ࡱ>  @ Hbjbj 0.@v```````t\X\X\X8XlY$tt0[[4[[[[t]t]<~~~~~~~$hR`h[[hh``[[.kkkhB`[`[~kh~kkrt``u[$[ ,OL\Xi4uvTD0t+uzjjjutt````uVj`u$^a k>cd$^$^$^ttd6=k"tt=Appendix 2 GPC Media Coverage Report February 2009 No one story dominated the headlines in February with concerns being raised on a number of issues, including pharmacists being given access to patient data and cuts in health visitor numbers leading to more new mothers seeking advice from their GP. An hour long special on Radio 4 on Shipman ten years on, which the BMA took part in, provoked a number of follow-up stories in the media. The press office spent a considerable amount of time seeking clarifications and changes in the GP trade press after a number of inaccuracies were reported concerning this years pay deal. BMA mentions in the national and regional media for February NationalRegionalTotalPrint:112031Broadcasts:347 SUBJECTNational broadcastNational printShortage of health visitors -1GP out-of-hours service -1GP survey GPs support calls to legalise euthanasia-1Polyclinics / super clinics-1Pharmacists having access to medical records-2Revalidation / Shipman11GP practice funding / John Cormacks surgery-1Telemedicine / GPs to diagnose more by phone-1Cash rewards to prescribe less-1Advice on buying thermometers-1Pharmaceutical companies offering gifts to doctors2-TOTAL311 SUBJECTRegional mediaShipman4Health visitors4NHS Funding3Clause 1522Infectious Disease2Walk in centre2Practice visit scheme2Prescription2Antibiotics1Transplant1Social Security1Extended hours1TOTAL25 Press releases issued: 04/02/09 GPs should not be rewarded for cutting referral rates, says BMA 12/02/09 BMA launches new handbook for Salaried GPs Letters to Press from GPs include the following: 24/2/09Dr Laurence BuckmanGPQOF prevalence changes25/2/09Dr Brian DunnPulseLocal QOFs27/2/09Dr Laurence BuckmanGPGPC and GPs interests27/209Dr Laurence BuckmanPulseQOF prevalence changes Scotland January February 2009 General Practice in Scotland: the way ahead: Much of our activity on GP issues this year has centred on the development and production of the SGPC consultation document on the way ahead for general practice. This is the first phase of a longer term project to develop recommendations for government policy on general practice. This consultation will seek views from individual GPs, LMCs, patient representatives, stakeholder organisations, NHS managers and the wider healthcare profession. BMA Mentions in the Scottish Press We do not currently have a monitoring service to pick up on broadcast mentions. The following includes BMA quotes or interviews relating to GP and public health issues. SubjectScottish PressScottish BroadcastTeen smoking1Drink Driving1NHS funding2Direct elections to NHS boards3 (John Garner)Out of Hours1Relationships with patients1Violent patients2HPV7Alcohol Misuse18Closing GP loophole4Tobacco legislation3Unused prescription drugs1GMC guidance on wishes of dying patients1GP in Scotland: the way ahead15QOF preventative medicine and the elderly1 (Dean Marshall) Press Releases issued: 3 March BMA Scotland launches ground-breaking consultation on the way ahead for general practice (Dean Marshall) 2 March Doctors support tough action to address Scotlands destructive relationship with alcohol (Peter Terry & Sally Winning) 26 Feb Doctors in Scotland welcome new Bill that protects NHS general practice and tackles tobacco sales. (Dean Marshall & Peter Terry) 24 Feb Tackling human cost of alcohol misuse requires tough action, says doctors leader (Peter Terry) Articles: DateAuthorPublicationTitle20/01/09John GarnerScotsmanHealth visitors deliver a service, lets not lose it.17/02/09John GarnerScotsmanMedical tourism could be good for Indias health Wales Press releases issued BMA Cymru Wales urges the WAG not to leave doctors out in the cold GPs and hospital consultants need to work closer together for the greater good of the Welsh NHS GP media work Issues Welsh GPs have commented on in the media in January and February include; the rise in diabetes cases in Wales, cervical cancer (link to Jade Goody), rise in patients seeing GPs about the recession, survey about GPs good public trust rating. Blog The Public Affairs team has used BMA Cymru Wales blog to highlight the following issues and BMA policy; NHS reorganisation, free prescriptions, NHS staff sickness levels, domestic abuse, diabetes, violence against NHS staff. Media coverage SubjectWelsh PressWelsh BroadcastGP work/life balance1Mumps outbreak1Public survey of trust in doctors2Recession linked to stress and anxiety12Cervical cancer Jade Goody11GP out of hours service at Morriston hospital1Rise in diabetes12Buying medicines online1TOTAL68 GPC Parliamentary and Assembly Activity Report WESTMINSTER The Parliamentary Unit in London keeps in contact with MPs across all the political parties. Meetings with key MPs On February 25th, the GPC Negotiators met the primary care leads of the Conservative Health Team (Andrew Lansley MP, Mark Simmonds MP and Earl Howe) to have further in-depth discussions on Conservative health policy. A wide range of topics were covered including quality, the QOF, the GP contract, workforce, premises, OOHs and unscheduled care, NHS IT and commissioning. A dinner between the MPs on the Health Select Committee and various BMA chairs of committee took place on 17th March. MP-GP practise visit scheme In October 2008, the BMAs Parliamentary Unit sent an invitation to every MP in the House of Commons inviting them to visit a GP practice in their constituency. So far, 214 MPs have contacted the BMA expressing an interest in the initiative. The Parliamentary Unit has helped set up more than 100 MP visits to local GP practices and many more are underway. Feedback has been very good with many MPs expressing a greater understanding of general practice as a result of the practice visit. Practices interested in hosting a MP visit should contact Susan Solanki, BMA Parliamentary Liaison Officer at  HYPERLINK "mailto:ssolanki@bma.org.uk" ssolanki@bma.org.uk Health Bill The Health Bill contains a number of measures on a NHS constitution, quality accounts, direct payments, innovation prizes, tobacco control, pharmaceutical services and disclosure of information by HMRC in relation to GP and dentists income. The BMA has been briefing MPs on the Bill and the BMAs briefing can be viewed at:  HYPERLINK "http://www.bma.org.uk/news/lobbying_campaigning/Healthbillob.jsp" www.bma.org.uk/news/lobbying_campaigning/Healthbillob.jsp Coroners and Justice Bill The BMA is extremely concerned by measures to allow unprecedented levels of information sharing. This Bill as originally drafted would have stripped patients and doctors of any rights in relation to the control of sensitive health information. The BMA welcomes the Governments recent decision to remove Clause 154 from the Bill (the clause was previously known as Clause 152). There was opposition to this proposal from all sides and the Ministry of Justice is right to allow for further analysis of the provisions outside of the confines of this Bill. The BMAs briefing on this issue can be viewed at:  HYPERLINK "http://www.bma.org.uk/news/lobbying_campaigning/Coronbillob.jsp" www.bma.org.uk/news/lobbying_campaigning/Coronbillob.jsp Parliamentary debates A number of health debates took place in the House of Commons this week (w/c Monday 16th March 2009), which may be of interest to GPs. These include debates on 'Residential and nursing care homes', 'Health inequalities and PCT funding', 'Use of NHS resources', and 'City and Hackney PCT and Tubercolosis'. To read the full text of these debates, please go to:  HYPERLINK "http://www.publications.parliament.uk/pa/pahansard.htm" www.publications.parliament.uk/pa/pahansard.htm Health Select Committee inquiry on health inequalities The Committee published its final report on 15th March. It concluded that the Government needs to implement proven and effective policies to address health inequalities. Among the recommendations the Committee made, it said that smoking needed to be reduced and this could be done by reinstating tough targets to tackle tobacco smuggling (tobacco smuggling has a disproportionate impact on the poor); and by awarding more points in the QOF for success with smoking cessation, rather than the current system which gives points for simply identifying smokers. The Committees full report can be viewed at:  HYPERLINK "http://www.publications.parliament.uk/pa/cm200809/cmselect/cmhealth/286/28602.htm" www.publications.parliament.uk/pa/cm200809/cmselect/cmhealth/286/28602.htm Government response to Health Select Committee inquiry on the Next Stage Review The Government has responded to the Health Select Committees report on the NHS Next Stage Review. The report contains specific responses to the Health Select Committees criticisms of polyclinics/GP-led health centres. The Governments response can be viewed at:  HYPERLINK "http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_096081" www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_096081 Health Select Committee inquiry on the NHS Operating Framework The Health Secretary, Alan Johnson, gave evidence to the Health Select Committee on Thursday 12th March as part of its inquiry into the NHS Operating Framework. Mr Johnson answered questions on a wide range of issues including the Electronic Patient Record, the Government's plans to roll out a psychological therapies programme for people coping with unemployment and personal health budgets. Health Select Committee inquiry on Patient Safety On Thursday 5th March 2009, the Health Select Committee heard evidence from the Care Quality Commission, the Healthcare Commission, Monitor, the GMC and the NHS Litigation Authority as part of its ongoing inquiry into Patient Safety. A wide range of issues were covered, including the Care Quality Commission's proposals to bring GPs within its remit, annual health checks, complaints handling, mis-diagnosis and delayed diagnosis in general practice, and medical error. House of Lords EU sub-Committee G report on cross-border healthcare The Lords EU Subcommittee G published its final report on the European Commission's proposal to increase patients' rights to treatment in other EU states. The subcommittee welcomed the proposal but called for improvements and warned that, as the impact of the provisions were unpredictable, they must be carefully monitored. The report says that providing information to patients on cross-border healthcare is likely to fall on doctors, and any directive should avoid making the process too bureaucratic. The BMA contributed substantially to the inquiry and welcomes the final report. The Committees full report can be viewed at:  HYPERLINK "http://www.publications.parliament.uk/pa/ld200809/ldselect/ldeucom/30/9780104014356.pdf" www.publications.parliament.uk/pa/ld200809/ldselect/ldeucom/30/9780104014356.pdf BMA Parliamentary Unit March 2009 SCOTTISH PARLIAMENT The BMA Scotland public affairs officers keep in regular contact with key MSPs from all of the political parties. Health Board Elections We have provided written and oral evidence to the Health Committee outlining our opposition to the Health Board (Membership and Elections) (Scotland) Bill. WE also briefed in advance of the Stages 1 & 3 debates. The Bill has now been passed by parliament and elections will be piloted in 2010. These will be independently evaluated and any subsequent roll out will be subject to parliamentary procedure measures that we had called for during the legislative process. Primary Medical Service & Tobacco Bill The BMA has welcomed plans to close the loophole which allows private companies to provide NHS GMS services in Scotland in line with ARM policy. This Bill also includes measures to ban tobacco vending machines outright and to restrict the promotion and display of tobacco products. Both measures are supported by the BMA and we will be submitting evidence and lobbying for support during the legislative process Criminal Justice and Licensing Bill The Scottish Government has introduced primary legislation as part of its measures to tackle alcohol misuse. Plans to introduce minimum pricing will be introduced via regulations to the Licensing Act of 2005 as yet these have not been tabled. The Scottish Governments framework for action on alcohol is broadly in line with existing BMA policy and we are supporting their position. We plan to publish a new report The Human Cost of Alcohol doctors speak out later this month and will be hosting a parliamentary briefing event on 1 April. Sexual Offences (Scotland) Bill The BMA has raised concerns of the unforeseen consequences of certain aspects of the Sexual Offences Bill. The BMA is concerned by the sections of the Bill that criminalise some consensual sexual activities between older children and fears that the threat of criminal prosecution is likely to deter young people from seeking the advice of health professionals on sexual health matters. Other activities The BMA has also submitted evidence to a Health Committee inquiry on Child and Adolescent Mental Health Services which is due to consider evidence in coming weeks. The Petitions Committee is currently considering a petition regarding dispensing doctors. The BMA has submitted evidence to this inquiry and has also used this as an opportunity to encourage dispensing doctors to raise this issue with their local MSPs and generate more interest in the petition. A toolkit has been prepared and distributed to GPs. Party Conferences The BMA has hosted its usual pre-party conference dinners for Labour and Liberal Democrat MSPs. These have been productive meetings which have offered an opportunity to discuss issues on an informal basis. We have attended Labour and Lib Dem party conferences. We successfully lobbied in support of a motion to ban tobacco vending machines writing to councillors as well as MSPs in advance of conference. We have also used the conference as an opportunity to meet individually with a number of MSPs to discuss the SGPC Way Ahead document and to discuss forthcoming legislation. General Practice in Scotland: the way ahead Dean Marshall briefed key MSPs from each party in advance of publication of this report and we are now in the process of arranging more formal meetings to discuss the consultation document. We are in the process of organising a parliamentary briefing event on this in May. QOF Following the publication of a briefing paper on QOF in December, we have arranged a series of meetings with patient groups and special interest organisations to discuss the evidence supporting QOF, to hear their views on the framework and to raise awareness of the DoH consultation and its potential consequences for Scotland. For more information on this or any other political activities in Scotland, please contact: Gail Grant Senior Public Affairs Officer March 2009 WELSH ASSEMBLY AM/MP meetings Dr Richard Lewis, John Jenkins, Andrew Dearden (Chair of Welsh Council) and David Bailey continue their regular meetings with AMs and MPs about a variety of issues. Andrew Dearden and Tony Calland gave evidence to the Assemblys European and External Affairs Committee on cross border healthcare Andrew Dearden and John Jenkins met with the Presiding Officer of the Assembly to discuss the future of the role of Wales Chief Medical Officer. BMA Cymru consultation responses We submitted responses to the following consultations in February: NHS reorganisation Paying for care GMC consultation Student finance changes consultation Conferences In February John and Lucy attended the Bevan Foundation Patient Voice Conference. Blog The Public Affairs team has used BMA Cymru Wales blog to highlight various issues including diabetes and obesity, the WAG setting up a free advice line for GPs who may be seeing more patients dealing with the health effects of the recession, better regulation of the sunbed industry in Wales. BMA Wales March 2009 Page  PAGE 1 of  NUMPAGES 6 PAGE      89| } % & G H e f   @ A t u   Ŵuuuuuuuuuuuc#hMrh5CJOJQJ^JaJhMrhCJOJQJaJ"hMrh5>*CJOJQJaJhMrh5CJOJQJaJhCJOJQJ^JaJ hMrhCJOJQJ^JaJhh>*CJOJQJ hhCJOJQJ^JaJh:]CJOJQJ^JaJhCJOJQJ^JaJ%  89| } $$Ifa$gdl"$Ifgdl"gd$a$gd$a$gd$a$gd .HH \I333$$Ifa$gdl"\$Ifgdl"\kd$$Ifl'\^ W"Z pJ t0"644 la \I333$$Ifa$gdl"$Ifgdl"kd$$Ifl\^ W"Z pJ t0"644 la   \WD..$$Ifa$gdl"$Ifgdl"gdkd*$$Ifl'\^ W"Z pJ t0"644 la % & C E G YF00$$Ifa$gdl"$Ifgdl"kd$$Ifl=F T t06    44 la$$Ifa$gdl"G H a c e oYCC$$Ifa$gdl"$$Ifa$gdl"kd>$$Ifl=F T t06    44 lae f oYCC$$Ifa$gdl"\$$Ifa$gdl"\kd$$Ifl=F T t06    44 la oYCC$$Ifa$gdl"$$Ifa$gdl"kd<$$Ifl=F T t06    44 la oYCC$$Ifa$gdl"$$Ifa$gdl"kd$$Ifl=F T t06    44 la  oYCC$$Ifa$gdl"\$$Ifa$gdl"\kd:$$Ifl=F T t06    44 la  < > @ oYCC$$Ifa$gdl"$$Ifa$gdl"kd$$Ifl=F T t06    44 la@ A p r t oYCC$$Ifa$gdl"$$Ifa$gdl"kd8$$Ifl=F T t06    44 lat u oYCC$$Ifa$gdl"\$$Ifa$gdl"\kd$$Ifl=F T t06    44 la oYCC$$Ifa$gdl"$$Ifa$gdl"kd6$$Ifl=F T t06    44 la oYCC$$Ifa$gdl"$$Ifa$gdl"kd$$Ifl=F T t06    44 la o\FF$$Ifa$gdl"\$Ifgdl"\kd4$$Ifl=F T t06    44 la    ojj^R $$Ifa$gd $$Ifa$gdgdkd$$Ifl=F T t06    44 la  # % & +^kd$$Ifl0'' 644 la]p $$Ifa$gd $$Ifa$gd^kd2$$Ifl0'' 644 la]p& 6 8 9 E G ^kd $$Ifl0'' 644 la]p $$Ifa$gd $$Ifa$gdG H S U V +^kd $$Ifl0'' 644 la]p $$Ifa$gd $$Ifa$gd^kdM $$Ifl0'' 644 la]pV i k l { } ^kd $$Ifl0'' 644 la]p $$Ifa$gd $$Ifa$gd} ~ +^kdA $$Ifl0'' 644 la]p $$Ifa$gd $$Ifa$gd^kd $$Ifl0'' 644 la]p ^kd $$Ifl0'' 644 la]p $$Ifa$gd $$Ifa$gd +^kdx$$Ifl0'' 644 la]p $$Ifa$gd $$Ifa$gd^kd$$Ifl0'' 644 la]p ^kd5$$Ifl0'' 644 la]p $$Ifa$gd $$Ifa$gd +^kd$$Ifl0'' 644 la]p $$Ifa$gd $$Ifa$gd^kd$$Ifl0'' 644 la]p rsE\;FGf   ˼ˣ˼˼˼˃˼l˼˼˼˰,hMrhB*CJOJQJ\^JaJphhMrh6CJOJQJaJhMrhCJOJQJ\aJh5CJOJQJaJhCJOJQJaJhMrhCJOJQJaJhMrh5CJOJQJaJ hMrhCJOJQJ^JaJ&hMrh5CJOJQJ\^JaJ%  V$$Ifa$gdl"'$$If`a$gdl"'$Ifgdl"'gd ^K1$$If`a$gdl"$Ifgdl"kdl$$Ifl\#   t0644 la 'H5$Ifgdl"\kd$$Ifl\#   t0644 la$$Ifa$gdl"';>UV.kd$$Ifl\#   t0644 la$$Ifa$gdl"\$$If`a$gdl"\V]qw$$Ifa$gdl"$$If`a$gdl"$Ifgdl"^QQIAII$a$gd$a$gd &dPgdkd $$Ifl\#   t0644 lars{$$Ifa$gdl"'gd$a$gd q[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 laq[[[$$Ifa$gdl"kd $$IflFy#@6 t06    44 laq[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 laq[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 laq[[[$$Ifa$gdl"kdl$$IflFy#@6 t06    44 la/12q[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 la23DFGq[[[$$Ifa$gdl"kdV$$IflFy#@6 t06    44 laGHLNOq[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 laOP_bcq[[[$$Ifa$gdl"kd@$$IflFy#@6 t06    44 lacdz|}q[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 la}~q[[[$$Ifa$gdl"kd*$$IflFy#@6 t06    44 laq[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 laq[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 laq[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 la01Cq[[[$$Ifa$gdl"kd$$IflFy#@6 t06    44 laCDE\L;<FqiiXXXXiO $$a$gd`7$8$H$^``gd$a$gdkds$$IflFy#@6 t06    44 la FGLS_ef8kd$$Ifl\n#/  t0644 la$$$Ifa$gdl"'$ 7$8$H$gdfo{Gkds$$Ifl\n#/  t0644 la$$$Ifa$gdl"  Gkd$$Ifl\n#/  t0644 la$$$Ifa$gdl"  +o$Ifgdl"'gd$a$gd$a$gd 7$8$H$gd$ &d7$8$H$Pgd+  9:FGϸϬxgU=/hh 4 5B*CJOJQJ\^JaJph#hh 4 5CJOJQJ^JaJ hh 4 CJOJQJ^JaJ#hh 4 >*CJOJQJ^JaJhhy:>*CJOJQJaJ#hzh,>*CJOJQJ^JaJhCJOJQJaJ,hMrhB*CJOJQJ\^JaJphhMrhCJOJQJaJhMrh5CJOJQJaJ"hMrh5>*CJOJQJaJ cPPP$Ifgdl"Tkd$$IflFx#?6  t06    44 lap!"cPPP$Ifgdl"\kd($$IflFx#?6  t06    44 lap"#EFHcPPP$Ifgdl"kd$$IflFx#?6  t06    44 lapHIprtcPPP$Ifgdl"Tkdf$$IflFx#?6  t06    44 laptucPPP$Ifgdl"\kd $$IflFx#?6  t06    44 lapcPPP$Ifgdl"kd $$IflFx#?6  t06    44 lapcPPP$Ifgdl"TkdC!$$IflFx#?6  t06    44 lapcPPP$Ifgdl"\kd!$$IflFx#?6  t06    44 lapcPPP$Ifgdl"kd"$$IflFx#?6  t06    44 lap 9:c^RJB=gd$a$gd$a$gd $7$8$H$a$gdgdkd #$$IflFx#?6  t06    44 lap:FG23_ ` l ?"@"Z"$F%G%]%&>'?'v')* 7$8$H$gdgd  G H I \ ] ^ ` k l !!Ѻ麣jVGhh WCJOJQJaJ'hhUV0J5CJOJQJ^JaJ;j#hhUV5B*CJOJQJU^JaJph5jhhUV5B*CJOJQJU^JaJph,hhUV5B*CJOJQJ^JaJph,hh W5B*CJOJQJ^JaJph/hh W5B*CJOJQJ\^JaJph,hh WB*CJOJQJ\^JaJph!!"""<"="?"Z"""P###$$˫~n^nH2Hn+hhi5B*CJOJQJ\aJph+hh W5B*CJOJQJ\aJphhho55CJOJQJaJhh W5CJOJQJaJ,hh WB*CJOJQJ\^JaJph*hh W0J5CJOJQJ\^JaJ>j$hh W5B*CJOJQJU\^JaJph/hh W5B*CJOJQJ\^JaJph8jhh W5B*CJOJQJU\^JaJph$$$ % % %C%D%F%]%&&& ' ' '͵ݣ͌uaFu(F;j'hh W5B*CJOJQJU^JaJph5jhh W5B*CJOJQJU^JaJph&h5B*CJOJQJ^JaJph,hh W5B*CJOJQJ^JaJph,hh WB*CJOJQJ\^JaJph#hh W0J5CJOJQJaJ.j &hh W5CJOJQJUaJhh W5CJOJQJaJ(jhh W5CJOJQJUaJh5CJOJQJaJ ';'<'?'v'''''T(W(]()0))))5*йrrr[Gй&h5B*CJOJQJ^JaJph,hho55B*CJOJQJ^JaJph/hho55B*CJOJQJ\^JaJph/hh W5B*CJOJQJ\^JaJph,hh WB*CJOJQJ\^JaJph,hh W5B*CJOJQJ^JaJph5jhh W5B*CJOJQJU^JaJph'hh W0J5CJOJQJ^JaJ5*6*7******++S,T,U,Ʋƛp^I9!I.j*hh W5CJOJQJUaJhh W5CJOJQJaJ(jhh W5CJOJQJUaJ#hh W5CJOJQJ^JaJ,hh WB*CJOJQJ\^JaJph&h W5B*CJOJQJ^JaJph,hh W5B*CJOJQJ^JaJph'hh W0J5CJOJQJ^JaJ5jhh W5B*CJOJQJU^JaJph;j(hh W5B*CJOJQJU^JaJph ***+,,,...0004444*4+4,4@4A444gd 0p@ 7$8$H$gd$gd $7$8$H$gd 7$8$H$gdU,,,,,,..000000000I3}h}VDVDVD#hh W5CJOJQJ^JaJ#hho55CJOJQJ^JaJ)hho5B*CJOJQJ^JaJph)hh WB*CJOJQJ^JaJph,hh W5B*CJOJQJ^JaJph,hh WB*CJOJQJ\^JaJph/hh W5B*CJOJQJ\^JaJph(jhh W5CJOJQJUaJ#hh W0J5CJOJQJaJI3J3333444444$4)4*4,4׽חqbSD4hho5>*CJOJQJaJhh 4 CJOJQJaJhhobSCJOJQJaJhhUVCJOJQJaJhhy:CJOJQJaJ,hh5B*CJOJQJ^JaJph#hh W5CJOJQJ^JaJ'hh W0J5CJOJQJ^JaJ2j,hh W5CJOJQJU^JaJ#hh W5CJOJQJ^JaJ,jhh W5CJOJQJU^JaJ,4@4A44446666p88::]<n<r>>@@BB_CCCCCCDͻo_Ohh,5CJOJQJaJhh,>*CJOJQJaJhh>*CJOJQJaJhh5CJOJQJaJho55CJOJQJaJhho55CJOJQJaJhho5CJOJQJaJ"hh5>*CJOJQJaJhh5CJOJQJaJ"hh]u5>*CJOJQJaJhh]u>*CJOJQJaJ44666o8p8899:::::\<]<n<==q>r>>T?U?@ @@@$gdgd@@AABBB^C_CCCCCCCDDDD8EEEE0FDFTFeFFF 7$8$H$gdgdDDDEEFFFFHH#H(H-H.HsHxHyHHHHHHHHHHHHHHĵĵĵĥ{wobobWbobobWbRow hr-5hr-5mHnHujhhr-5Uhhr-5hr-hhCJOJQJaJhCJOJQJaJhhCJOJQJaJhh5CJOJQJaJhho5CJOJQJaJhho55CJOJQJaJ)hho5B*CJOJQJ^JaJph,hh,5B*CJOJQJ^JaJphFFFFFHH#H.HHHHHHHHH &`#$gd, 9r I dgd 7$8$H$gdgdHHHHHHHhhCJOJQJaJhr- hr-0Jjhr-0JU.&P :p. A!X"X#$%@@$$If!vh5Z 5p55J#vZ #vp#v#vJ:V"l' t"6,5Z 5p55J$$If!vh5Z 5p55J#vZ #vp#v#vJ:V"l t"6,5Z 5p55J$$If!vh5Z 5p55J#vZ #vp#v#vJ:V"l' t"6,5Z 5p55J}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5}$$If!vh5 5T5#v #vT#v:V"l= t6,5 5T5$$If]!vh55 #v#v :V l6,55 9/ /  / a]p$$If]!vh55 #v#v :V l6,55 9/ /  / a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If]!vh55 #v#v :V l6,55 9/ / / /  a]p$$If!vh5 5 55 #v #v #v#v :V"l t65 5 55 $$If!vh5 5 55 #v #v #v#v :V"l t65 5 55 $$If!vh5 5 55 #v #v #v#v :V"l t65 5 55 $$If!vh5 5 55 #v #v #v#v :V"l t65 5 55 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 s$$If!vh5@556 #v@#v#v6 :V"l t65@556 $$If!vh55/ 55 #v#v/ #v#v :V"l t655/ 55 $$If!vh55/ 55 #v#v/ #v#v :V"l t655/ 55 $$If!vh55/ 55 #v#v/ #v#v :V"l t655/ 55 $$If!vh5?556 #v?#v#v6 :V"l t65?556 / p$$If!vh5?556 #v?#v#v6 :V"l t65?556 / p$$If!vh5?556 #v?#v#v6 :V"l t65?556 / p$$If!vh5?556 #v?#v#v6 :V"l t65?556 / p$$If!vh5?556 #v?#v#v6 :V"l t65?556 / p$$If!vh5?556 #v?#v#v6 :V"l t65?556 / p$$If!vh5?556 #v?#v#v6 :V"l t65?556 / p$$If!vh5?556 #v?#v#v6 :V"l t65?556 / p$$If!vh5?556 #v?#v#v6 :V"l t65?556 / p$$If!vh5?556 #v?#v#v6 :V"l t65?556 / pDyK ssolanki@bma.org.ukyK 6mailto:ssolanki@bma.org.ukyDyK Ahttp://www.bma.org.uk/news/lobbying_campaigning/Healthbillob.jspyK http://www.bma.org.uk/news/lobbying_campaigning/Healthbillob.jspuDyK @http://www.bma.org.uk/news/lobbying_campaigning/Coronbillob.jspyK http://www.bma.org.uk/news/lobbying_campaigning/Coronbillob.jspQDyK 7http://www.publications.parliament.uk/pa/pahansard.htmyK nhttp://www.publications.parliament.uk/pa/pahansard.htmDyK Rhttp://www.publications.parliament.uk/pa/cm200809/cmselect/cmhealth/286/28602.htmyK http://www.publications.parliament.uk/pa/cm200809/cmselect/cmhealth/286/28602.htmDyK ghttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_096081yK http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_096081DyK Xhttp://www.publications.parliament.uk/pa/ld200809/ldselect/ldeucom/30/9780104014356.pdfyK http://www.publications.parliament.uk/pa/ld200809/ldselect/ldeucom/30/9780104014356.pdf#R@R Normal$a$#5CJHOJQJ_HaJHmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List @O@ psDirect   CJaJtH FOF psemail (]( CJaJtH 6O6 psPrivate 5aJtH 8O"8 psAddress$a$aJtH >O2> psRefs$ a$aJtH L@BL .zHeader$ 9r da$ CJOJQJ.)@Q. .z Page NumberBOB .zSubject$da$ 5OJQJ>O> .zBrand$da$ 5OJQJHOH .z BMAAddress$da$ CJOJQJ4U@4 G Hyperlink >*ph*W@* GStrong5\4 @4 y:Footer  9r dOd y: Char Char1$d1$9DH$a$OJQJ_HmH sH tH \^@\ , Normal (Web)$dd[$\$a$5CJOJQJaJROR K Char Char dOJQJ_HmH sH tH ^O^ obSindent2"$dhx]^a$5CJOJQJaJ  W7 Char Char Char Char Char Char Char Char Char Char Char $dx1$9DH$a$5CJOJQJaJmH sH tH FV@F FollowedHyperlink >*B* php@#p  Table Grid7:V"0"$a$@ 89|} %&CEGHacef  <>@Aprtu #%&689EGHSUVikl{}~  V ';>UV]qw r s {       / 1 2 3 D F G H L N O P _ b c d z | } ~    0 1 C D E \ L ;<FGLS_efo{   +o !"#EFHIprtu 9:FG23_`l?@ZFG]>?v!"""#$$$&&&(((,,,,*,+,,,@,A,,,,...o0p001122222\4]4n455q6r66T7U78 888899:::^;_;;;;;;;<<<<8====0>D>T>e>>>>>>>@@#@.@@@@@@@@00x0000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000000000000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000x000000000000000000000000000000 0 0 0 0 000 00 00 00000000000000000000000000000000000000000000000000000000000000000000000000@0 @0@0x@0@0@0@00Ԝ789}%&GHef@Atu#%&689EGHSUVikl{}~ VUV]qwef   !"#EFHIprtu 9:FG23_`l?@ZF]>?v"$&&&,,,*,@,A,,,;;<<<<8==>>>>@@#@.@@@@00(@00@00@00(@00 @00 @00 @00 @00 @00 @00A00A00A00A00A00p @00t  @0 @00t p0 @0 0t @0A00 @0 0t @0 @0 0t @0 @00t @0 @00t rE0 @0 @00t p0 @0 @00t @0 @00t @0 @0%0o@0z @00 o@0z @00V@00VL5  @00V@00VE=  @00V@00V.K8;4 < D  @00V@00VIX5  @00V@00VK; @0 0@0 00@0 0@0 0@@"@00@00@0@00@00@0x6@00@00@00Y@00@00@0X@00@00 @0@00 @00 @D<@0P0@0P0@0P0@00@00`@0 @00`@0@00`A0@0V0@0V0@0V0@00@1@00@00A00@`?3V3|A00@0@0e0@0e0@0e0@0e0@00 @0@00@007@007@007@007@007@007@007@007@007@007D4 @007@007@007D4@007@007@007.E0548<@007@007@007E5@007@007@007D0  @0 0@0 0@0 0@05@0 0@0 0@0 0@03@00@00@00@0-&@007@007@007@0@00 @00 @00 @0@00@00@00@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@ 0@0@0@0@0@0@0@0@0@0@0@0@0 @0@0@0@0@0@0@0@0@0`@0@0@0@0@0@0TY@0 07juuuux !$ '5*U,I3,4DHH%A]ijklmopqtv  G e  @ t  & G V }  'V2GOc}CFf "Ht:*4@FH&()*+,-./0123456789:;<=>?@BCDEFGHIJKLMNOPQRSTUVWXYZ[\^_`abcdefghnrsuH'H\< C ;!6""#T$$I++,@XXXXXXXJQSXcejqx!! _Hlt225045232 _Hlt225045233 _Hlt225045255 _Hlt225045256 _Hlt225045264 _Hlt225045265 _Hlt225045275 _Hlt225045276 _Hlt225045300 _Hlt225045301 _Hlt225045313 _Hlt225045314 _Hlt225045341 _Hlt22504534277m"m"a$a$++++@@@@@@@@@@ @ @ @ @ @77m"m"a$a$++++@6I?IIIIDInI ITēI4"I\ITaI6I$HII슓Id6IlILII IdII6IxIGIII oIAI>I It:I\IjIIwITIIIIIIIII>I,HIьII DI,IIԔIL\I V> h h ^ ^ fEMM ::aa&Y-Y-V/2288T;T;;;==h?@@@@@      !"#$%&'()*+,-./012345^&A p p   f f nHRR EEgg&a-a-Y/2288\;\;;;==k?@@"@"@@  !"#$%&'()*+,-./012345B.*urn:schemas-microsoft-com:office:smarttagscountry-region8*urn:schemas-microsoft-com:office:smarttagsCity?6*urn:schemas-microsoft-com:office:smarttags stockticker85*urn:schemas-microsoft-com:office:smarttagsdate9/*urn:schemas-microsoft-com:office:smarttagsplace 11216172202009242527345DayMonthYear65 5 5 5 5 6/./././././.5 5 /./.6/.6//65  5  /.6/././././.6/./. *3/4$+5=,, 666688y8}899<<==>>>>??#?'??@.@@@ ]2b2.@@@33 88]  <T W /!0!!"""U$U$((((((((I+,....::@@@@#@(@,@-@.@x@@@@@@@@@ .@@@ U4nv4IjLv©vUg *h^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh88^8`OJQJo(hHh^`OJQJ^Jo(hHoh  ^ `OJQJo(hHh  ^ `OJQJo(hHhxx^x`OJQJ^Jo(hHohHH^H`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH4IjL U4vUg|YY @ OJQJo("                            tE{ww/ "O/ "O1WtE{ #"o5r-Gy: 4 u%G3EobSu\4cizBpps.t]u.z| WG:]jzUV9q|lK,%&CEGHacef  <>@Aprtu #%&689EGHSUVikl{}~ ';>UV]qwr s {       / 1 2 3 D F G H L N O P _ b c d z | } ~    0 1 C D FGLS_efo{   !"#EFHIprtu89,N?@9?q EQ9\9\9}@ < @@UnknownGz Times New Roman5Symbol3& z ArialK"Frutiger 45 Light=" HelvArial7&  Verdana?5 z Courier New;Wingdings"qhӦɢӦɢӦ 6 t 6 t!24d@@ 3qH)?ps-BMA House, Tavistock Square, London, WC1H 9JP Robert Okunnu Karen Day    Oh+'0$ 8D ` l x 0BMA House, Tavistock Square, London, WC1H 9JPRobert OkunnuNormal Karen Day4Microsoft Word 10.0@Ik@-EL@e2I@-EL 6՜.+,D՜.+,X hp|  BMAt @ .BMA House, Tavistock Square, London, WC1H 9JP Title 8@ _PID_HLINKSA@*{hXhttp://www.publications.parliament.uk/pa/ld200809/ldselect/ldeucom/30/9780104014356.pdf(Rghttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_096081 M Rhttp://www.publications.parliament.uk/pa/cm200809/cmselect/cmhealth/286/28602.htmk( 7http://www.publications.parliament.uk/pa/pahansard.htmeA@http://www.bma.org.uk/news/lobbying_campaigning/Coronbillob.jspVaAhttp://www.bma.org.uk/news/lobbying_campaigning/Healthbillob.jsp,@mailto:ssolanki@bma.org.uk  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwyz{|}~Root Entry F#3OLData xt.1TableWordDocument0SummaryInformation(DocumentSummaryInformation8CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q