This site is intended for health professionals only

At the heart of general practice since 1960

All the headlines from the 2019/20 GP contract at a glance

This has been called the most significant contract since 2004, and with good reason. There have been a number of huge announcements, with several new pots of funding, and more details to be announced imminently.

The main headlines include:

Keep checking back as the page updates through the day

Related images

  • gp contract imae 580x386px

Readers' comments (29)

  • Knowledge is Porridge

    Looks great. Just worried its coming too late.
    Is there enough to make people invest their career to GP partnership?
    If they sorted out tax/pension mess, make appraisal optional for GP with over 20y experience, then we could have a bright spell ahead?

    Unsuitable or offensive? Report this comment

  • 150K looks like a lot but after tax and pension it's a much more modest sum. I wonder if this naming and shaming will be pre or post deductions?

    Unsuitable or offensive? Report this comment

  • Looks like the exodus will continue.

    Unsuitable or offensive? Report this comment

  • Well if you are close to the 150k NHS limit....what will happen is GPS will simply stop doing nhs work

    Unsuitable or offensive? Report this comment

  • Just in case anyone has missed it, the BMA have happily agreed to banning all private activity in your own premises.

    Unsuitable or offensive? Report this comment

  • BMA what are you exactly for,its not your GP members that for sure.Stopped paying you will not again waste of money.

    Unsuitable or offensive? Report this comment

  • WTF? Whats wrong with earning more working harder for the NHS? Please apply same to all NHS employees including managers

    Unsuitable or offensive? Report this comment

  • Perhaps it’s time to use the Stella Artois advertising slogan of ‘reassuringly expensive’!

    Unsuitable or offensive? Report this comment

  • Does anyone know what these 'seven service specifications' are going to be?

    Unsuitable or offensive? Report this comment

  • Looks great, are you for chuffing real, 1.4 bollocks per cent rise. A crappy couple of grand per partner to join yet another stupid acronym the pct is dead long live the pct once upon a time we had the best house in the village now i take home each monthwhat i did as a reg 20 years ago on a band 3

    Unsuitable or offensive? Report this comment

  • already given up hope NI GP

    22000 extra staff where are the GPs?
    smoke and mirrors everything buried in the Global Sum
    Pension help? what a joke pay 50% less get 50% less and 40% more tax on whats left
    Oh I nearly forgot a shed load of extra work thrown in for good measur

    Unsuitable or offensive? Report this comment

  • Overall the result of this negotiation is really good. People just like moaning but consider the following:

    The predicting GP pay change is the highest it has been for years.
    Everyone predicted that the government would insist on funding for indemnity coming out of GP pay but that has not happened. They have even remembered to make sure that we get the indemnity special payment this year (because that covers costs from last year).
    Everyone moaned about GPs being forced to fund increases in pension employers contributions - but that has been explicitly addressed in the contract.
    Everyone is getting paid 2 pounds per patient for just putting their name to a network - that is a 4% increase in pay alone, even if you agree with the network to ignore the rest of the funding and just pocket the cash for signing up. Most of us have already done this, so money for old rope.
    The staff coming through the network is option, but is essentially available at a 70% discount. You would be crazy not to take it up, but it is optional.
    20 Million to deal with data access requests - that is over 2k / practice. I don't think we charged anywhere near 4k in data access charges (for a practice double the average size).

    The main downsides are:
    - Naming high earning doctors seems just unfair. Why pick on full time doctors?
    - Insisting on booking through 111 and online access gives surgeries less leverage to innovate with appointment systems. How would it work with doctor first for example?
    No decision about run off cover for lower cost indemnity - surely that should have been decided by now!

    But those are small beans really. Overall an excellent outcome.

    (For what it is worth, apart from being a member I am not involved with the BMA/ government or these negotiations in any way at all).

    Unsuitable or offensive? Report this comment

  • Hello all, n00b GPhere again, so I’m wondering why GPs have to declare their income over 150k. Is this pretax or post tax? Will Locum GP doctors be affected by this new rule since technically speaking we are subcontractors to GP surgeries who are contracted to the NHS. Sorry for sounding green, I’m just worried about my future as a Locum doctor. I get tempted everyday towards moving out to Canada.

    Unsuitable or offensive? Report this comment

  • Can't see the positives in what will end up taking money from somewhere else, more work and then give less of it back.
    I'm sure the 20000 physics and pharmacists currently sitting on an island waiting for the chance to work will be overjoyed - they've been bored stupid these last few years since qualifying but not being able to find any work…
    With regards to the 111 option - we don't have that many free appointments for US to use every day let alone giving them to some untrained computer operator. Our only hope is they'll still be too busy sending out ambulances to everyone who calls them.

    Unsuitable or offensive? Report this comment

  • BMA have joined forces with DOH to eradicate Partners from Primary Care.

    Unsuitable or offensive? Report this comment

  • Vinci Ho

    The ‘right’ thing only happens at the ‘right’ time and the ‘right’ place in history.
    My take is that this would not even happen if this government was not so incapacitated by all sorts of incompetence(plus distractions of Brexit) and obviously, it is very much a minority government.
    (I know some will strongly disgree with me by politicising the matter , am I?)

    Unsuitable or offensive? Report this comment

  • already given up hope NI GP

    ObiOne
    forces Dark in you me thinks

    Unsuitable or offensive? Report this comment

  • There are lots of positives, but the 5 year limit on indemnity uplifts is concerning as that will then be let loose to seriously erode net practice income.
    The other obscured bigger concern is the 111 backdoor into online booking 25% of our appointments (using patients' own online codes). 111 have such a low medicalising threshold that these will be booked before you can blink, causing an immediate access crisis for those in genuine need and create even greater chaos and stress in hours. We have care navigation, triage and filtered options - all of which will be ignored through 111. This will be a major risk for partners as it will be outside our control.

    Unsuitable or offensive? Report this comment

  • After 8 years not having had a penny to improve premises or conditions for patients and with the same bullies in the local organizations, not very optimistic anything will change. Somehow, funding always tends to end up with the same Practices. Guess another line to Murphy's law.

    Unsuitable or offensive? Report this comment

  • When global sum is not enough to provide full time Nurse, GP and Reception staff, how can a Practice be expected to pay the balance 30% for any allied professionals? Again, it for the selected few who have 3 GPs for the same number of patients for which a Practice can afford only 1.5

    Unsuitable or offensive? Report this comment

  • Love that naming of GPs and Managers earning above £150k. Would be almost racial profiling!

    Unsuitable or offensive? Report this comment

  • The more you look at this the worse it seems to get.Generally not very impressive and not the solution to the impending workforce melt down.It relies on the new doctors taking responsibility and I bet for the majority of them it is easier and safer to pass it to the GP.More of the same beatings for us my friends and colleagues.As for the naming and shaming of high earning full timers I feel a part time change coming on methinks,doesnt encourage you to work does it.Can you hear that its the bell tolling for the end of the partnership,continuiiy and wholistic patient care.We will be the last generation of GPs to actually know our patients and their family,probably the last ones to care.Shift work anyone maybe we will get overtime but I doubt it.

    Unsuitable or offensive? Report this comment

  • doctors read noctors.

    Unsuitable or offensive? Report this comment

  • I have just read the whole 100+pages.
    It seems complex and scary
    I think it will escalate older GPs leaving in the next 2 years
    -video consultations compulsory by April 2021
    -weekly comprehensive care home visits
    -Patients to access their full GP notes by April 2020,imagine the questions and explanations we will have to give
    -Good old reliable fax machine in the bin in April 2020!
    Etc.......

    Unsuitable or offensive? Report this comment

  • @Ian
    To be fair we do most of that at the moment anyway. The only difference is the video consultations, although i think that will be challenging. And honestly the fax machine needs to be updated. You can fax-to-email.

    Access to notes is in fact getting easier. At the moment if someone requests access we have to travel through everything to make sure there is nothing dangerous in the past. In the new contract access is for prospective entries only.

    Unsuitable or offensive? Report this comment

  • I would be happy to say if I earned 150k. Not sure if any patient cares how much Gp earned. It is a pointless
    Exercise.
    What will mps. and mud do with their subscriptions when crown indenimity come in to force??
    70% reimbursement for pharmacist so do we pay 30% from pocket.
    Rest of contract changes seem ok to me?

    Unsuitable or offensive? Report this comment

  • Now where is that bus to put all these slogans on the side

    Unsuitable or offensive? Report this comment

  • 0.25 WTE per 50000 patients for the clinical director. That’s 295 WTE taken out of circulation across England. That’s really going to help the GP crisis.

    Unsuitable or offensive? Report this comment

  • David Banner

    Sinister details lurk behind the positive headlines.

    This contract is like an onion. The more you peel it, the more it stinks.

    Unsuitable or offensive? Report this comment

Have your say