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Headline

Buckman scotches commissioning boycott ‘rumours’

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Having attended the LMC secretary conference and heard the souce discussion I think it important to put this topic in context. The GPC where in usual negotiations with NHS bodies , it is purely when a government bully boy ultimatum of "we are imposing a contract again, come and choose how you will be hurt" that they declined. It was said experienced civil servants form the "other side" where personally emabrassed and dismayed at the political hardening of what had been productive negotiation to that point. I do feel the stance of " we do not negotiate on an imposition , only on matters for mutual agreement" is the correct ethical response in all circumstances. Undoubtedly when the imposition is revealed the GPC will be vocifereous in outlining the impositions many shortcomings. This is sensibly waiting for the target to appear before shooting, not a deficit of ideas. We have an unspoken difficulty in that the profession has never been more divided; those with ideological opposition to "market forces" seeking to derail clinical commissioning "on principle", whilst simultaenously "G.P.preneurs"- I believe from DDRB data about 90 around the country with multiple medical and pharmacy contracts do earn the kind of figure the "Daily Mail" bandies as the GP norm rather than the extreme outlier result. Although I hate to generalise, as some are rural dispening practices unable to be excused 24 hour responsibility, some undoubtedly have embraced the free market ethos of the previous 3 Conservative, 3 Labour and current coalition governments. Add in the "profit sharing partner" vs salaried vs sessional performer tensions we see around us on finances, education, revalidation and the reality of leadership becomes clear. You can only lead people in the general direction that those following wish to go. We are currently a divided profession and unable to give a unifying manadate of support to our leaders. I defy anyone without messianic personal attributes to be an effective leader of this riven profession. This is the time to build common purpose in the GP grass roots and reflect on the core values of our profession. If we can agree an agenda we would all be in agreement to follow, then I suspect you would find our leaders to be most effective

Posted date

03 Dec 2012

Posted time

3:56pm

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