You would be no worse off as a PMS GP if you vote No
I have been a PMS-plus GP for three years
and nothing in the new contract entices me
to revert back to GMS because of its bureaucracy.
I am amazed how the GPC, which initially did not endorse PMS, now supports a full-blown practice-based contract and wants us all to vote Yes.
I'm not surprised it has not won the right to negotiate for PMS GPs.
PMS has evolved over the last three years. We have a formal contract mechanism with our PCT, a national monitoring toolkit is available, practice benchmarking is agreed with the practice and its individual needs are addressed via new growth monies/enhanced service payments. Set-up costs are available and any shortfall is addressed at regular contract reviews. Equity across practices for patient care is achievable.
I feel that those who vote No can be rest assured that they would not be worse off under PMS, especially given that IT, staffing, premises and out-of-hours shall anyway
be the responsibility of PCTs in the future.
Perhaps GPs should be given an opportunity to discuss an alternative global sum as if hypothetically they opted for PMS so that they can then make an informed choice.
Whichever contract one opts for, it's
going to be practice-based, monitored by our PCTs and the quality content is going to be similar.
Dr Bhargawa Vasudaven