A senior member of the organisation's negotiating team told GP that although GMS would retain a national core, parts of the deal would ‘increasingly go for local negotiation'.
However, the GPC is deeply opposed to plans to dilute the national contract, and the proposals could deepen the rift that saw GMS contract negotiations collapse last year.
The ideas could also strengthen the GPC's resolve to bypass NHS Employers in future contract discussions. Senior GPC figures have mooted the possibility of discussing the contract directly with the DoH and sending evidence to the Doctors' and Dentists' Review Body without consulting NHS Employers (GPC negotiators threaten to boycott NHS Employers - GP, 20 April).
Grass-roots GPs are similarly opposed to local contracts. A recent GP survey found that 80 per cent of GPs wanted to retain a UK-wide contract (72% of GPs back call for fewer contracts - GP, 2 March).
- Do you want more PCO involvement in negotiations over changes to the contract and quality framework? Comment below or email us at GPletters@haymarket.com