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Text of the page (random words):
and without gpc to look at the future structure and function of the committee this will involve a variety of people including some grass roots lmc members gpc england the current gpc executive team were reappointed recently this was advertised in several communications over recent months there has been significant ongoing meetings with nhsei to discuss covid related matters including the vaccination campaign which has been remarkably successful i think all of our colleagues involved in the provision of that service should be congratulated personally i remain concerned about the sustainability of the scheme especially given that we are having to move back to something more resembling business as usual though nhsei are clear that bau does not mean pre pandemic bau in the next few weeks for example there will be no protection for qof this year remote reviews however will be an acceptable way to deliver this for most patients however the gms contract deal has included minimal changes from april and there will be no further iif indicators or additional pcn services introduced before october 2021 vaccination phase 2 planning is proceeding and by the time you read this pcns will have had to decide whether to move ahead and vaccinate people in cohorts 10 12 the 18 49 year olds colleagues choosing to do so will need to provide assurances to the ccg is that they can continue to deliver clinical services to patients including qof there have been discussions about vat on services and staff involved in pcn work the executive team have written to ministers to see what mitigation on vat obligations can be put in place if any there is still much uncertainty about a variety of issues around arrs staff and the training needs for example and dialogue continues between the executive team and nhsei colleagues would have seen julius s recent communication about appraisals locally national discussions about this continue cqc are considering restarting inspection of practices but have revised the position several times already they appear to be concentrating currently practices who were previously graded as inadequate or requires improvement there was an update and discussion about the ics white paper it would be safe to say there is still a significant amount of uncertainty and bma and gpc both continuing to work on making sure that gp representation is adequate and based around our statutory representative bodies namely the local medical committee there was also discussion around shared parental leave which received broad support although there are some issues in the sfe my feeling is that these should be addressed so that shared parental leave becomes the norm rather than a benefit the gp gender pay gap persists for several reasons for salaried gps the gap is 22 3 but even partners have a 7 7 gap the committee discussed ways in which to develop a negotiating position to attempt to move things forward again although the concept is simple working our way through it appears to be very complex again a personal view is that i find it in comprehensible that anybody would treat colleagues differently based simply on their gender i hope you have found this report helpful please feedback so that i can ensure my reports are useful dr russell brown posted by dr russell brown at 3 19 2021 04 22 00 pm no comments email this blogthis share to x share to facebook share to pinterest thursday october 01 2020 gpc uk report 1 october 2020 gpc uk report for east and west sussex lmcs dr russell brown 1 october 2020 the gpc met remotely this week i managed to actually attend this one the previous two meetings being held while i was on leave i don t think this was deliberate on the part of the gpc executive team and would like to thank julius for sharing his last two reports with sussex gps much of the discussions were confidential unfortunately so i can t share many details however the latest gpc newsletter is available from the gpc pages of the bma website there is usually an update every week or two julius s updates from the lmc office are also an excellent source of information and i would recommend you read them colleagues will have seen the bma gpc proposal on urgent measures needed to support general practice but if you haven t it is available at https www bma org uk advice and support covid 19 gp practices covid 19 general practice during the second wave you may be aware of the bma gp covid resource centre and toolkit but if not it s worth a look at the time of writing no apology has been received from sir simon stevens about the outrageous letter sent by nhsei on the 14 th september telling us to go back to routine face to face work if patients wanted it in direct contrast to the sop published by wait for it nhsei apparently one is coming not altogether sure why it hasn t been sent already to be honest much of the morning was taken up with reports from the five national gpcs in the uk essentially on how the other four areas governments have supported gp much better than nhsei plus ça change the afternoon saw a seminar on unconscious bias followed by policy group meetings i am on the representation policy group we discussed possible changes to changes to constituencies for gpc elections moving to multi member constituencies the continued work of the gender balance task and finish group and the election of a gender diversity champion and a proposed altered branch of practice definition for gpc so a committee member definition or who would be eligible to stand for election to gpc i hope you have found this report helpful please feedback so that i can ensure my reports are useful dr russell brown posted by dr russell brown at 10 01 2020 05 01 00 pm no comments email this blogthis share to x share to facebook share to pinterest thursday february 06 2020 gpc report 6 feb 2020 gpc england report for east and west sussex lmcs dr russell brown 6 february 2020 the gpc england met again this week i managed to actually attend in person a fact which took many of my fellow committee members by surprise more than one asked who are you are you new this meeting was an extra meeting to discuss contract negotiations after we voted to reject the offer at the previous meeting in january there were no other items for discussion no doubt you will already have seen the official press release from the gpc executive the deal on offer was definitively the final result of negotiations with the deal having been signed off by all government departments including the prime minister s office before coming to gpc this differs significantly to business as usual in these matters the most recent offer is a significant improvement on the previous iteration it would be fair to say that nhsei took the feedback they sought and received before christmas very seriously i think that this offer is the best deal that could have been negotiated at this time there are some qof changes which increase the amount of resourcing in qof with an extra 8 points as well as an increase in the pounds per point as well as a 4 increase in global sum funding has been retained in global sum for vaccinations and immunisation but there will be an additional item of service element to this service details are in the official gpc information service specifcations that said there are still issues and concerns with it and much will depend on the details in the guidance support in the service specifications which is still to be agreed and written the service specifications have been significantly reduced in detail with all targets removed additional roles reimbursement scheme some of the benefits include a change from 70 to 100 reimbursement for the new staff recruited under the arrs while i suspect the word savings will be used this is still a significantly reduced expenditure for practices additionally the number of people recruited to these roles is now up to 27000 from 20000 and not only that but these staff will continue to be funded beyond the end of the current contract term so after 2023 24 there will be a requirement for ccgs to assist with recruitment to these positions other agreements reached there are measures which actively support partnership as a means to deliver general practice especially the 20000 partnership accession payment for new partners whereas before there was a limited pot of money for this this restriction has been removed so no matter how many more partners can be recruited all of them will be eligible for this scheme it should be noted that gpc exec and nhsei are still discussing the full details of the eligibility criteria for this scheme there will be further work on the occupational health services available to practices and pcns as well as arrangements for enhanced shared parental leave for salaried gps as soon as possible there will be amendments to the nhs pension scheme to ensure pcns are covered there will also be a new and transparent measure of patient experience of access to general practice piloted for nationwide introduction by april 2021 it is worth noting that the involvement of lmcs for once appears throughout the documentation so what does this mean for practices practices can choose to sign up to the des or not if they do they will have access to the benefits described above with the additional funding described for that there will be more work even though the pcns should be recruiting these staff to do much of it it is unclear to me currently how cqc for example will view these new staff and their relationships to practices as this is of course a des these new team members will need to be managed supported and supervised to varying degrees if they do not they will not have to partake with this extra work though there will remain a contractual obligation to engage with the activities of a pcn in terms of data sharing at the very least global sum will still go up though overall funding increases will be lower than for practices that sign up to the des gpc england were asked to vote on whether to agree the package on offer for 2020 2021 and the result was conclusively in favour though not unanimous links to the bma news and info are below richard vautrey s statement https www bma org uk news media centre press releases 2020 february bma gp england committee agrees gp contract package the bma gpc info pages https www bma org uk collective voice committees general practitioners committee gpc england gp contract agreement england 2020 2021 the next meeting gpc in on 19 march and is a gpc uk meeting to be held in cardiff i hope you have found this report helpful please feedback so that i can ensure my reports are useful dr russell brown posted by dr russell brown at 2 06 2020 10 06 00 pm no comments email this blogthis share to x share to facebook share to pinterest thursday july 25 2019 report of gpc england 18 july 2019 gpc england report for east and west sussex lmcs dr russell brown 18 july 2019 the gpc met this week i was unable to attend in person as we were short staffed and so skyped in this was a novel experience for me but enabled me to contribute to the meeting while also managing work flows such as phone calls visit requests and clinical admin in the practice i even saw a couple of patients during the day a variety of matters were discussed and i will ask the office to send out the official news with this report capita have made known yet another error on their part having discovered over four thousand unactioned emails in an inbox somewhere though presumably not in the same draw as the previously reported missing notes these date back to 2017 and 71 practices are affected predominantly in leicestershire and lincolnshire there are widespread ccg merger plans going on across the country i am aware of it happening in east sussex please remember that ccgs are membership organisations and that ccg executive bodies should be asking you for your views rather than telling you what they want you to do this doesn t stop them suggesting a course of action but do not feel forced into anything you don t feel comfortable with there were updates on sessional matters from the new chair of the committee ben molyneaux i have known ben for several years through gpc and he is excellent at making sure gpc does not simply take the contractor view all the time i think his election after his predecessor stood down to concentrate on her role as an lmc secretary is a very positive thing for our craft generally and sessional colleagues in particular there was a contract item in which we discussed the implementation of the current year s contract essentially confirmation that the necessary changes to regulations are being placed before parliament so that they can come into effect from october pcns are now with us and apparently 99 7 of practices are signed up to the des with about 25 practices throughout england electing not to sign up there have been some concerns aired about the long term affordability of the 30 staff costs which practices will be responsible for going forward though of course there is much new money coming into the pot to support this new contract over the next five years the bma hosted a pcn directors conference which was apparently well received by attendees there are more supportive events planned for the future though details are currently lacking there is a webcast of the plenary talk and summaries available here the five service specifications detailed in the contract documents previously circulated are being developed by nhse and the gpc exec team over the summer and will be looked at by gpc in the autumn i understand additionally the investment and impact fund is in the process of being designed separately there have been reports from around the country of various management structures viewing pcns as the answer to a wide variety of system issues it is very important that expectations are managed the new staff in pcns are to support and address current pressures in practices not necessarily to be a repository of new work that may come in time but we must build capacity and sustainability first once pcns are properly established and are confident that they are both willing and able to take on new work negotiations could begin to discuss that the lmc is of course able to assist all parties in discussions of that nature the ooa out of area regulations are being looked at by nhse gpc remains concerned about the effect of cherry picking and disruption caused by providers such as gp hand and babylon that said the technology of digital first itself and the issues it may raise positive and negative are recognised as something we must get to grips with for the benefit of our constituents who of course include those gps who choose to work in and for companies such as babylon in my view their products are a potential solution to a poorly defined question i think nhse would do well to define the question they are trying to answer then resource practices or perhaps pcns ...