A fresh new contract for general practitioners

doi:10.1136/bmj.324.7345.1048

BMJ 2002;324:1048-1049 ( 4 May )

Editorials

A fresh new contract for general practitioners

Complex, with risks attached, but addresses many of the profession's concerns

The first 150 words of the full text of this article appear below.

The imposition of the 1990 contract by Kenneth Clarke was a blow from which professional morale among general practitionershas never really recovered. For many general practitioners itmarked the end of a golden age. The "Red Book" has long been criticisedas bureaucratic and inflexible, and the launch of personal medicalservices pilots in 1998 was an acknowledgment of the need forchange. Currently, allocation of resources only poorly reflectspatients' needs; the contract is highly focused on the individualpractitioner and fails to recognise adequately the role of thepractice team; quality measures are sparse and crudely applied;and perverse incentives often serve to reward poor quality services.A recent BMA survey exposed high levels of stress, poor morale,and planned early retirement or exit from the profession.¹The proposals for a new national contract, announced on 19 Apriljointly by the NHS confederation and the British Medical Association,mark an . . . [Full text of this article]

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Rapid Responses:

Read all Rapid Responses

New Contract seems stale not fresh: Mark Oliver, et al.
bmj.com, 4 May 2002 [Full text]
New GP Contract: James P Bell
bmj.com, 4 May 2002 [Full text]
The failings of the new GP contract: Prit Buttar
bmj.com, 4 May 2002 [Full text]
GP contract does not address real concerns: Anthony B Lamb
bmj.com, 4 May 2002 [Full text]
New contract will make rural GPs'lives even harder: G Rhys
bmj.com, 5 May 2002 [Full text]
Problems with the GP Contract: Stephen J Shepherd
bmj.com, 5 May 2002 [Full text]
I salute the King's Fund: Ahmad Risk
bmj.com, 5 May 2002 [Full text]
Editorial contradictory and incomplete: Trefor J Roscoe
bmj.com, 6 May 2002 [Full text]
Conflict of interests in the new "contract": Martin J Heath
bmj.com, 6 May 2002 [Full text]
new gp cpntract: Mark C Rogers
bmj.com, 6 May 2002 [Full text]
A triumph of hope over experience?: Janet Menage
bmj.com, 6 May 2002 [Full text]
Think again on contract: Paul Attwood
bmj.com, 6 May 2002 [Full text]
Proposed new GP contract: Jeremy R Paterson, et al.
bmj.com, 6 May 2002 [Full text]
Impossible situation for GPs: James Cave
bmj.com, 6 May 2002 [Full text]
GP Contract: Stephen Jerrett
bmj.com, 6 May 2002 [Full text]
Naivety of the negotiators: Tony le Vann
bmj.com, 6 May 2002 [Full text]
A few more tweaks required.: William R.G. Hynds
bmj.com, 6 May 2002 [Full text]
Proposed new contract: david baker
bmj.com, 7 May 2002 [Full text]
Counting beans: Craig A McArthur
bmj.com, 7 May 2002 [Full text]
New Con-trick: John A Glasspool
bmj.com, 7 May 2002 [Full text]
GPs need a contract with their Patients, not this!: Robin N Barber
bmj.com, 8 May 2002 [Full text]
Ive Bought a New Car to Celebrate the Proposed New GP Contract: Simon M Fellerman
bmj.com, 8 May 2002 [Full text]
Volte face by the GPC: G Michael Leuty
bmj.com, 10 May 2002 [Full text]
Contract proposals are fatally flawed.: Peter Davies
bmj.com, 14 May 2002 [Full text]
Anxieties about new contract proposal: Michael J Curry
bmj.com, 14 May 2002 [Full text]
All roads lead to Private Practice: Trevor Alan Underwood
bmj.com, 16 May 2002 [Full text]
Patient demands: John R harrison
bmj.com, 16 May 2002 [Full text]
The proposed GMS contract: requesting decisions without key facts: Brian A. Ferguson
bmj.com, 26 May 2002 [Full text]
Encouragement for GPC but Humility please: David B Rance
bmj.com, 26 May 2002 [Full text]
Proposed New GP Contract: Andrew I Williams
bmj.com, 28 May 2002 [Full text]
one more voice for the chorus of disapproval: dougal j jeffries
bmj.com, 4 Jun 2002 [Full text]