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BMJ 2008;336:234 (2 February), doi:10.1136/bmj.39475.685694.BE
| The first 150 words of the full text of this article appear below. |
I was an outspoken critic of the new General Medical Services (GMS) contract at the time but the BMA did not recommend voting for the new contract in 2004: it put it to the profession as the best that it could get, given the governments position. Beerstecher (previous letter) forgets that the ability to stop doing out of hours was a huge incentive to vote yes, perhaps outweighing other considerations.1
The option for unilateral change of terms and conditions has been part of general practitioners contract since 1948, although I am sure it was not envisaged that it could be used as a weapon of spite by a government that was not getting its own way.
To say there was no agreement about the scope or purpose of the quality and outcomes framework is ludicrous. It was designed to stimulate better care and provide a performance related bonus for the
Trefor J Roscoe, general practitioner
1 Sothall Medical Centre, Sheffield S20 5JX
Trefor@nhs.net