identifiable patient data centrally.

They also criticised practices that were failing to offer salaried GPs terms that were at least equivalent to the BMA model contract.

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