Letters, calls and emails: Meldrum speech was purely speculation, not an intention

Dear Editor

Your article and editorial arising from a talk I gave to an NHS Alliance workshop, (‘GP chairman seeks to end PMS contract’, GP 1 December) contain serious inaccuracies both in their content and their conclusions.  

I made it clear both during the presentation and in conversation with your reporter afterwards that I had been asked to speculate where GP contracts might be going in the future and that my suggestions were personal speculations and certainly not my or GPC policy. I never used the term ‘abolish’ in respect of PMS — I am a PMS GP myself. Instead I suggested that some PMS GPs might welcome the protection afforded by a national contract and welcome a nationally negotiated, orderly return. Others would not wish to do so; I was certainly not suggesting any compulsion.  

In speculating that we might end up with fewer contractual options I made it clear that these would be similar to, but certainly not the same as, the present GMS and APMS, though they were useful labels to indicate the nationally based nature of the former and the locally based nature of the latter.  

In terms of the reform of GMS, I highlighted some of its shortcomings, particularly in respect of new or rapidly growing practices and suggested ways in which the present formula might be developed. One way would be to consider some combination of capitation-based payment together with an allowance, but certainly not a return to the basic practice allowance as you claim in your editorial.  

There is no question of ‘throwing out the achievements’ of the new contract and returning ‘to a previous system’. To claim that I was suggesting this is totally to misrepresent my arguments.  

Dr Hamish Meldrum  

Chairman, the GPC, London

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

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...

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GP practices have faced a wave of abuse and complaints after a letter from NHS England...

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

The government has denied plans to make GPs 'gatekeepers' of the struggling COVID-19...