Managers demand new contract for GPs

Managers are calling for a new GP contract to incorporate changes including 'strengthening contractual levers to deal with poor or unresponsive services'.

This is one of 11 suggestions in NHS Confederation document Rising to the challenge: health priorities for government and the NHS.

The others are:

  • Removing the MPIG,
  • Reviewing seniority payments and the arrangements for paying for premises,
  • Defining the expected core set of services within the contract,
  • Moving to a national menu of QOF indicators that can be adapted to meet local needs,
  • Improving alignment between the different contractual mechanisms for general practice and pharmacy
  • Creating incentives for practices to work federally and rewards for increased scale, allowing for much more effective integration with social, community and specialist care,
  • Incentives for taking greater responsibility for out-of-hours care and patients' use of emergency care services,
  • Aligning the contract and regulatory mechanisms to avoid duplication (because practices are more than the sum of individual practitioners, more than just professional regulation is required)
  • Allowing greater local flexibility to negotiate GP contracts, and,
  • Using practice accreditation and accreditation as a basis for rewarding disease management expertise.

NHS Confederation chief executive Steve Barnett said a frank debate during the forthcoming election along with cross party co-operation afterwards, is essential if the NHS in England is to deal with the coming years.

He said: ‘The NHS has to play its part in rising to these challenges and should not be looking to government for all the answers - both clinicians and managers need to focus, among other things, on rooting out inefficiencies in the system, reducing costs and redesigning services.'

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