Kent LMC’s Dr Jim Kelly, who spoke for the motion at the annual LMC conference, tried to persuade delegates that this was ‘the only way we can future-proof ourselves’.
‘How about actually getting paid for what we do?’ he asked the conference. ‘If we were to get paid for what we do, the government would realise we’re very good value for money. We should get paid for every consultation we have.’ He suggested this could attract more trainees to the profession.
But many spoke against the motion, with some raising concerns that GPs could be seen to ‘game’ the system, undermining quality of care.
Appeal from the King
Dr John Fitton, from Northamptonshire LMC, said: ‘It must not be forgotten that much of our value is not what we do but what we don’t do. So, just because things have gotten difficult lately, please don’t forget what has served GPs so well for so long.’
GPC deputy chairman Dr Richard Vautrey said: ‘Payment by results doesn’t work for hospitals either. Payment by results isn’t necessarily grass that’s greener on the other side.’
In a final bid to sway LMC representatives, Dr Kelly broke into song with an Elvis Presley-style rendition of 'A little less conversation' – complete with backing track – urging delegates to ‘come on, come on’ and calling for ‘a little less conversation, a little more action please’.
Calls for a payment by results deal for GPs were rejected.