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Hunt's GP package to go 'much further' than 2016/17 contract agreement

GP contract negotiations are ‘well advanced’, but changes are likely to be overshadowed by the package of measures to be announced by the health secretary next month, the head of NHS England has said.

NHS England chief executive Simon Stevens said in his report to today’s board meeting that ‘substantial funding and support’ will be provided to help reduce workload, improve workforce planning and redesign services.

More details of the support will be announced next month, he said, echoing the recent announcement by health secretary Jeremy Hunt.

The GPC said that it had persuaded the Government to hold off on the announcement until after the special LMCs conference this weekend.

NHS England has already announced that there will be a 4% increase in funding for general practice every year until 2021.

There has been no detail about how this will be allocated, but Mr Stevens said next month’s announcement will clarify this.

In his chief executive report, Mr Stevens said: ‘Following the outcome of the Spending Review we expect to be able to announced in February a substantial and wide ranging programme of funding and support for GPs and primary care.

’This will include measures on workforce, workload and service redesign. Constructive negotiations on the 2016/17 general medical services contract are well advanced with the [GPC], recognising that the February GP package will go much further than any one-year contract can in helping GPs with the real pressures they face.’

GPC deputy chair Dr Richard Vautrey said: ‘If they just come forward with short term, one-off measures as they did with the Prime Minister’s Challenge Fund – where significant amounts of money were given to small areas but were not sustained – then they are likely to fail. We need to continue to push NHS England and the Department of Health to resolve workforce issues. The resources need to be sustained.’

He added that the Government had wanted to announce the new measures before next month, but the GPC persuaded ministers to wait until after the special LMC conference in London this weekend on action needed to ensure GPs can deliver a ‘safe and sustainable service’.

This delay will enable GPs to express their concerns without being pre-empted by a Government announcement, said Dr Vautrey.

LMCs special conference taking place this weekend

LMCs conference 2013 - voting card - online

LMCs conference 2013 - voting card - online

Source: Jon Enoch

GPC deputy chair Dr Richard Vautrey told Pulse that the Government had wanted to announce the new measures this month, but held off until after the special LMCs conference at the request of GPC.

The special conference is set to discuss motions on undated resignations, moving towards a salaried GP service, stopping certain services and increasing the duration of GP appointments to at least 15 minutes.

You can read a live blog throughout the day on Pulse Today.

Readers' comments (26)

  • Sounds good, but if all the funding goes to GP federations, it sounds as though each federation will have to develop a common way of doing things. Think:

    Clinical databases accessible by any clinician across the federation at any location
    Common Referral templates to 2ry care
    One central referral centre
    Patient and pharmacy requests for repeat prescriptions going to one centre
    One group of GPs acting on the results of investigations on behalf of all practices in the Federation
    One number for patients to access investigation results
    GPs and nurses working across the federation.
    Very little continuing care from a named clinician
    Forces all clinicians to work the same way, which many will hate
    GPs covering other practices during half days, sickness and holiday
    QoF, LES and DES done from one Centre
    As new money comes in (like this new 4%) will be used to develop common employment and HR through the Federation
    One common complaints centre

    Whether this will result in more care at higher standards is debatable. However the resultant turmoil that this will create in individual practices is going to be immense. Many patients will not like it because they get used to the way a particular practice does things. However given time everyone adapts??

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  • Just one more year of shite to put up with then........

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  • Thank God , we're saved then . Hallelujah .

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  • Please don't dream on guys...
    Just think of the hoops you have to jump to get this money.
    Probably few times worse than what you have to do for initial and continuous assessment of unplanned admissions des.

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  • will probably be 28p per patient as as done-off payment in return for 8-8 7day working in perpetuity

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  • So they will stall again and throw a few more pennies at you.......and then you'll all bend over again as you always do to claim said chump change.....

    Then in another year or so the funding will be pulled and it's back again to square 1.

    Interesting how this announcement will be made after the lmc meeting this week. I suspect this is again to buy off dissent so that anything too radical can be delayed until an announcement is made thereby kicking into the long grass any possibility of real progress.

    I must say I like Chand nagpaul as a person but I think he is the wrong person to be leading the profession on this one. The anger within the profession needs to be represented with real action and not polite platitudes........

    Ditch the contract comrades
    Ditch the country comrades
    Ditch the college comrades

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  • Trust me - it is still not going to be good news.
    When have the conservative party ever funded the nhs to the level that it needs. This promise is to let GPs stop mass resignation - its an imaginary carrot before a big stick hits the derriere. When a government promises 24/7 routine GP care, 24/7 routine hospital care and slashes necessary funding by 4% year on year and increases bureaucracy. When a government asks Junior doctors to work 25% more unsocial hours for 30% less pay - its same that is coming to GPs. Its the same old police - smoke and mirrors - promise and don't deliver. If you are young and able - abandon the NHS. If you are old and able - retire before your health goes to pay the price of nhs martyrdom.

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  • Leave now -avoid the rush ( Actually more like stampede) for the exits .

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  • I wish Hunt would go much further - Pluto possibly .

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  • Vinci Ho

    Simple question:
    If you are so sincere , Harvey, why not announcing the details right now? Why next month ? What is the political calculation , huh?

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  • Announce now so we all know what they offer before the LMC meeting - otherwise will waste time talking about things when it is all going to change next month anyway

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  • Vinci Ho

    Mmmm. Yes.
    But is this LMC conference really so 'essential' in the eyes of Agent Hunt and Harvey Hunt? Interesting .

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  • Bob Hodges

    Why next month? Good question......

    My money is on the fact that they've actually realised that not only is EVERY indicator on primary care, and hence the NHS, that have is flashing red and every alarm is sounding, But the fan is now brown and simply blowing the stench straight at their faces.

    Next month is earliest that they can get it translated from the original crayon its been written in, and the earliest they can do it without completely losing face and the last vestiges of the credibility they imagine that they still command.

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  • "the GPC persuaded ministers to wait until after the special LMC conference"

    Well aint that just typical of the GPC's arrogance? I want to know the goverments intentions now. Why should I wait for some tired old farts to have their say?

    GPC - hear this loud and clear. You no longer have the support of many GPs.
    Aren't you and the RCGP and the rest of the honours seeking fraternity the ones who have been colluding with the government with your pathetic ten point plans?
    I won't be on the edge of my seat. Even if the plans sound superficially good, they will just be a delaying tactic. Jeremy and his puppet master, Dave are buying time so they can line up all their ducks.

    Scupper their evil plans. Do not delay.
    Ditch the contract comrades!

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  • its a classic hunt trick - dangle an imaginary carrot before the industrial strike vote. And then the actual "package" is a pay bonus after a hefty pay cut.

    Anyone that truly believe this is another 2004 contract is delusional.

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  • Part of the package must include a P45 for Mr *unt and his departure from his post.

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  • What a lot of rubbish! I do t believe a word of it. All spin and spin again. If it was any good we would know all about it. As it is c.... we have not been told.
    Dont bother with this as it is just more gp manipulation.
    He should put his contract and weezel words where the sun dont sh...

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  • Don't hold your breath GPs - you will be suffocated. In the words of a wise locum 'ditch the contract comrades'

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  • Had enough already, going at 56 - the pressure is relentless and it isn't going to change. Get out now or emigrate orchange career

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  • I am pretty sure "service redesign" will translate to 7 day working........watch this space

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  • What we have seen in unprecedented in modern times as you point out;

    The things we are witnessing are not normal, although they have gone on for so long now that we have perhaps become desensitised towards them. We are seeing burnout on a mass scale, divorce/marital breakups are common (things I witnessed when I working), mental breakdowns due to vexatious complaints and careers destroyed, deaths of colleagues undergoing FTP panels, suicides, media denigration on an unprecedented scale so that health professionals have become so dehumanised it is normal to attack and abuse them, surgery closures, attacks from "our own" colleagues in collusion with other interest groups, massive funding cuts, an exodus of more senior colleagues leaving for early retirements, a dearth of applications for once popular VTS schemes, junior doctors striking for the first time in over 40 years, incessant increase in demand for our services with a commensurate decrease in funding as a proportion of the nhs budget............

    This is beyond a crisis......its worse than a catastrophe and posters like 10:34 instead of condemning those responsible seeks to shift the blame to those who have been scapegoated and abused for simply trying to do the job they were trained to do!

    There comes a point in ones life where enough is simply enough;

    Physicians need to take heed and heal themselves, because you can be sure from all of the above that no one else will...

    The above are all symptoms of a sick and diseased system and ultimately the society it allegedly serves...

    Anyone with half a brain cell, an ounce of common sense, can sense that the nadir is approaching..... can see 4 terrifying men on horseback coming closer ......

    The end is nigh! while you still have the shirt on your back brethren

    DITCH THE COUNTRY COMRADES!!!!!!

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  • Another anouncement that there will shortly be an anouncement ...fills me with dread .Guaranteed to be worded to impress readers of the telegraph whilst making everything worse. Expect nothing other than the same old crap..less funding dressed up as more , longer hours and increased pressure spun as 'help' ..lies and deceit from bad people

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  • J.Hunt has done much worse than kill us..he has starved the NHS by inflicting wounds upon a dying body, then asks if it hurts with a smile on his face!

    Doesn't he care that the patients will eventually suffer?

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  • LMC agenda is a load of bull and by giving it undue significance, hunt is steering us away from his mountain of a package which will finally reveal a mole on the eve of Contract commencement.
    Expect it to be announced in the last week of march or the first week of april with a take it or leave it tag in the old NHSE tradition.

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  • Yes this package will indeed go much further to finish of general practice. Ditch the contract comrades.

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  • Federations CCG and all these retired GPs are boosting their £60 k pa pensions and forgotten the workers
    Can't blame them ...nice to Nod and get the cheque from reemployed PCT staff with nice redundancy packages

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