Missing the bigger picture here
No CCG or central system wants smaller practices
It’s a concerted effort to make everything larger to be able to sell it off in the future
PCNs are the first step
Get rid of PCNs, unless you fancy a corporate style primary care run by undertrained ancillary staff and fast tracked so called doctors
How convenient is it to interpret feedback the way you want to interpret it
And how difficult was it and is it to understand that general practice does not need more resource for more and undeliverable work, it does want to be forced into groups but wants to work collaboratively by choice, where it makes sense to its patients and practices and most importantly it has been crying out for resource into CORE GMS to help struggling practices , not some fancy innovation conjured up in fancy offices by peopl who have no grassroots interest at heart and will throw general practice off the cliff for their gongs
It’s uncanny how the whole spec has now become about care homes and NHSE want to focus on that
What about the utter nonsensical plan of delivery for the other 4 streams
We don’t want extra resource for extra work
We want proper resource for the current crisis
Put resource into core, wake up BMA and GPC
Scrap PCns altogether
No level of detail or funding will be able to let practices survive in the PCN model, we need to see the future, can’t walk towards this cliff edge with open eyes
Cmon , BMA and GPC- ur not so naive that you can’t see this being the death of general practice as it is and for what it is
Let’s vote to scrap PCns altogether and find core GMS to make to profession sustainable and attractive to the new generation of GPs
Get rid of PCns , whatever the negotiations come up with, please don’t join PCns enmasse, only then general practice will survive
We need to get our priorities right this time. Please vote for the PCNs to be scrapped at this conference, and any contractual negotiations to be directed purely towards GMS.
Otherwise we will lose General Practice forever.
It’s now or never
They are trying to sell it as “you said, we did”
Even if they roll back the specs, where is the additional funding ie 30% of roles reimbursement coming from, not to take into account that we will need more than the roles allocated per PCN
Where is the management cost coming from
And even if by a miracle , they put extra funding into this, I cannot see any GPs around who will want to be Clinical leads and PCN directors anymore
Why don’t they understand, scrap this whole PCN business and fund core Gms - and our leaders- Sigh, I give up
I think we’re missing the point here. The point being made is that the new DES is not adequate resourced, hence PCNs can’t deliver it.
The fact is, regardless of funding, its undeliverable. No amount of money will find 5 clinical leads, or get me to take on OOH care for nursing homes and subscribe to the metrics. We should all vote for the whole concept of PCNs to be disbanded, and resources allocated for core funding.
When will the leaders understand that this whole idea of PCNs is flawed
Why do they never talk about funding core general practice
I’m sick and tired of all these 3 letter acronyms- PCNs, ICS/ICPs and leaders rallying behind them
The only 3 letter acronym that is worth considering is GMS
GPC and BMA have left us hung out to dry. The whole idea of stabilising General Practice was to increase funding and resilience in core general practice. Not this fantasy gimmicks of PCN. How do they expect 3 or 4 or 5 struggling practices to form one resilient PCN. It’s shambolic. What they need to do is increase core GP funding through the GMS contract, which will help practices employ people who they actually need, rather than AHPs forced upon you. Remember 2004 contract which favoured GPs and increased funding, there was such a big move towards people wanting to be partners and GPs.
I hope the BMA and GPC are listening and reading this. And even if after this debacle, they don’t learn, they should either resign or be fired.
GPs, LMCs and BMAs are focussing away from the main threat to General Practice- PCNs. The PCNs were apparently formed to relieve staffing problems and relieve pressure on practices. It’s become such a nightmare- employment, VAT, and more importantly CCGs and systems now wanting to commission all their services through PCNS, and wanting Clinical Directors to help forming ICPs. The system has gone mad. We need to get rid of PCNs and put money directly into core GMS
BMA will now our home visits as part of the PCN contract, and showcase that as the game changer for general practice
PCNs will take down general practice , wait and see
It’s typical Labour garbage, I’m going to promise you the world but not going to tell you how, but in the meanwhile I’m going to tax you until you leave the profession or country anyways
How disingenuous is this, when they say want to increase investment in general practice but at the same time hit GPs with hard hitting tax changes
This is government agenda to get rid of smaller and independent practices. Also the CCGs will be funding less amounts as compared to what they would have funded practices to deliver. Say a no to everything and then ask them to explain through FOI, why there are happy to give more money to secondary care.
Bring it on !!, 3 months crash course for GPs doing operations and 3 month crash course for specialists doing GP work
I can see the specialists lining up to flee first after 3 months
He should be allowed to finish his training, get his degree and then he should actuallyvthank home office for them throwing him out . So he can actually end up in a better place where he gets the respect, work life balance, the remuneration and a life that he deserves, or for that matter every UK doctor does
Luke, my friend, consider this an opportunity
Thanks Nigel for having our corner, all the best
To all my colleagues who have written on this thread. You all have essentially signed death warrants for yourselves. The GMC and Terence will now look at all these comments, use their friends in higher places to track you down, and open cases against you all and strike you off.
Then GMC will come out with a statement, saying we are responsible for making medical profession better and safer, why, coz we eliminated all who raised concern, and could’ve been human enough to possibly make a mistake, based on the emotional responses on this thread.
Welcome to GMC- General Mechanical Doctors Corporation, oh and by the way, the remaining doctors will have their annual subscription increased, in case we need more legal money to sack them as well.
I would be very worried about losing an income stream which is tangible and you know what you have done, and what you have earned.
The only reason the government would want to scrap QOF, is to :
1. Increase workload for GPs for the same amount of money
2. The full QOF money will never be reinvested into global sum- govt will take a large slice of it, and thus force practices into mergers/ takeovers by hospitals and MCPs, to be able to survive
3. Both- this is where my money is, this is what i think their agenda is.
Also, once QOF is scrapped, what are you going to do with your nurses/ HCA- sack them !!
Be very careful of what you wish for !!.
What you will find is that the rest of the 17-20 % are actually GPs who are not working in the frontline. They are GPs, who are now in CCGs, NHSE, unable to cope with daily workload, so sitting in meetings, saying GPs can’t do anything, don’t do anything, and lets come up with schemes of demolishing General Practice, in line with NHSE agendas, and by the way- where is my Pension Heavy next beaurocratic job.