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What should the GPC’s priorities be as it starts negotiating with the Government?

Read our round-up of views from GPs around the country and add your own concerns. We will send any submissions on to the BMA so that GPC negotiators are able to read them.

‘Making sure we’re not saddled with PCTs’ debt has got to be a main priority. Loading us with debt will cut our hamstrings from the outset.’

Dr Sue Harries, Manchester

‘Unless the charade of payment-per-unit-of-activity is tackled, we’ll be able to change nothing because hospitals will still have an incentive to game the system.’

Dr Lalit Gurnani, Nantwich, Cheshire

‘I want to know what weighting we’ll get for deprivation. If our rewards are to be based on savings and outcomes, those in the most deprived areas with the worst outcomes are going to need the larger share of the resource.’

Dr Stewart Findlay, Bishop Auckland, County Durham

‘Commissioning must be for fixed sessions, with fixed payments. Otherwise it will be difficult.’

Dr Fiona Cornish, Cambridge

‘I don’t think all GPs should have something that contractually says “you have to commission”. The GP contract should be more about what we do for patients on a day-to-day basis.’

Dr John Allingham, Hawkinge, Kent

‘There is a distinction between remuneration, reinvestment and reward. The first two are aligned with the public service ethos. We should concentrate on winning arguments about them.’

Dr Shane Gordon, Colchester, Essex

‘My personal view is that to deliver the new commissioning model, deliver quality care more efficiently we need to heavily invest in an extended primary care service i.e. be able to invest into general practice. How we can do this without ultimately combining our GP budgets with the rest of the commissioning budget, I do not know.’

Dr Pauline Brimblecombe, Cambridge

‘This cannot be a sensible model: how long are GPs supposed to be willing – even if able – to uphold a business model where they are expected to provide their own version of PFI (without any of the lucrative contracts on offer to businesses in secondary care), accept all the risks – and now become dependent on the whims of resource allocation based on politically motivated formulae and the performance of their partners in this shotgun polygamous marriage?’

Dr Mary Hawking, Dunstable, Kent

Dr Fiona Cornish