Health secretary Nicola Sturgeon writes that: ‘It is true that we are consulting on alternative proposals, which is necessary if we are to maintain a UK quality framework in the event that our preferred proposals are rejected.'
But she adds that: ‘They would be the subject of full discussion with Scottish GPC.'
Ms Sturgeon also uses the letter to emphasise the Executive's collaborative approach, ‘in contrast to the drive in other places to introduce private sector provision and more market-oriented models'.
In a recent letter GPC Scotland explained that, because the quality framework is UK-wide, Scotland stands to lose 135 quality points if a deal is imposed in England, regardless of how Scottish GPs vote.
Scottish views could also be marginalised if they reject an offer that England accepts. The SGPC has warned that: ‘In order to maintain a UK contract it is possible that the "offer" would be imposed in Scotland.'
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