NAPC to build 'fighting fund' to defend PMS practices

PMS practices across England have been urged to join a legal support fund to fight unfair contract changes imposed by PCTs.

The NAPC is giving legal advice to PMS practices (Photograph: iStock)
The NAPC is giving legal advice to PMS practices (Photograph: iStock)

The National Association of Primary Care (NAPC) has written to all PMS practices after ‘an unprecedented number of requests for help'.

The NAPC has opened 'constructive' talks with the DoH, but does not expect guidance until after the general election on 6 May.

Legal advice on how to deal with unfair pressure from PCTs is set out in the letter.

Practices whose PCT ‘demands you accept a non-mandatory contract variation without agreement' should make clear that under PMS regulations, all contract variations except mandatory regulatory changes must be agreed by both parties.

Practices whose PCT threatens to terminate their contract unless they accept an ‘unacceptable contract variation' are advised that a group of practices has successfully opposed a similar attempt.

‘We do not believe there is a unilateral right to terminate wihtout good cause,' the NAPC letter says.

It adds that some LMCs have ‘inappropriately advised immediate capitulation' to PCTs' contract demands.

The letter also points to a case in which a dental practice successfully defended itself against contract termination.

  • To join the group, contact the NAPC on 020 7636 7228 or email

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