Editorial - The under-threat UK-wide contract must continue

In an exclusive interview in this week's GP newspaper, GPC Scotland chairman Dr Dean Marshall thinks it is unlikely there will be a UK-wide contract in three to five years.

He explains that those in England wanting GP contracts to be held by clinical commissioning groups (CCGs), a move which could result in local contracts, fuels the possible demise of a UK-wide contract.

The coalition government has already dispensed with the recommendations of the independent Review Body when it revealed the contents of the 2012/13 GMS contract deal last month. The announcement of a 1% pay rise cap for public sector workers in the two years after 2013 in chancellor George Osborne's Autumn Statement last week was also coupled with a new emphasis on local pay deals rather than national settlements.

GP has previously reported the government's aspiration for a new single contract and the possibility of a push for it to be time-limited and APMS-style.

Advantages of a UK-wide contract for GPs include the combined strength of representing the many thousands on GMS. It also provides a level playing field for GPs across the UK while maintaining high standards. Local enhanced services were designed to provide local flexibility but primary care organisations are cancelling these now as funds are short. In such cases a portion of the QOF could be hived off to allow some local flexibility, while maintaining a UK deal.

Last week's GP revealed that CCGs across England are forcing practices to sign 'draconian' legal agreements that could put their contracts at risk.

Dr Johnny Marshall, chairman of the National Association of Primary Care, was right when he argued that what was needed was a 'practice-driven and owned' solution not imposed by the CCG.

GPs may well find that they have greater strength if they stick together under the umbrella of a UK-wide contract rather than venture out in far smaller numbers into the rain of the current economic climate.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

UK on course for 50,000 COVID-19 cases a day by mid-October

UK on course for 50,000 COVID-19 cases a day by mid-October

The UK could see 50,000 COVID-19 cases per day by mid-October, with the epidemic...

Stricter short-term COVID-19 measures needed to avoid second national lockdown, BMA warns

Stricter short-term COVID-19 measures needed to avoid second national lockdown, BMA warns

COVID-19 infection rates will ‘soar’ and the NHS will ‘once again be crippled’ if...

Practices handed one-month opt-out window as revamped network DES unveiled

Practices handed one-month opt-out window as revamped network DES unveiled

NHS England has unveiled a revamped DES package for 2020/21 confirming new targets,...

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered a huge increase in face-to-face appointments in the week before NHS...

RCGP facing legal action over stance on assisted dying

RCGP facing legal action over stance on assisted dying

The RCGP is facing legal action over its decision to remain opposed to assisted dying...

Medeconomics Live aims to help practices thrive under the new GP contract

Medeconomics Live aims to help practices thrive under the new GP contract

The one-day, virtual Medeconomics Live conference aims to provide practices with...