ࡱ>  @ 9bjbj00 hRbRb1z4555hR6d6TH77(7779(9<9 $ Rn >99>>774AAA>.77A>AAoK7 7 @5 (D 5"?70H7d ?Bd Kd KH9d:A;v<~H9H9H9$Bd0D@"B0Friday 17 November 2006 M4 Contents Page Carers' right to request flexible working 2 Contract negotiations update 1 GPC meeting 1 GPC workplan 2 IM&T update 2 Peer support groups 3 PMETB fees consultation 3 Receptionist triage 3 Report on main negotiating issues 1 Royal Medical Benevolent Fund 4 Strategy for urgent care 4 GPC meeting The GPC met on 16 November 2006 and this newsletter provides a summary of the main items discussed. Report on main negotiating issues Please find attached (appendix 1) the written report from the GPC negotiators submitted to the committee ahead of the meeting and revised in the light of the updates given at the meeting. Contract negotiations update There has been no further progress in terms of negotiations regarding the arrangements for the GMS contract for 2007/08. The GPC has now submitted supplementary evidence to the DDRB seeking recommendation on an uplift to the GMS contract. The GPC does not believe that submission of evidence to the DDRB prevents it from continuing discussions in an attempt to reach a mutually satisfactory agreement with NHS Employers and has made it clear that there is value to both parties in continuing with the DDRB process in tandem with any other discussions. Pensions dynamising factor Following the update in last months GPC News concerning correspondence from the Department of Health suggesting the imposition of a cap on the pension dynamising factors arising from the first three years of the new contract, there has been no further movement on this issue. The GPC has continued to make representations that failure to honour full dynamisation using the original agreed method and over the agreed timescale would be seen as a breach of the agreement between the government and GPC, and would be totally unacceptable. It is anticipated that the Government will make a decision on pensions dynamisation at the end of November. NHS pension schemes review update The review of the NHS pension schemes is underway in all three schemes (Scotland; Ireland; England and Wales). Communication material has been sent to all NHS employees and much more is available on the internet or by request. The BMA has prepared some explanatory papers including one explaining the reasons for the proposed contribution rate changes, an issue which has caused some concern among GPs. These are available to members on the BMA website  HYPERLINK "http://www.bma.org.uk/pensions" www.bma.org.uk/pensions Members can provide feedback of their comments to the pensions department via dedicated e-mail links for each consultation. Comments are required back by the end of November 2006 to help form the response. In Northern Ireland use  HYPERLINK "mailto:info.nipensionreview@bma.org.uk" info.nipensionreview@bma.org.uk In Scotland use  HYPERLINK "mailto:info.scottishpensionsreview@bma.org.uk" info.scottishpensionsreview@bma.org.uk In England and Wales use  HYPERLINK "mailto:info.pensionsreview@bma.org.uk" info.pensionsreview@bma.org.uk The outcome of the consultation is expected to be published in January or February 2007. Guidance will be produced to accompany the details of the new scheme at this stage. Information Management and Technology (IM&T) update PCT funding of IT equipment We are aware that some PCTs are refusing to fund the purchase of IT equipment and upgrades. We would ask to be kept informed when this occurs so that the JGPITC can assist. Details should be sent to  HYPERLINK "mailto:arivett@bma.org.uk__" arivett@bma.org.uk QMAS A revised set of Business Rules and Datasets is currently being revised and should be able within the next few weeks. GPC workplan The GPC is embarking upon a programme of strategic work to tackle some of the challenges facing general practice over the next few years. An action plan is being drawn up for the GPC, its subcommittees and the negotiating team. Carers right to request flexible working The government has recently announced that from 6 April 2007 the right to request flexible working will be extended to carers. This will have an impact on GPs as employers. A carer will be defined as an employee who is or expects to be caring for an adult who: is married to, or the partner or civil partner of the employee; or is a near relative of the employee; or falls into neither category but lives at the same address as the employee. The Department of Trade and Industry intends to publish further guidance on flexible working for carers in the near future. PMETB fees consultation The GPC is currently working with other BMA committees on a BMA-wide response to the latest fees consultation by the Postgraduate Medical Education and Training Board (PMETB). The PMETB is proposing that the fees for a certificate of completion of training (CCT) should rise from 500 to 750, with Article 11 and 14 certificate applications increasing from 950 to 1,250 from 1 April 2007. The Association will be submitting a robust response to these unfair suggested changes, particularly since these fees were increased drastically earlier this year. Peer support groups The GPC's Education, Training and Workforce Subcommittee would like to encourage LMCs to raise with their PCOs the need for support and/or help to set up GP peer support groups. Such groups are of direct benefit to GPs, particularly locum and salaried GPs. While these groups can be run by GPs themselves, and indeed it would be helpful to have a few GPs willing to work to establish these, the involvement of PCOs can help to take this forward. If you have any examples of good practice in this area, please email these to  HYPERLINK "mailto:jgoodway@bma.org.uk" jgoodway@bma.org.uk. Receptionist triage A number of queries have come into the BMAs Public Affairs Division in relation to triaging in GP practices. The Public Affairs division is the part of the BMA that deals with queries from patients and the public, and works to promote the image of doctors. It would appear that a number of practices require their receptionists to ask patients why they want to see the doctor, sometimes including details of symptoms, before they will allow them to make an appointment. Patients report this experience as both intrusive and inappropriate. While there are no specific regulations which relate to the way practices choose to offer appointments or triage patients we would like to draw to practices attentions the following points: 1. The new GMS and PMS regulations state: Patient preference of practitioner 18. - (1) Where the contractor has accepted an application for inclusion in its list of patients, it shall - (a) notify the patient (or, in the case of a child or incapable adult, the person who made the application on their behalf) of the patient's right to express a preference to receive services from a particular performer or class of performer either generally or in relation to any particular condition; and (b) record in writing any such preference expressed by or on behalf of the patient. (2) The contractor shall endeavour to comply with any reasonable preference expressed under sub-paragraph (1) but need not do so if the preferred performer - (a) has reasonable grounds for refusing to provide services to the patient; or (b) does not routinely perform the service in question within the practice. 2. Any member of staff involved in patient triage should be properly trained or the practice may be at risk of litigation and complaint. While all members of the practice team should be working within a code of confidentiality, patients have the right to decide who they disclose information to. This may be restricted to a few health professionals they trust and have a relationship with. Any triage system should be open and transparent (ie: if there are limited emergency appointments then patients should be made aware that any questions asked are to decide which healthcare professional they should see either the GP or practice nurse.) Telephone triage can be done successfully, as it is in Out-of-Hours services. In such circumstances receptionist staff are appropriately trained and can take a level of detail that enables them to signpost the patient to the correct form of care, whether that is speaking to or seeing the OOH doctor, OOH nurse or referral to A&E. Information on the practices appointment system and how appointments are allocated should be put in the practice leaflet so patients know when ringing what they are expected to be asked and what choices they will get. Strategy for urgent care The Department of Health published a consultation in October Direction of travel for urgent care a discussion document which can be found online at the following website address:  HYPERLINK "http://www.dh.gov.uk/Consultations/LiveConsultations/LiveConsultationsArticle/fs/en?CONTENT_ID=4139428&chk=SvcEBc" www.dh.gov.uk/Consultations/LiveConsultations/LiveConsultationsArticle/fs/en?CONTENT_ID=4139428&chk=SvcEBc A draft GPC submission for inclusion in the BMA-wide consultation response was discussed, as had been prepared following discussion on the issue at the GPCs Commissioning and Service Development Subcommittee meeting of 2 November 2006. Members expressed their strong concern over the apparent omission throughout the consultation document of GPs and their involvement in urgent care at present. There was agreement that in fact the majority of urgent care, both in-hours and out-of-hours (OOH), was delivered by GPs; either those working in GP practices or GPs working in OOH services. That many GP practices are no longer responsible for making the provision of OOH services did not affect this position. It was felt that the model for urgent care proposed in the consultation would not be accepted by patients and the public who almost certainly would continue to look to their GP practice as a first point of contact for urgent assessment. There was some discussion about the consequences of removing the urgent care element from general practice, the most significant being the harmful impact this would have on patient care. In addition, this would leave GPs to deal solely with chronic disease management, which would lead to the traditional gatekeeper role being lost and one of the key incentives for training to become a GP, the variance and range of work involved, being diminished. The committee was also keen to highlight the fact that a different and wider range of services were available in-hours compared with the OOH period and that patients should not be led to expect the same level of services OOH as during the day, as this was undeliverable. The NHS should aim to assess need in a timely manner 24 hours a day, 7 days a week to a good and consistent standard, but in relation to the response to this need, this would necessarily differ depending on timing. The BMAs Health and Economic Research Unit (HPERU) is coordinating the BMAs response to the consultation, the deadline for which is 5 January 2007. Royal Medical Benevolent Fund Please find attached (appendix 2) details of the Royal Medical Benevolent Fund Christmas appeal. The GPC next meets on 21 December 2006, and LMCs are invited to submit items for discussion. You may like to review these, beforehand, with the representatives in your area who serve on the GPC. The closing date for items is 12 December. It would be helpful if items could be emailed to Angela Button at  HYPERLINK "mailto:abutton@bma.org.uk" abutton@bma.org.uk. You may also like to use the GPCs listservers to exchange views and ideas. GPC News GPC News is available via the Internet, via the BMAs web pages:  HYPERLINK http://www.bma.org.uk http://www.bma.org.uk LMCs are reminded that their regional representatives can provide more detailed information about the issues covered in GPC News, and other matters. Other members of the GPC would also be pleased to accept invitations to LMC meetings wherever possible. Their names and addresses are in the GPC Yearbook. The secretariat can also provide a written background brief if required, but it would be helpful to have such requests well in advance of your meetings. Finally, if LMCs require assistance on local issues, they can also contact the BMAs local offices: addresses are on page 3 of the GPCs yearbook. This newsletter has been sent to: Secretaries of LMCs and LMC offices Members of the GPC Members of GP registrars subcommittee Members of the sessional GPs subcommittee   PAGE \* MERGEFORMAT 4 Friday 17 November 2006 M4 Friday 17 November 2006, M4  PAGE \* MERGEFORMAT 5 ,-.Y[\y{|} ! 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" # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~  Oh+'0  , H T ` lxFriday 16 March 2001 Karen Day GPC News Karen Day8Microsoft Word 10.0@@ȩC @J.' @T0D c*՜.+,D՜.+,@ hp|  bmaYh1 Friday 16 March 2001 Title 8@ _PID_HLINKSA6$zhttp://www.bma.org.uk/lmailto:abutton@bma.org.ukCarhttp://www.dh.gov.uk/Consultations/LiveConsultations/LiveConsultationsArticle/fs/en?CONTENT_ID=4139428&chk=SvcEBc2Vmailto:jgoodway@bma.org.ukZ mailto:arivett@bma.org.uk__lL &mailto:info.pensionsreview@bma.org.ukwZ.mailto:info.scottishpensionsreview@bma.org.uk9'mailto:info.nipensionreview@bma.org.uk=phttp://www.bma.org.uk/pensions  !"#$%&'()*+,-./012346789:;<>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F (D Data 51Table=dWordDocumenthSummaryInformation(DocumentSummaryInformation8CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q