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Analysis: Dust settles on 'worst-ever' GP contract deal

Sofia Lind looks at this year’s bruising contract battle - and what may be next for GP practices

When GPC chair Dr Laurence Buckman told Pulse in January that the Government ‘held all the cards’ in the contract negotiations, he was remarkably prescient.

The new deal, which comes into effect this month, sees GPs in England face a painful funding squeeze and the worst hike in workload since the introduction of the 2004 contract. Weeks of formal consultation resulted in the Department of Health making only minimal changes to its original proposals and cutting the funding uplift from 1.5% to 1.32%.

In the three devolved nations, GPs face varying deals or impositions, but all agree that they will struggle to cope with the contract changes this year, and warn of serious consequences for patients and practices.

As the dust settles on this year’s talks and practices sift through the detail of the additional work they have to do, Pulse looks at what the future holds for the GP contract.


Gun-to-the-head negotiations.

Last October, weeks after being installed as health secretary, Jeremy Hunt rang the bell to start a bruising battle with the profession by announcing that UK-wide negotiations with the GPC ‘were not going anywhere’ and he would seek to impose a deal on practices.

He offered a 1.5% uplift to GPs in return for them accepting a deal that included an unprecedented increase in QOF workload, four new DESs and taking responsibility for administering locum superannuation payments.

The scope of the proposed deal was enormous, and the GPC rejected it almost immediately, leading to separate negotiations taking place in the devolved nations and a stand-off with the Department of Health that lasted until last month.

I don’t negotiate with a gun to my head, and there was a gun to my head.

Dr Laurence Buckman

Asked now if he would have done things differently, Dr Buckman is stoical.

‘No,’ he says, laughing bitterly. ‘To agree for them to hit me round the head and they will give me slightly more money? No.

‘We would never have agreed to this. I don’t negotiate with a gun to my head, and there was a gun to my head.’

Dr Buckman says the GPC was days away from a negotiated settlement with NHS Employers after five months of intense talks - although NHS Employers disputes this. But any notion of compromise was blown out of the water by the DH.

Dr Buckman says: ‘The October version was a negotiation. It certainly was nothing like what is being imposed. But there is no point crying over what might have been.’

Warnings ignored GPC negotiators in Wales and Scotland were able to secure more favourable deals with their respective governments, but practices in England and Northern Ireland will see the vast majority of the original deal pushed through this month with only minor amendments.

In England, the DH has made minor changes to the DESs - revising the remote monitoring DES to focus on preparatory work for next year and limiting the scope of the dementia case-finding DES to focus on at-risk groups for now.

It will also defer implementation of the QOF indicators for pulmonary and cardiac rehabilitation until next April because only 10% of GPs currently have access to those services.

But it roundly rejected GPC concerns that the changes were ‘unworkable’ and would damage patient care.

Mr Hunt said: ‘The GP contract needs to change to make sure the excellent care enjoyed by some patients is more consistent across the country.

‘I know GPs will rise to the challenge.’

Financial impact

To add insult to injury, Mr Hunt rejected a recommendation from the Review Body on Doctors’ and Dentists’ Remuneration (DDRB) for a 2.29% funding uplift to cover rising staff expenses, on the basis that he wanted to ensure GP practice staff were subjected to the same 1% pay uplift limit as other members of the public sector.

His final offer was a 1.32% funding uplift, which accountants predict will result in an average 4% cut to GP drawings.

Dr Buckman says that the award will lead to exhausted and demoralised GPs, with little time to be involved with CCGs in England.

He says: ‘There already is a workforce crisis but it will get worse.

‘You are not going to have 46,000 GPs walking out at once, but slowly people will say “I have had enough. I can’t do this forever and I am going”. It is really, really sad, and not good for patients.

‘It is a very difficult time. A demoralised time.’ Is it the worst time since the 2004 GP contract?

‘Yes, that is probably true,’ he says.

Scotland and Wales contract changes jpg

Where next?

Dr Buckman is bullish about the prospects of preserving a UK-wide GP contract, saying that this year’s events have made a split less - not more - likely.

He says: ‘We know that the three Celtic nations don’t want to do that.

‘Although the English contract does differ, the vast majority of the things we do are exactly the same.’

If Scotland is an independent nation we will work with it

Dr Alan McDevitt

Scottish GPs rejected a motion at their LMCs conference last month calling for separate contract negotiations north of the border. Scottish GPC chair Dr Alan McDevitt says that a separate contract will only be appropriate if Scotland votes for independence next year.

He says: ‘Obviously if Scotland is an independent nation we will work with [it]. From our point of view, it is about ensuring that practices have the resources they need to look after the patients they care for.’

But the NHS reforms in England are set to transform contract negotiations, with the DH transferring responsibility for holding the GP contract to the NHS Commissioning Board, now renamed NHS England.

The board will be responsible for bringing in major changes to GP funding from next year, including starting the process of abolishing MPIG and revising the Carr-Hill formula to take more account of deprivation.

The GPC has said the changes, which will see the average correction-factor-reliant practice lose around £1,700 per year over seven years, should be subject to a survey of GP opinion or a ‘special conference’ - but this has yet to be agreed by the DH or the board.

The board says that despite a change in oversight, the negotiations process will remain the same for now, with NHS Employers leading talks with the GPC. The board ‘anticipates’ the DDRB will be invited to resume making recommen- dations on GP funding and pay next year.

A spokesperson told Pulse: ‘The board would want to seek agreement, where possible, to any changes to the contract.

‘If agreement could not be reached, any changes to the contract would - as now - be subject to consultation.’

Will contract talks be any smoother next year? Dr Buckman holds out little hope.

‘No,’ he says, ‘Because the mandates will still be set by the Government.’

Pulse Live: 30 April - 1 May, Birmingham

Pulse Live

You can find out more about how to protect your earnings at Pulse Live, Pulse’s new two-day annual conference for GPs, practice managers and primary care managers. Richard Apps, partner at RSM Tenon, will be presenting a session on how to maximise your practice income and keep an eye on your cash flow.

Pulse Live offers practical advice on key clinical and practice business topics, as well as an opportunity to debate the future of the profession, and a top range of speakers includes NICE chair designate Professor David Haslam, GPC deputy chair Dr Richard Vautrey and the Rt Hon Stephen Dorrell MP, chair of the House of Commons health committee.

To find out more and book your place, please click here.

Readers' comments (3)

  • And dr buckman please explain WHY 46000 gps can't walk out on the NHS? Mass resignation is the only thing that will save general practice. Otherwise it's a slow progression to a deprofessionalised salaried service. The BMA has completely let the profession down. No steel or professional self esteem at all. And no vision. Let's hope in the long run sessional GPs charging for what the profession is worth will become the direction forward rather than the farce of the current government monopoly on health provision valuing healthcare cost as they deem appropriate.If the government wants market forces, let them be prepared to pay the TRUE cost of healthcare. As much as I believe in universal healthcare for all, this is clearly not possible within the current budget constraints especially with the wastage in micromanaging frontline staff. Patients need to be made aware of these constraints and need to decide what can and cannot be provided for on the NHS. The illusion of the universal first class service plastered up by the goodwill of dedicated overworked health care staff needs to stop. I want to provide excellent personalised care to my patients who REALLY do need it. Not the masses of worried well. If the NHS is to survive , healthcare needs to be made simpler and not extend the complex beurocratic beast of a system we have at the moment. Threatening resignation with a REAL threat to abandon the NHS is the ONLY thing which will make the government reconsider current policies.

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  • The 30 % of GPs over age 55 should be asked if they would be prepared to submit undated resignations.

    Many of younger colleagues simply can't risk resignation due tothe financial risks of 'the middle year'.

    Many older GPs can afford to go so we should be using this as a lever.

    BMA - why not at least ask the question?

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  • Drachula

    If all 3 partners in my practice resigned at once then the junior partner would be left carrying the can for redundancy etc. I don't think it can be done. What will happen is that people will go to other countries, retire early, do locums, choose to train in psychiatry, etc. and there will be very few of us left to do the job. And the NHS will then collapse. And then TESCO and Virgin will take over and do a jolly good job of employing doctors to do their job with a hand tied behind their backs, and we will all do 8 hour days and hate it. And our patients will get a REALLY bad service, instead of a somewhat frazzled one, as I was providing today.
    And Cameron, Lansley and Hunt will get what they wanted - privatised rubbish.
    Hey ho. I'll be off then.

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