Fix GP contract for longer and focus on outcomes, says Britnell

A new GP contract should be based on outcomes, not volume, and fixed over a longer period with incentives aligned across primary and secondary care, a man tipped to lead the NHS has said.

Mark Britnell: focus on outcomes (photo: King's Fund)
Mark Britnell: focus on outcomes (photo: King's Fund)

Mark Britnell, chairman and partner of KPMG’s Global Health Practice, is one of the favourites to replace Sir David Nicholson as NHS England chief executive next year.

Speaking at the National Association of Primary Care’s Best Practice event in Birmingham on Wednesday, Mr Britnell gave examples of best practice from around the globe.

Asked about the annual GMS contract negotiations, Mr Britnell said: ‘The real trick is to make sure what we pursue is value not volume-based with better integrated incentives between GPs and hospitals.’

He spoke of the value of a Dutch model where payments were made for a year of care for patients with long-term conditions.

‘With flat cash forecast until 2020 we have to start moving towards longer-term, value-based contracts,’ he added.

Mr Britnell said that whichever party won the 2015 election would have to look at a five or ten-year plan which tackled GP shortage issues.

‘If general practice wobbles, the whole system becomes less sustainable.’

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