LMCs to debate salaried GP time limit

LMCs will debate plans to impose a five-year limit on salaried contracts unless partnership is offered at their 2010 conference next month.

LMC representatives will vote on motions expressing anger at the outgoing government (Photograph: Jason Heath Lancy)
LMC representatives will vote on motions expressing anger at the outgoing government (Photograph: Jason Heath Lancy)

They will also debate motions aiming to 'prevent wholesale death by salary' by offering more cash incentives and a basic practice allowance for partnerships.

In anticipation of GPs taking responsibility for commissioning out-of-hours, they call on the GPC to 'urgently' come up with a 'minimum set of criteria, independent of the RCGP'.

LMC representatives will also debate whether practices should be able to choose which primary care organisation (PCO) they contract with.

Much of the conference will be dominated by motions exp-ressing anger and frustration at the policies and practices of the last government, and fear of what is to come.

LMCs will ask the GPC to publish a list of projects and services that should be axed or run down to save money.

These include Darzi centres, NHS Direct, 'costly IT projects' and private finance initative projects.

One motion will 'insist' the government tells patients honestly about front line cuts, reduces their expectations and makes sure PCOs implement cuts equally. They insist that primary care should 'not be targeted' for cuts.

Scrapping practice boundaries and working in polysystems will take centre stage in a keynote talk from Professor Chris Ham, chief executive of the King's Fund.

GPs will then debate whether scrapping practice boundaries will be 'deeply flawed', costly, destructive, destabilising and discriminatory.

Many motions express 'belief' but fail to instruct the GPC to carry out any specific action.

Most are a reaction to the past year in general practice - discussing the DoH's failure to implement the Doctors' and Dentists' Review Body pay recommendations in full, pandemic flu mismanagement, and 'bullying' PCOs interfering in PMS contracts.

A total of 803 individual and composite motions are listed for debate in the 2010 conference agenda. The conference takes place in London on 10 and 11 June.

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