GP voluntary contract set for 15-year terms and may cover indemnity costs
Exclusive The new voluntary GP contract is set to be on 15-year terms and could include provisions for GP indemnity costs to be paid and an end to CQC inspections at a practice level, according to a GP leader close to the negotiations.
Manchester LMC chief executive Dr Tracey Vell told the Health + Care conference in London today that the new contract - announced by Prime Minister David Cameron in October last year - will allow GP practices to join up to varying levels, including keeping their core GMS contract.
In Manchester, the LMC is negotiating the local variation - which is set to be close to the national contract - and may include allowing partners to have their estates bought out via a public-private partnerships.
The new national contract will be published at the end of September for rollout in April 2017, and will be flexible for local needs.
As Pulse has reported, it expected that Manchester will be first to adopt the new voluntary contract for practices with populations of 30,000 and above, and many of the elements of the Manchester version will be applied nationwide.
Seeking to allay fears over the new contract, Dr Vell said she was involved in the national negotiations and it was 'not so threatening as you think'
She added: 'I am not stupid enough to enter into something with all my colleagues behind me if I have not seen the contract, so that is why I am working with the national team to make the contract. We have not seen it, because they haven’t made it yet. That in itself brings some threats but it also brings some potential gains, that we can influence it.'
The national contract will be open to GP federations and the new models of care outlined in NHS England's Five Year Forward View - multispecialty community providers (MCPs); primary acute systems (PACs); and accountable care organisations (ACOs) - and will require organisations to offer primary and secondary care services.
It will also involve the organisations offering routine seven-day GP services.
Under the Manchester model, there will be ten ACOs - large organisations that will encompass practices and secondary care organisations - which will hold the 15-year contracts and will allow practices to continue on their own contracts, Dr Vell said.
Deals that are being worked out specially for GPs in Manchester include:
- Having their estate bought out via a public-private partnership;
- Having their lease responsibilities taken over by the wider ACO;
- Having their indemnity covered entirely by the ACO;
- Not having to deal with CQC on a practice level.
On the specific terms being worked out in Manchester, Dr Vell said: 'You can have a buy-out of your estate. This is what we are doing in GM. GPs want to be bought out of private estate or leases. We are doing that, or making that possible..
She also said the new model would lessen the burden of regulation: 'We regulate the whole population hub at a cost borne by the organisation, the provider organisation, and we do it in that sense which makes more sense to everybody rather than the small business style approach, a very expensive approach for CQC and very expensive for practices.'
Under the plans being worked out, the LMC is looking at indemnity costs, she said.
Dr Vell added: 'We are negotiating a better deal for indemnity that will be a joint between hospital system and corporate indemnity so that we have an indemnified population hub, which means it is cheaper for every named GP in that corporate organisation.
'We are hoping to remove indemnity from the cost of the GP entirely. That is the plan.'