ࡱ> )+&'( @ Ubjbjqq 6"Mo:::::::NLLL8MMlN=}NN(NNNP P4P |||||||$R|:\PP\\|::NN4|ccc\:N:N|c\|ccuQ+::sNN B>L^g8X|d }0=}i {_psNN:::::s@P\SfcVW @P@P@P||N$r ? bNr?Friday 16 May 2008 M9 Contents Page BMA Support Your Surgery Campaign 1 Consultation: the future regulation of health and adult social care in England 6 Cremation forms and the review of death certification 5 DDRB recommendations and clinical DESs 2 GPC meeting 1 Launch of Easyhealth website 7 LMC conference 2008 6 Media coverage report 7 NHS Next Stage Review 3 NHS pension advice 5 Options for enhancing the career opportunities for GPs 4 Pensions 5 Premises survey 6 Report on main negotiating issues 1 Representation 3 GPC meeting The GPC met on 15 May 2008 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. BMA Support Your Surgery Campaign The BMA has launched a national Support Your Surgery campaign to defend and promote NHS GP services in England. The campaign focuses on the high quality of services provided by NHS GPs, and GPs concerns about government plans to introduce more commercial providers into general practice and to develop polyclinics / large health centres, even in areas where there is no proven need. The campaign has been designed to raise public awareness and to stress our concerns that current government policy could destabilise existing services, depersonalise patient care and put some GP practices at risk of closure. The centrepiece of the Support Your Surgery Campaign is a petition in the form of a NHS General Practice 60th Birthday Card. All of the signatures collected by GP practices will be collated by the BMA and presented to the Prime Minister on Thursday 12 June, the first day of LMC Conference. We urge all GPs to become actively involved in this campaign and to do all they can to raise awareness of these issues, both among their patients and the wider public. We need all GPs to: display the petition and other campaign material prominently explain the issues to patients and the public collect as many signatures as possible from patients and the public in support of the petition work with their LMC and the BMA locally to promote the campaign in their area return the petition to the BMA on Friday 6 June. A campaign pack containing the birthday card, petition, posters and patient information leaflets will be posted to all GP practices on Friday 16 May. Practical guidance has also been included in the campaign pack, and GPs will be able to access support from their local medical committee and the BMA nationally and locally. A campaign toolkit will be sent to all LMCs in England on Friday 16 May. LMCs have been asked to support GP practices and to co-ordinate activities (press activity, meetings with MPs, etc) locally, working with BMA staff and they will also be able to take advantage of professional support from the BMA where needed. The BMA will also be publicising the campaign in the national media. DDRB recommendations and clinical DESs There remains uncertainty about the legality of the process for implementation of the DDRB recommendations on the uplift of global sum and reduction of the correction factor. This has been raised with the Department of Health and further expert legal advice is being sought. While this is ongoing, the implementation of the new clinical DESs continues to be in abeyance. Payment for the DESs is, of course, meant to make up the shortfall between the national pay uplift and 1.5% which was an integral part of the extended hours option A package. Despite the uncertainty about the implementation of the DESs, as part of a May Day holiday announcement about strengthening family doctor services, the Secretary of State formally announced an investment of 50 million in additional clinical services, which are the new DESs, plus a further 50 million in improving access. Although the press notice indicated that there would need to be a consultation with the BMA on the legislative changes to implement the DDRB recommendations, it was not clear about the knock-on effects on the DESs. The GPC's position remains that while the legal position continues to be so unclear, the DESs cannot be implemented. However, to ensure that there could be swift implementation depending upon the outcome of these legal issues, the negotiators have continued to discuss the detail of the clinical DESs, and they are close to a final form, should a position be reached where they will be implemented. In outline, the DESs will cover the following: enhanced treatment of heart failure improving both the quality and length of life and for patients with left ventricular dysfunction through appropriate use of betablockers osteoporosis identifying and treating appropriately women with osteoporosis and a history of fragility fracture health checks for patients with severe learning disabilities an annual health check to include physical examination and medication review harmful drinking aimed at newly registered patients aged 16 and over identified as having problem drinking and delivering an evidence based brief intervention to those identified as drinking at hazardous or harmful levels more comprehensive ethnicity recording of patients over a two year period. NHS Next Stage Review On 8 May, Lord Darzi published two further reports as part of the NHS Next Stage Review. Leading Local Change set out five key pledges detailing how the NHS will handle changes to services in the future. The report, aimed at the public, patients and staff, set out a rigorous process requiring any change to be transparent, clinically evidenced, locally led and for the benefit of patients. This document was accompanied by Changing for the Better, operational guidance that identified eight key steps to enable service change through the five pledges to be realised. Both documents can be found at:  HYPERLINK "http://www.ournhs.nhs.uk/2008/05/08/leading-local-change-framing-document-launched/" www.ournhs.nhs.uk/2008/05/08/leading-local-change-framing-document-launched/ Throughout May and June, strategic health authorities (SHA) are publishing their clinical visions, representing the culmination of the work of the eight clinical pathway groups set up in each SHA in October 2007. These will set out the priorities for improving health and healthcare in the region over the next decade. Following the publication of each vision, the BMA will be holding a regional council meeting to discuss the reports. Details of these meetings are below: 1. East Midlands/Trent 11 June 2008 (Lincoln) 2. Eastern 28 May 2008 (Cambridge - RCSC meeting open to regional council members) 3. North East 28 May 2008 (Newcastle) 4. North West 23 June 2008 (Bolton Postgraduate Education Centre) 5. Southern (covers S Central & SE Coast) TBC 6. South West 16 June 2008 (Taunton) 7. West Midlands 18 June 2008 (Birmingham) 8. Yorkshire 17 June 2008 (Leeds University) BMA members whose email addresses are held centrally will receive a formal invitation to their regional council. All others are welcome to contact their regional centre for information about the meetings you do not need to be a member of the regional council to attend. Lord Darzi is due to publish the final report of the Next Stage Review at the beginning of July. The GPC is to publish guidance on the procurement process for the new services that Lord Darzi recommended in his interim report. This will be available from the beginning of the week commencing 19 May. This document, and all new guidance, letters and information, can be found on the section of the BMAs website dedicated to the Next Stage Review:  HYPERLINK "http://www.bma.org.uk/ap.nsf/Content/HubDarziReviews" www.bma.org.uk/ap.nsf/Content/HubDarziReviews. Representation The committee considered a number of proposals from the representation subcommittee to address issues raised in relation to the under-representation of sessional GPs, and voted in favour for the co-option of two further members of the sessional GPs subcommittee to attend the GPC in addition to the subcommittee chairman and deputy chairman for the 2008-09 session. It was also agreed that all the co-opted members of the sessional GPs subcommittee be allowed to send deputies to the GPC meetings if they were unable to attend. The committee supported proposals that Northern Ireland (NIGPC) send one observer to each committee meeting to allow a greater degree of succession planning in Northern Ireland for the limited seats available on GPC, and also asked the representation subcommittee to consider further the potential for observers to be invited from LMCs to attend each meeting. Work on this proposal would be taken forward pending the available capacity of the new Council chamber. Elections GPC negotiators The committee agreed that elections for the negotiating team are to be run using single transferable voting (STV) as opposed to serial voting, to allow a greater degree of involvement from all voting members in electing the team of negotiators. This will be implemented for the July GPC negotiator elections with assistance from the Electoral Reform Services (ERS), with further work to be taken forward in the new session towards an in-house STV programme. GPC subcommittees The committee considered proposals to improve the efficiency of the committee, and agreed to look at different ways for working in the future, to include a piloted split committee day in the new session between full committee meeting, and subcommittee meetings, which would further increase devolved working to the GPC subcommittees. GPC regional elections 2008-2011 The regional elections for the GPC are now complete, we are pleased to confirm that the candidates as listed below have been elected to the GPC for the 2008-2011 sessions. John Rawlinson Berkshire/North & East Hampshire Pritpal Buttar Buckinghamshire/Oxfordshire Neil Thomas Cheshire/Mid Mersey Gruffydd Jones Dyfed Powys/North Wales Peter Fellows Gloucester/Avon Alan McDevitt Greater Glasgow & Clyde Stewart Drage Hillingdon/Brent/Harrow/Ealing/Hammersmith & Hounslow Kamal Sood Leicestershire & Rutland/Northamptonshire Stewart Kay Lewisham/Southwark & Lambeth/Bexley & Greenwich/Bromley Roger Ford Northumberland/Newcastle & N Tyneside/Gateshead & STyneside/Sunderland Mary McCarthy North Staffordshire/South Staffordshire/Shropshire Douglas Moederle-Lumb North Yorkshire/Bradford Satya Sharma Sandwell/Walsall/Wolverhampton/Dudley Helena McKeown Wiltshire/Dorset There is a vacancy left for the Barnsley/Doncaster/Rotherham/Sheffield constituency, and nominations for this will be re-opened in due course. Options for enhancing the career opportunities for GPs The GPC recognises that there needs to be improved partnership and employment opportunities available for GPs, as well as the need for career pathways for all GPs. Unfortunately at present there appears to be only a small number of partnership vacancies, and even fewer that are openly advertised. There is also concern that many salaried GPs are not being offered appropriate terms and conditions and/or are not being adequately remunerated for the work they do. A working group was set up last month - which consists of representatives from the GPC's sessional GPs subcommittee, GP trainees subcommittee and the education, training and workforce subcommittee - to consider these important issues and to produce a scoping paper for the GPC to consider. The working group's paper was presented to the May GPC meeting, and the suggestions arising from this will now be discussed in further detail with a view to early action being pursued. We will keep LMCs informed of the work of this group. Cremation forms and the review of death certification As you may be aware, there is an ongoing review of death certification, cremation, and the Coronership since the publication of the Shipman Inquiry's third report and the Home Office review of these matters. Progress has been very slow, but you will recall that some changes have already been made, for instance the very strong guidance that cremation should be refused unless the doctor signing Form C confirms that s/he has spoken to a relative or carer of the deceased or to some other person who can confirm what the doctor signing Form B has said. It has been noticed that there may have been instances around the country where doctors have signed Form B or C without having seen and examined the body of the deceased after death. We have been asked to remind you that this is a criminal offence under the Cremation Act 1902, with a possible punishment of up to two years' imprisonment. We believe that police forces and the Crown Prosecution Service would take seriously and investigate any allegation of such behaviour. It is also worth remembering that the GMC would be likely to view as serious misconduct the completion of the Form B or C with a statement that the body had been seen when in fact this was not the case. Pensions As reported last month, the Secretary of State decided not to appeal against the Judicial Review decision on pensions dynamisation, and has subsequently confirmed this in writing. Further exchanges of letters between the chairman of Council, and the Secretary of State have clarified that the rates for the dynamising factor for the years 2004-05 and 2005-06 are now to be calculated by the Technical Steering Committee and GPs will be advised as soon as this has been determined. Additionally, under the judgement, the Secretary of State is free to re-determine the calculation of dynamising factors for the two years 2006/08. We understand that the Secretary of State intends to replace the previous determination made for 2006/07 and 2007/08, which will be likely to result in a DF for both years of 1. We expect confirmation of the details of this method and its implications will be clarified during any consultation process. NHS pension advice Dr Andrew Dearden, Chairman of the BMA`s Pension Committee, discusses the upcoming changes to the NHS pension scheme in a short online video clip that is available to all members and non-members. The clip can be viewed on BMAtv, the BMAs YouTube channel, at:  HYPERLINK "http://www.youtube.com/watch?v=VsaUds4QbLE" www.youtube.com/watch?v=VsaUds4QbLE To stay up to date with the latest online new from the BMA, subscribe to BMAtv via the left hand toolbar. If you are not able to access YouTube, the clip can also be viewed on the BMAs webcast channel (9April entry):  HYPERLINK "http://www.bma.public-i.tv/site/webcasts" www.bma.public-i.tv/site/webcasts Premises survey The GPC recently undertook a survey to establish how many formal applications for primary care premises funding were being approved by primary care organisations across the UK. A total of 146 PCOs provided data for the survey which showed that, since April 2004, 938 applications for funding for new practice premises had been made to PCOs. Of these, 56.1% had been accepted 8.8% had been considered and rejected 28.8% were still under consideration 6.3% had not yet been considered. It was stressed that the survey only covered formal applications for premises funding. Informal applications and discussions about premises developments had not been considered, and it was recognised that many projects were abandoned at this early stage. The results of the survey will be published shortly. Consultation: the future regulation of health and adult social care in England Subject to Parliamentary approval, the Health and Social Care Bill will establish the Care Quality Commission. From April 2009, the new Commission will take over the functions of the Healthcare Commission, the Commission for Social Care Inspection (CSCI) and the Mental Health Act Commission (MHAC). The BMA has been consulted on the proposals and GPC representatives have attended two consultation events organised by the Department of Health. It is proposed that eventually, it will be essential for all providers of general practice to register with the Care Quality Commission. In order to register, particular levels of safety and quality will have to be demonstrated. The intention is for the registration system to come progressively into force from April2010. It is possible to view and respond to the consultation via the following link to Department of Health website  HYPERLINK "http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_083625" www.dh.gov.uk/en/Consultations/Liveconsultations/DH_083625. The closing date for responses is 17 June 2008. LMC Conference 2008 The agenda for LMC Conference has now been finalised. It will be sent out at the end of next week and should be with LMCs the week beginning 26 May. It will also be available on the BMA website. The closing date for motions to the supplementary agenda is noon Friday 6 June. Any motions that are for genuinely 'new business' should be e-mailed to Marianne Simmonds at  HYPERLINK "mailto:msimmonds@bma.org.uk" msimmonds@bma.org.uk Any change of your LMC representatives should be sent to Karen Day at  HYPERLINK "mailto:kday@bma.org.uk" kday@bma.org.uk as soon as possible. Launch of Easyhealth website We have been asked to draw your attention to this website. Easyhealth.org.uk pulls together 'accessible' health information from across the UK onto one website. At present the website contains information from over 50 organisations across the country. Easyhealth.org.uk has been built to make it easier for people to find health information they can understand. About 97% of the information is free so that people can download this information immediately. Easyhealth has tried to make the website as easy to use as possible for all patients, but in particular for those patients with lower reading skills/levels. The most important aspect for GPs would be the blue health leaflets section. Media coverage report Please find attached (appendix 2) a GPC media coverage report prepared by the BMA's press office, detailing GPC media activity during the last few weeks. The GPC next meets on 17 July 2008, 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 8 July. It would be helpful if items could be emailed to Clare Glicksman at  HYPERLINK "mailto:cglicksman@bma.org.uk" cglicksman@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 the GP trainees subcommittee Members of the sessional GPs subcommittee   PAGE \* MERGEFORMAT 2 Friday 16 May 2008 M9 Friday 16 May 2008, M9  PAGE \* MERGEFORMAT 7    &'(KLM     ǻugugugYuYHu!hNCchWB*OJQJaJphhsdB*OJQJaJphhJB*OJQJaJphhDMB*OJQJaJphhgOaB*OJQJaJphhLh2`OJQJhLh2`5CJOJQJaJhLh2`CJOJQJaJhS_CJOJQJaJhLhGOJQJhLh2`CJOJQJ hLh2`hF hLh hLh:hth;'(M  2 I c |  " # $ 0 1  % gd#gd#  % gdW %BgdGHgd-"UU   0 1 G H I ` a b c z {   ! $ 0 = @ F M ҥwmcmwhtOJQJaJhg\OJQJaJhNCchWOJQJaJhNCchW5CJOJQJaJ!hNCch B*OJQJaJphhsdB*OJQJaJphh9B*OJQJaJph!hNCchWB*OJQJaJphhDMB*OJQJaJph!hNCchJB*OJQJaJphhJB*OJQJaJph#1 q r s   &' $7$8$H$a$gdgOa$a$gdgOagd#$a$gd//$a$gd#  % gd# $ % a$gd# q r s mo'(-.9:?@GH=¸tdtYth5OJQJaJhgOahgOa5>*OJQJaJhgOahgOa5OJQJaJhgOa5OJQJaJhgOahgOaH*OJQJaJhgOahgOaOJQJaJhgOahgOa5CJOJQJaJhgOaOJQJaJhKOJQJaJhkOJQJaJhNCchW5CJOJQJaJhNCchWOJQJaJhNCchKOJQJaJ"Q/0u#$IJ)*K$ & F 7$8$H$a$gdsd $7$8$H$a$gdsdgd#$a$gdgOa $ & Fa$gdgOa=T"#$GP*++JKLDսwfwXwfwXwfwXwfhsdB*OJQJaJph!hsdhsdB*OJQJaJphhgOaB*OJQJaJphhB*OJQJ^JaJph%hsdhsdB*OJQJ^JaJph)hsd5B*CJOJQJ\^JaJph/hsdhsd5B*CJOJQJ\^JaJphhgOaOJQJaJhsdOJQJaJhgOahgOaOJQJaJhOJQJaJKUVv( ) ""8"""")#P#}###$a$gd//gd#$ & F 7$8$H$a$gdsdDHtvw& ' }&&&૞wwhVhIhAhhsdOJQJh//h~0JOJQJ#jh//h~OJQJUjh//h~OJQJUh//h~6OJQJh//h~OJQJh//h~5CJOJQJaJhsd5CJOJQJaJhNCchsdOJQJaJhsdB*CJaJphhsdB*OJQJaJphhgOaB*OJQJaJph!hsdhsdB*OJQJaJphhB*OJQJaJph#$$% %&&&''))**+,,,6.7.X.//7/d///gd// $$a$gdsd$a$gd//&&&&&&&&&'?'@'N'O'''((((((*******+o+r+,,7.X.f2g22h/h//h//5B*CJOJQJ\^JaJphh//h//OJQJhOJQJh//h~5OJQJhgOaOJQJh//h~5CJOJQJaJhsdOJQJh~OJQJh//h~0JOJQJjh//h~OJQJU#jh//h~OJQJUh//h~OJQJ&///=0t00 1O1~1111e2f2g222s4t46666 $7$8$H$a$gd// 7$8$H$gd//$@ ^@ `a$gd//$a$gd// $]a$gd//22666688O:|:;;;;;;;һw_I6%hsdhsdB*OJQJ^JaJph+hsdhsd5B*OJQJ\^JaJph/hsdhsd5B*CJOJQJ\^JaJphhsdOJQJh//OJQJhB*OJQJ^Jph!h//h//B*OJQJ^Jph)h//h//B*CJOJQJ^JaJph,h//h//5B*CJOJQJ^JaJphh//h//OJQJ!h//h//B*OJQJ^Jph!h//h//B*OJQJ^Jph6688;;;;;==H?I?J?^?`?$@&@f@@@3A5ABB $7$8$H$a$gd# $7$8$H$a$gdsd $7$8$H$a$gd// 7$8$H$gd//;;H?I?J?^?`???f@g@@@@Ĭv]H,]7jh//h~>*B* OJQJU^JaJph(h//h~>*B* OJQJ^JaJph1jh//h~>*B* OJQJU^JaJphhgOaB*OJQJ^JaJph%h//h~B*OJQJ^JaJph%h//h~B*CJOJQJ^Jph/h//h~5B*CJOJQJ\^JaJphh//h~OJQJaJh//hsdOJQJ%hsdhsdB*OJQJ^JaJphhsdB*OJQJ^JaJph @@@AAAAAABBBBBBBB~BBBByCzCCC;Eó֞zrbUbJBJBJrJBJhgOaOJQJhJAhJAOJQJhgOa5CJOJQJaJhJAhJA5CJOJQJaJhJAOJQJh~OJQJ7jh//h~>*B* OJQJU^JaJph(h//h~>*B* OJQJ^JaJphh//B*OJQJ^JaJph%h//h~B*OJQJ^JaJph1jh//h~>*B* OJQJU^JaJph h//h~0JOJQJ^JaJBBBBBzC{CCCCDDEE;E@> Heading 4$$@&a$6N@N Heading 5$d@&5B*CJhtH uX@X Heading 6$$1$@&a$5CJhmH sH tH uT@T Heading 7$$1$@&a$CJhmH sH tH u<@< Heading 8$@&5CJB @B Heading 9 $$@&a$5CJDA@D fDefault Paragraph FontVi@V  Table Normal :V 44 la (k(No List 4@4 Header  9r TOT Top Heading` &d %5CJ OJQJDO"D Contents  5CJOJQJ@O"@ Contents 2   5CJ4 @24 Footer  9r .)@A. 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