Post on 14-Jan-2016
West MidlandsNuts and Bolts
Dr Dean Marshall
GPC Negotiator
Current issues
• GMS Contract
• Appraisal and Revalidation
• HSCA
• Other issues
GMS contract
• Current state of “negotiations”
• How did we get here?
• What does it all mean?
• What can we do next?
Current position
• DH have threatened to consult on
imposition of changes to the GMS
contract unless we return to
negotiations
How did we get here?
• 5 months of “negotiation”
• Mandate from DH – further
“efficiencies”
• GPC position –workload saturation
What does it all mean?
• 1.5% “contractual uplift” if we agree
• “fairer funding” between GMS and
PMS
• Implementing NICE QOF changes
• Increasing QOF thresholds
• Removing organisational points
What does it all mean?
• Changing time limits on some QOF
indicators from 15 to 12 months
• Changes to Carr- Hill - CPI and
deprivation
What can we do next
• Return to negotiating table?
• Disengage from commissioning
• Maximise income and minimise
expenses
Appraisal and Revalidation
• Introduction of revalidation in 2013
• “Leaders of the profession” go first
• 5 appraisals + MSF
• Appraisal does not equal Revalidation
Appraisal and Revalidation
• Sessional GPs
• Consistency of appraisal across
England
• Peer appraisal
• RO conflict of interest
• Failure to revalidate
Health and Social Care Act
• CCG constitution
• Authorisation process
• Conflict of interest
• Quality premium
• Performance Management
Health and Social Care Act
• NHSCB
• LATS
• LETBs/Clinical senates
• Health and Well Being Boards
Other issues
• Pensions
• Premises
• Extended GP training
• Recruitment and Retention