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GP contract to undergo 'fundamental review' this year, says NHS England chair

Exclusive: GPs are facing a new raft of changes to their contract, with a ‘fundamental review’ of how practices are paid due to report later this year, the chair of NHS England has told Pulse.

Speaking at the Pulse Live conference, Professor Malcolm Grant, chair of NHS England, said the three ‘big things’ that the organisation would focus on this year would include how to incenvitise ‘medium term’ outcomes in primary care.

The other two priorities will be addressing the rising pressure on A&E departments and mortality rates at certain hospitals.

Professor Grant said that he was not in favour of redrawing the contract for GPs to take back out-of-hours care, in order to address the rising pressure on A&E departments, but that there did need to be a ‘joined up idea’ of the source of the problem.

Professor Grant said: ‘I am not really keen about the GP contract going through a battle every year, without a clear vision of where it is going.’

When asked if this meant there was going to be a fundamental review of the GP contract this year. Professor Grant agreed, saying: ‘It will be put out to consultation later this year’.

‘We have some big things to tackle - A&E, mortality rates in hospitals and the other is primary care.’ 

He said that NHS England intended to ensure that the GP contract struck the ‘right balance’ between providing resources for an elderly population and supporting practices in deprived areas.

He also admitted that the quality of care under NHS 111 had been ‘unacceptable’ and said that the rollout would be extended ‘for as long as it takes’ to ensure it provides a good service.

‘We will extend its footprint gradually and only when we are satisfied it can provide a good service,’ he said.

Readers' comments (25)

  • 'fundamental review.'
    At least he's not stretching the truth like 'no top down reorganisation of the NHS.'
    Anusol may not be quite good enough.

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  • Boys and Girls- this is fork tongue speech. Translated, it means- OOh back to GPs, bash GPs for AED attendance( but promise pts they can every thing under the sun)
    More austerity coupled with more work.

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  • To my colleagues unless you are prepared to take robust action you will get the contract you deserve.
    Being "liked" doesn't matter, this government only understands strength

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  • do i hear the footsteps of a rebellion?

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  • What happened to the dentists is happening to us. Push us past our limits, we will all say " thats enough", and they can blame us for the currentNHS primary care becoming private. It will lose the next election for them, but the " Sir Humphrey Appleby" advising them will be chuffed to bits.Keep you patients on side, they are the ones that matter, not the London centric chess game they are playing in Whitehall.Remember we are a commidity, that cannot be replaced. Talk to your local MP. Talk to the press, we have to play their game.

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  • What the government does not understand what kind of service we provide. In their eyes we just see patients and deal with their cough cold infection etc. Any one from EU or other countries can be employed and do this job even if they cannot speak the language or understand British culture ! They need to be made to understand the true value of managing all the longterm conditions that we manage thus saving hospitals all the follow up and NHS the money. I can guess what is going to happen? Slowly general practice will be full of doctors who are imported for the job and we will have same problems as we are having with local farming, industries etc. We will soon have overseas call centres making our appointments, writing our notes, reporting on our investigations! I do not want NHS going that way and I am sure neither do you. Make your voices heard. We all love our NHS but we should not be pushed with more unnecessary work with less renumeration. It does not stack up.......

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  • Stuff this, I'm off a.s.a.p. good luck from the rat deserting the sinking ship HMS NHS

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  • What contract?!?..

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  • Wake up call for BMA & RCGP
    Work together to fight these constant changes
    Or lose your remaining influence.

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  • governments need votes-nothing else matters-our so called leaders are useless at taking on the spin machine.we are well liked by the public-they are not yet we are being hammered and blamed.eg staffing levels in hospitals may be resposible for a lot of problems-this is caused by underfunding-let the whole country know this now

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