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Reaction: GP contract deal 2014/15

Read a round-up of the reaction to next year’s GP contract deal in England.


‘We have been calling for this for three years and are pleased that the Government and the BMA have been able to reach a solution that is workable for doctors and, most importantly, focuses our time on improving the care that our patients want and deserve.’

RCGP chair Professor Clare Gerada


‘If you want to take a global view of the settlement, I would say it is a good settlement for patient care.’

Family Doctor Association chair Dr Peter Swinyard


‘The NAPC welcomes the return of professionalism to those who deliver primary care.  We now need to work together to assist practices and all those who deliver services to people to take full advantage of the new liberties we have to deliver the best to our people and populations.’

NAPC chair Dr Charles Alessi



‘The changes are a key part of the transformation that is needed to ensure we have a health and social care service that works as one around the needs of patients, providing the right care every time.’

Dame Barbara Hakin, chief operating officer and deputy chief executive at NHS England


‘So we’re talking about having to take unscheduled care requests from a third party to provide information? When I’m in an area of the country that hasn’t even funded remote access to my computer. So if I’m off on home visiting, it’s sort of saying I’ve got to have committed them to memory, because there’s no way I can answer them.’

Dr Andrew Mimnagh, urgent care lead at Sefton CCG


‘We will all be pleased to see QOF reduced. It consists of far too many moveable hoops to jump through, although overall I believe QOF has improved the quality of care. However the constant changes make it difficult to keep up with the latest requirements. QOF points unfortunately tend to be more about the ability to tick boxes than patients’ real needs.’

Dr Kathy Crisp, GP in Ascot

Readers' comments (12)

  • It will be interesting to see which QOF points are removed. Normally the easy to achieve ones and those that reflect good practice are taken away meaning that GPs continue the activity but lose the funding

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  • Well done and congratulations to Chaand Nagpaul on negotiating such a sensible deal.Considering that we are in times of austerity with a dearth of resources, it would have been tempting for Jeremy Hunt and the treasury to have pressurised for a significant clawback . The GPC team have done well to highlight the folly of pushing GPs beyond breaking point and have negotiated what appears to be a sensible list of changes . Well done on getting rid of ridiculous aspects of the QoF. The changes described are a basic revision that most of us as GPs would have recommended anyway. The DESs should hopefully be the correct vehicle to allow JH to pursue some of the more complicated areas.

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  • Having spent all my professional life in a relatively deprived area , receiving less than average remuneration - and gradually clawing my way back to average income through the seniority system - I feel very angry that this is to be phased out. It really makes you wonder why you bother. Early retirement beckons to me and I expect to many other senior GP's

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  • Are you all deluded or mad .....we GPs at the coalface in Wales already work 50-60 hours of nonstop stressfull clinically driven open access care as it is - named 24hr GP ....of course we shall all welcome a reduction in uneccessary box ticking/QOF but suggesting that we have time to spare to write and implement countless useless careplans where there are no staff or time to carry them out and when they are already covered by the access, chronic disease clinics medicine reviews and specialist nurse services for the more complex dementia/parks/copd etc. This is politicking within a group of practitioners who are beyond breaking point and do not hear the call for longer appointments and smaller list sizes that would truly make a difference to the delivery of care. Retirement will not come too soon.

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  • how are single handed and two doctor practices will manage 24 hours availability for over 75??

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  • Reducing QOF would be good. But wait and see which points are remaining.
    I am a GP working in East coast of England. Lot of retired elderly people with multiple health problems. Lot of deprivation and unemployment. GPs in these areas are working from the time they wake up until they fall asleep still unable to finish daily work load and suffering burn out. There is no incentive to work in these areas.
    GPs are paid about £100 per year per registered patient which is less than the fee for 1st visit to a consultant or an ambulance call out. We are supposed to look after health of a patient for whole year round for that fee. Few days ago I heard that cost of a call to 111 service is more than cost for a face to face GP consultations.
    I think it is high time BMA consider fee for service model which is standard in any other service.

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  • Dear Dr Nevill - I wanted to respond to you directly given am chair of GPC Wales to give you a sense of what is happening in Wales. It is good to see a GP from the Welsh coal face commenting on the stresses and strains that all GPs across the UK face on a day to day basis and I completely concur that the profession is on its knees from workload saturation and morale is so very low. As GPC Wales chair, that makes me part of the UK negotiating team and I have to say that the political climate that English GPs work in is very different to ours. What this agreement has meant for GPs in England is essentially a move in the right direction for addressing a number of the problems from last years imposition, recognising workload demand and reducing tick box medicine. The GPC UK team would be the first to say that this is just the first step into addressing the issues facing GPs across the UK. There is much more to do - have you read the GPC Solutions document - I heartily recommend it (a Welsh vision will be out for consultation soon).The devolved nations negotiations are progressing. In Wales we are looking at enabling GPs and their teams to have time to manage the individual patient's needs which we all know are getting more complex. We hope to achieve this through a variety of means as outlined in a separate PULSE article. We are lucky enough to have a Govt that does listen - they know there is a looking recruitment crisis and that practices are anxious about their long term stability and feeling the strain. We hope to conclude negotiations by Xmas. If you would like to contact me directly about Welsh issues please do so - it is always good to hear from GPs I have yet to meet - our email address is Regards, Charlotte

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  • Undoubtably supportive of qof tickbox excercise and red tape demise .It will be intresting to see what qof points are still left.
    Continuity of care in small practices is Traditionaly excellent but not sure How ? 24hrs services can be provided.
    Finally Good to see the U turn on Pay disclosure.Need to know the finer details hopefuly soon

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  • How can anybody support a 8% pay cut with the loss of Seniority Payment.

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