Documente Academic
Documente Profesional
Documente Cultură
267
December 2013
HPV Immunisation
Vacancies
Vacancies
Events
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to reverse the adverse impact on all GPs and practices of imposed changes from last years contract
to reduce bureaucracy, box ticking and chasing of targets, which has added to excessive workload, widespread demotivation and has taken GPs away from attending to patients needs
to provide stability with increased resources in core GP budgets, enabling clinical judgment and flexibility
in providing care.
We believe that we have succeeded in achieving all of these. You will nevertheless appreciate that as with any
negotiated agreement, there has had to be give and take and compromise on elements of the agreement from
both sides. I would like to assure you that I and the GPCs negotiating team could not have made a stronger
case for GPs and general practice in this round of negotiations, and we fought your corner robustly.
The greatest benefit to GPs and their patients is that 238 QOF points have been removed and transferred into
core GP budgets. Most of the imposed changes to the QOF from last year have been reversed. This will significantly reduce the daily box ticking that has forced GPs to spend time looking at their computer screens rather
than the patient in front of them and will make a tangible difference to the daily lives of GPs and practice staff.
These changes allow all GPs to be freer to be doctors, exercising clinical judgment caring for patients, and resurrecting a sense of professionalism.
Three of last years imposed Directed Enhanced Services have ended, with resources reinvested into core GP
budgets. Together with the transferred QOF points, this significant transfer of money into core GP funds provides practices with stability and flexibility to deliver care based on the needs of their patients, and also protects
these funds from annual unpicking and renegotiation.
The QP points in QOF have also been removed, and together with the current risk profiling DES will fund a new
'avoiding unplanned admissions' enhanced service. This new enhanced service will resource practices to provide coordinated planned care to their most vulnerable patients.
We have ensured that requirements for a named GP for patients over 75 and the monitoring of the quality of
out of hours care are manageable for GPs. There are other contractual changes for IT that include building on
last years online access for appointments and prescriptions.
There are also important changes with the gradual phasing out of seniority payments. Faced with a government commitment to end age related pay progression across the public sector, we have negotiated for seniority
payments to remain in place for the next six years for those currently receiving them and a commitment that all
the savings made will be reinvested back into core GP budgets and therefore not be lost to the profession.
However, we remain concerned at the impact this could have on GP retention. I believe that through constructive talks we have reached an acceptable deal that is an important step forward for general practice and will
help relieve workload pressures on all GPs. This now must be followed with a planned strategy for investment
and development in general practice to meet the future challenges that it faces in the coming years.
I am sure that you will have questions and comments for us and these would be very welcome.
You can find out more from our website and you can contact me directly at info.gpc@bma.org.uk
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HPV Immunisation
Cornwall is one of only a handful of area where HPV immunisation is delivered in primary care. School
based delivery is the general model used. The national programme data monitoring looks at immunisation
completion within school years. I have argued strenuously that this is inappropriate and coverage is a
more relevant measure. The latest data from the Open Exeter system indicates that this is case. Cornwall
does achieve population coverage at a satisfactory level though a little short of the 80% target in the
younger cohorts. The measure may underestimate as it requires uploading of all data but it does indicate
that by age 17 the target level coverage has been reached. Well done.
The LMC will be pressing the case to retain this service and income stream within primary care. We believe that it encourages effective engagement with young people and may be one of the factors resulting
in our reduced teenage pregnancy figures.
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GP Trainees Newsletter
The latest edition of the GP Trainees Newsletter is now available at the address below.
http://bma.org.uk/working-for-change/negotiating-for-the-profession/bma-general-practitioners-committee/
committee/gp-trainees-subcommittee
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C O R NWA LL & I S LE S O F S C I LL Y LM C NE WS LE T TE R
Our practice:
currently 3 partners
Veor Surgery
South Terrace, Camborne.
An opportunity has arisen to start March 2014 for a GP Partner , to join our friendly and progressive PMS
training practice with 8,700 patients, 8 sessions per week. We are looking for flexibility, enthusiasm and
commitment to providing high standards of clinical excellence.
Please send expressions of interest and a copy of your current CV to our Practice Manager:
Teresa Kemp, Veor Surgery, South Terrace, Camborne, Cornwall. TR14 8SN 01209 611171 or e-mail to
Teresa.kemp@ veor.cornwall.nhs.uk
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C O R NWA LL & I S LE S O F S C I LL Y LM C NE WS LE T TE R