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GPs go forth

5,000-patient practice to close and be replaced by APMS contract

The partners of a practice with a growing patient population of over 5,000 has become the latest to fold to pressures and resign their contract.

The three partners at the Northville Family Practice in the Filton area of Bristol have informed NHS England that they will resign as holders of the practice’s PMS contract with effect from 14 January.

NHS England told Pulse that it is currently hunting for a new management team to take over the practice, currently counting 5,331 patients on its list, under an interim APMS contract from that date onwards.

NHS England said this was likely to run for one year while it consults on a long-term solution for GP provision in the area, where a major housing development is expected to increase the local population by ’thousands’ within the next few years.

The practice partners declined to comment but Avon LMC chair Dr Simon Bradley said he believed their resignation was linked to financial pressures and recruitment problems.

NHS England South West medical contract manager Caroline Stead said: ’We’re absolutely committed to providing local people with high quality GP services.

’In the short term, it will be business as usual for patients while we quickly find a new interim management team and then oversee a seamless handover to them.

’We will then be looking at talking to local people about the types of services they need for the longer term.’

Patients in Filton are the latest to lose their local GPs amid scores of partners resigning their contracts due to dwindling funding and a national recruitment crisis.

A Pulse investigation carried out earlier this year found that more than 160,000 patients across the UK were displaced as a result of their practice closing in just two years.

Pulse has been lobbying NHS England to make emergency funding available to struggling practices via the Stop Practice Closures campaign for over a year.

The GPC recently also demanded that NHS England steps in to prevent GPs from having to resign their contracts, suggesting practices should be able to declare ’major incidents’ and gain access to emergency funding similar to A&E departments.

NHS England’s Five Year Forward View, published last year, suggested that a significantly larger proportion of NHS funding should be diverted to general practice but the GPC has accused the Government of being ‘distracted’ from dealing with the real issues faced by general practice, focusing instead on its political manifesto commitment of seven-day appointments.

Readers' comments (13)

  • Will that will save money wont it...............

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  • Domino effect building momentum. There will be plenty of GPs offering services back but will do it on their terms looking for a better life balance.

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  • The essential infrastructure of the nhs...practices and trusts is collapsing yet the staggeringly incompetent government wishes to waste even more money on insanities like personal health budgets and other nonsense like pointless 7 day convenience minor routine care
    Simply words fail me
    This is a slow motion but real national emergency and patients are suffering
    Yet the dogmatic allegedly corrupt deluded maniacs in government continue with the massive waste fragmentation and bureaucracy due to the ludicrous failed internal market the madness of pfi and the other very long litany of failed wasteful fragmenting privatisations which conservatively waste 5 more like 10 billion a year
    Fiddling while Rome burns
    This culpable incompetence combined with gross lying at the political centre is unforgivable
    BMA now is the time for a national strike to do emergency care only and end the political interference and restore the nhs
    Cooperation and collusion with this disgraceful maladministration must end
    Mr hunt ,nhse this will not be forgotten and I am certain the electorate will hold you to account I the future as you are following policy without a mandate such as 2012 etc
    You have forgotten this is a democracy and you have the support of 26 per cent of the electorate
    The people have not forgotten

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  • Took Early Retirement

    let's hope they offer an APMS contract and the existing partners bid for it, are successful and earn pots more than they are now.

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  • Latest pension smash and grabs planned by Tories will push even more to retirement, leaving us poor B@st@rds who are too young for retirement stuffed and holding the rest of GP land together with a shoe string.

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  • Anonymous | GP Partner10 Oct 2015 11:07am

    as i've said before under 50s have nothing to lose from ditching NHS and straight into private practice and let the laws of supply/demand rule. It's the over 50s who want us to negotiate and keep things going - wonder why?

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  • The sadness is that it is GP's that are the spanner in the works!
    Patients complain they cannot get appointments, in my practice with ten GP's, not one of them work full time in the practice, they all do private clinics elsewhere.
    GP's get paid per number of patients on their books, yet they are unable / unwilling to be available to meet the needs of the patients, so their list and income from it should be cut.

    It is time all GP's were contracted full time to the NHS then none of these problems would have arisen.

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  • On top of this NHSE is spending so much money replacing the system that underpins the GP Payment system, why ? - the current one works, only so that it will be privatised

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  • 12:01 your opinion is not factual and will be regarded by most GPs as highly offensive. PRACTICES are paid for the patients they have on their books; INDIVIDUAL GPs are paid (roughly speaking)according to the time they put in at that practice. (This neatly accommodates the availability of part-timers, many of whom will be women with young families.)
    A GP who works outside the practice will therefore not receive full-time pay from their practice unless the money they receive (perhaps for working as a GPwSI within the community, or in running their CCG)is actually put directly into the practice coffers - in other words, so they earn on behalf of the practice.
    Your implication however is that GPs shortchange the patients and the NHS by taking a full-timer's pay and not turning up. That isn't true - especially as most full-time GPs I know are doing 12-14-hr days, and part-timers often do far more than they are contracted to do. (And by the way, please also bear in mind that about half GPs' time has to be spent on non-face-to-face contact with patients, doing paperwork, making reports, reading incoming letters etc.)

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  • Correction, my comments about how GPs are paid was in response to the comments made by the anonymous AHP at 12:00, not to the message at 12:01.

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