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.’

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 COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...

GP-led sites behind almost three quarters of COVID-19 jabs in England

GP-led sites behind almost three quarters of COVID-19 jabs in England

GP-led vaccination sites have delivered nearly three quarters of COVID-19 vaccine...

GPs should ignore calls to throw away usable COVID-19 vaccine, says RCGP

GPs should ignore calls to throw away usable COVID-19 vaccine, says RCGP

Suggestions that vaccination sites should throw away usable doses of COVID-19 vaccine...

GPs urged to use influence to dispel COVID-19 vaccine myths and boost BAME uptake

GPs urged to use influence to dispel COVID-19 vaccine myths and boost BAME uptake

GPs have been encouraged to use their ‘huge influence’ to bust misinformation around...

Six in 10 over-80s vaccinated against COVID-19 as figures expose regional variation

Six in 10 over-80s vaccinated against COVID-19 as figures expose regional variation

Six in 10 people aged over 80 in England received a first dose of COVID-19 vaccine...

Summary of changes to the GP contract 2021/22

Summary of changes to the GP contract 2021/22

The BMA and NHS England have agreed minor changes to the GP contract for 2021/22....