The key players' views on the contract sticking points
With the GPC preparing to make a final decision this week on whether to ballot GPs on the contract, negotiators still have a long way to go to hammer out a deal on the make-or-break issues
On switching from census data to
GPs' registered lists
GP negotiators: Want to keep pay per patient
at £53 and fund switch from elsewhere
Dr John Chisholm, GPC chair: 'If we did nothing else the money would fall to £49.85 per patient. We are looking at not making that drop.'
NHS Confederation: Committed in principle to the switch, but will veto demand to divert cash from quality into global sum.
Mike Farrar, lead negotiator: 'We are not prepared to renegotiate a category of the contract to find a solution to the redistribution effect of registered lists that changes the overall balance.'
GPC: Switch must be agreed before ballot can go ahead.
Dr Charles Simenoff, GPC member: 'I want
a signed commitment from Alan Milburn
that GP remuneration will be based on
Weighting quality pay according to practice disease prevalence
GP negotiators and NHS Confederation: Committed in principle, need to work out feasibility.
Dr John Chisholm: 'Government is prepared to be flexible in moving to a system perceived to be
fairer and based on relative workload as long as it is cost neutral.'
GPC: Deal must be agreed before ballot can go ahead.
Dr Ron Singer, GPC member: 'My minimum requirements would be changing to registered lists, including disease prevalence in quality and de-linking quality from the Carr-Hill formula.'
Ending 100/150 quality point penalty for MPIG practices
GP negotiators: Not seen as a 'must-win'.
NHS Confederation: Not important.
Mike Farrar: 'This would have to be paid for by other GPs. I think a lot of GPs would not support funding a small offset to a particular group of practices.'
GPC: Support end to penalty but not seen as vital.
Dr Rob Barnett, GPC member: 'It is high on my agenda.'
Early review of Carr-Hill formula
GP negotiators and NHS Confederation: Agreed on review in October 2004, likely to commit to inclusion of other factors, such as patients' ethnicity.
GPC: Acceptance that new formula not achievable in two weeks but need commitment to early review.
Dr Chaand Nagpaul, GPC member: 'In an ideal situation I would wish not to see a ballot before the revision of Carr-Hill, but we risk losing the implementation because of the legislative timetable.'
Expanding eligibility for seniority pay
GP negotiators and NHS Confederation: Proposals to follow shortly.
More clarification on way ahead for PMS
GP negotiators: Government has to take the lead.
Department of Health: Pledge to allow PMS GPs to compare income with pay under new contract 'soon'.
GPC: Need to stem the flood of GPs into PMS.
Dr Peter Fellows, GPC member: 'If over half of GPs enter PMS the incentive (for the Government) to negotiate for GMS will be lost.'