ࡱ> hjg @ ~2bjbj)) ;RKzKzb*ZZZZFFF8~L,A":::>Wk GAIAIAIAIAIAIA$DR GmA###mAZZ::A8qqq#LZ8::GAq#GAqq68;: 2Fo.9+AA<A9`GG8;ZZZZ;G;`wOq|ewwwmAmA bI(bAppendix 1 NEGOTIATORS REPORT FOR GPC NEWS Survey results GP patient survey: Your doctor, your experience, your say Practices in England that participated in the Access and Choice and Booking DESs should now have received payment from their PCTs. It seems that, on the whole, the results are positive for GPs and the headline figures should confirm this. Although the GPC has had some reports that, in some areas, the results are either incomplete or at variance with what practices expected, these incidents have been taken up by LMCs and we have sought a detailed breakdown from the Department about how the results were calculated from the returned surveys. For example, we are aware of a number of areas where results were paid on the basis of a very few returned choice postcards when practices were clear that they had returned many more than that number. Details of the national averages were due to be published by the Department of Health originally in early June. However a decision was taken by the Government to delay this announcement, citing ministerial hold-up and changes for the reason. It is anticipated that full results of the survey, including breakdown by regional, ethnic and age variation, will now be released on Tuesday 24 July. As the GPC believed that the survey had been discredited with the addition of the non-agreed question, we have not agreed to issue a joint comment with the Department on the results of the survey although we will, of course, be issuing our own statements to reflect the results. Part of the line we will be taking is that it has taken a large sum of money to demonstrate something we already knew. We have also been doing our own press work in terms of briefing the press of our views and following the release of the results we will issue our own response, together with guidance for practices. To ensure that practices are equipped with the necessary information to explain to patients their views on the survey, the GPC has produced a brief information sheet for patients that will be disseminated electronically to practices via LMCs following publication of the national results. Pandemic Flu Planning The GPC continues to commit itself to participation in the government working groups on flu pandemic preparedness. However, we are growing increasingly concerned that there are now such a plethora of groups, many crossing over in their remit, that there is a diminishing sense of any decisions being reached or anything being achieved. Therefore, the GPC Chairman wrote to Lindsey Davies, National Director of Pandemic Influenza Preparedness at the Department of Health, asking her to clarify the number of groups and their respective remits. In particular we feel it is important to understand the overall plan to ensure that we are participating in the most effective and relevant ones. We are now prioritising GPC representation on the groups and assessing how the GPC and the RCGP group can best continue its discussions about the role and capacity of general practice in a pandemic. LMC Roadshow feedback Overall it seems that most LMCs are happy with the current format although we recognise that there is some desire to open up some of the meetings (maybe once a year) to a wider audience. Using the specific feedback we received we have, for the autumn meetings, looked to introduce some flexibility in areas where LMCs have requested this. We will also look at the current locations with view to introducing road shows in new areas where requested. The dates currently identified for the road shows are the weeks commencing 24 September and 1 October 2007 although, again, there may be some flexibility around this. NHS Choices website practice entries and possible errors The NHS Choices website has now gone live. This is a NHS website detailing information online about all NHS services, including individual practices. Currently this only contains basic information (contact details, opening hours, location etc.) but the GPC has received feedback that, in some areas, the information available on the website contains multiple errors relating to these various practice details. The GPC were advised by Dr Foster, who have designed and set up the site for the Department of Health, that practices affected should go on the NHS Choices website and log the inaccuracy for the NHS Choices web team to amend. Dr Foster representatives came to the BMA to give a demonstration of the NHS Choices website, and the negotiators also had chance to discuss some of their intentions for the future. It is likely that NHS Choices will, at some point, include the ability for individual practices to post further information about their own practices (as is already in place for some NHS Trusts) and for patients to submit information detailing their experiences. These ideas are, at present, in a very early stage as far as general practice is concerned. The GPC will continue to work with Dr Foster as far as it can to try to ensure that such developments are implemented in a way that is valuable to both patients and practices. National Survey of GP Opinion 2007 The deadline for completing the survey has now passed and the results are being analysed. The BMA has also carried out a patient survey based on the discussion paper a rational way forward for the NHS in England and the results will be available in the near future. HPV vaccine implementation The Department of Health has announced that it has agreed, in principle, to accept JCVI advice that HPV vaccines should be introduced routinely for girls aged around 12-13 years. This national immunisation programme could start as early as autumn 2008. The Department of Health stated that this would be subject to independent peer review of the cost-benefit analysis and that funding for this will be considered in the context of the Comprehensive Spending Review. Details of the programme will be finalised over the next few months, following further advice from JCVI and discussions with the NHS on the implementation of the programme. At the moment the GPC has not had any discussions on this with the Department of Health or NHS Employers. We are led to believe that they have not yet decided what, if any, role general practice will have in the delivery of this vaccine. Naturally, we have made it absolutely clear that if they do decide to deliver this through GP practices, they must discuss this with us before any decision is reached. There is a vaccinations and immunisations sub-group of the GPC-NHSE negotiating team who would progress this as necessary. 750 CPD payment to GP trainers We are pleased to report that, following pressure from the GPC, the Department of Health has confirmed that the SHA is responsible for funding the 750 CPD payment for GP trainers for 2006/07. The Department has promised to write to SHAs to remind them of this commitment. We hope that by the end of July, at the very latest, all SHAs will have paid the money to GP trainers. Please let us know if you continue to have problems with this payment. Please note that the CPD payment is not available for 2007/08. Pensions Judicial Review On 25 June leave was granted for the judicial review of the Secretary of States intention to impose dynamising figures. It is likely that the judicial review process will be lengthy, as many legal processes are, with the result unlikely to be known until around the end of the year. Tiered pension contributions The negotiations on the new NHS Pension Review are ongoing. The headline gains maintaining the normal retirement age of 60 and the continuation and improving the current scheme have been consulted on and agreed. The GPC and the pensions department are now looking at the finer details of the proposals and the process and detail of implementation. One of the areas we are now working on is that of tiered contributions. The proposed contribution rates are as follows: Drop to 5% for lowest paid (under 15,107pa) Increase to 6.5% for middle earners (15,108 - 60,880) Increase to 7.5% for higher earners (60,881 - 100,000) Increase to 8.5% for highest earners (100,001pa and above) (Note the contribution rate is applied to the total income not just the proportion above the various thresholds.) There are issues around salaried staff, part-time working, people holding more than one job, High Cost Living Allowances and practitioner (GP) superannuable earnings etc. Meetings are being held on both sides, and jointly, to examine each issue and to find ways to implement the proposals that will fulfil the aims of the proposals and minimise the workload on the NHS pension agency. The BMA is aiming to ensure that no section of the medical profession will be disadvantaged by the new proposals. We do, however, need to recognise that in a mutual scheme of more than 1 million members, it is impossible for everything to be tailored to suit every separate groups wishes, and this includes the various types of doctors working within the NHS. The GPCs aim is to make sure that GPs are treated no differently to any other member of the scheme and that the underlying principles of the scheme are applied equally. Access and Choice DES Directions The 2007-08 Access and Choice DES Directions have now been signed off by the negotiators. We are still awaiting Department of Health legal clearance but hope that these will be released shortly. The Directions will apply from 1 April 2007 and the same arrangements will apply as for last years DESs. BMA business support In recent years, significant changes have occurred to the way in which NHS-funded care is provided, particularly in England. This ongoing transformation of the healthcare market has already seen new patterns of employment and contracting develop and there are likely to be further changes that will influence the way in which some doctors choose to deliver care to their patients. Consequently, BMA Business Support has been established to provide a resource for BMA members who wish to explore how the care they deliver to NHS patients can be facilitated through the development of new business models in the context of the changing health service. In developing this service the BMA is not making any political statement about the merits of any particular system of provision. The first publication Business structures A guide for doctors (published May 2007) is now available. Further information about this and on further guidance to be produced in the near future can be found at the link below. Please note that you will need to be logged into the BMA website to access this.  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