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