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Government 'making progress' with correcting 2004 GP contract, says Hunt

The Government has made progress with 'putting right' the wrongs made with the 2004 GP contract, health secretary Jeremy Hunt has said.

Addressing MPs in the House of Commons in an opposition day debate on NHS and social care funding today, Mr Hunt spoke about 'the need to make sure that if we want alternatives to A&E people are indeed able to get to see their GP'.

He claimed he has 'said many times that people wait too long to see their GPs', adding that: 'I have to say in all honesty that I think the GP contract changes in 2004 were a disaster because the result of those changes were that 90% of GPs opted out of out-of-hours care.'

He added: 'But we have been putting that right, and now 17m people in England - around 30% of the population - have access to weekend and evening GP appointments.'

His comments come on the same day as the National Audit Office published a report into the seven-day GP access scheme which claimed it was costing 50% more than in-hours GP care and GP leaders saying the scheme was 'in disarray'.

The Labour Party's opposition day motion called for 'the Government to bring forward extra funding now for social care to help hospitals cope this winter, and to pledge a new improved funding settlement for the NHS and social care in the March 2017 Budget'.

The health secretary has previously said the 2004 GMS contract was to blame for the subsequent lack of investment in general practice.

Earlier this week, Mr Hunt also said he expected GPs to step in to help reduce pressures in urgent care.

Addressing Parliament, he said measures to relieve A&E pressures may include 'releasing time for GPs to support urgent care work'.

The Department of Health indicated in a tweet, which was later deleted, that this would include the QOF reporting period being 'extended until April'.

However, asked by Pulse, the DH said yesterday that there are no immediate plans on how to free up GPs' time.

GPC deputy chair Dr Richard Vautrey said the DH tweet was 'made in error', adding: 'We made it clear that extending the reporting time for QOF would not help practices but could make things worse for them as it would delay essential payments that practices are dependent on to pay their staff.'

'Practices are under massive workload pressures and as our surveys have repeatedly highlighted GPs are already worried about the impact that workload and workforce problems are having on the quality of care they can give to their patients and have little or no capacity to do more.

'The focus of NHS managers is currently on hospitals but if anything it's GP practices that need additional support to help them manage workload pressures to deliver a safe service,' he said.

 

Readers' comments (21)

  • This man has no idea. Out of hours is just that - out of hours - and last time I checked we still had a service. It was never about routine care - which even if offered to 100% of the population all of the time shouldn't in theory reduce A&E attendance one jot. What a silly Hunt.

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  • I just make one request of PULSE- please STOP putting his face on your website -makes me want to puke. Use a 'department of health' icon or something instead.

    Simon Stevens seems to be speaking out about the lack of investment now that this friends in the government are turning the screw on him - maybe something good will come of the parliamentary select committee of this afternoon

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  • How can this man keep conflating routine and ooh care in such a vile way? 2004 led to increased gp recruitment. It is the lack of contract value increase one the past 8 years that has decimated gp. Is he really that stupid?

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  • Vinci Ho

    Give him a break , guys , he is an agent , always an agent.
    So predictable. But is it enough to defend the indefensible?
    Carrying 220,000 votes of confidence, how many people are really taking what he said seriously?
    Problem is ,Auntie May had to inevitably, rely on his info and opinions for her insights about NHS , having the excuse of being too tied up by Brexit and visiting non EU countries for assurance in new economic deals.
    The 'confession' of Harvey Dent in front of Health Select Committee today simply provided a banana slip for the fairly new PM......

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  • Vinci Ho

    Correction
    .....220,000 votes of no confidence....

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  • He can't be that clueless, can he?

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  • It is important to remember why the 2004 contract was introduced. It was largely a response to a recruitment crisis (sound familiar?).
    There is a good potted history here: https://www.google.co.uk/amp/s/abetternhs.net/2013/05/10/true-history/amp/?client=safari
    Personally my view is that a 'correction' of a similar factor is really the only way of making General practice more attractive and thus solving the current recruitment crisis.

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  • The "Nasty Party" have resurfaced again

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  • Hunt and May seem completely out of touch with what's going on in the NHS. I hope our esteemed leaders follow the example of our Northern Ireland colleagues unless the next contract is much improved.

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  • This is very typical. First blame patients for using A and E inappropriately( interestingly same health minister had admitted to doing just that),then blame GPs for not opening 12 hrs a day(although no resources made available to do so), then blame changes in contract made 12 years ago ( although no problems like these were seen in the first 4 yrs after the contract change). There is an old African saying-when you point the finger at someone- looks at the same hand and you will see 4 fingers pointing back at you.

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