Terms of service change is key to GPs' out of hours workBMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6924.345 (Published 29 January 1994) Cite this as: BMJ 1994;308:345
- L Beecham
The chairman of the General Medical Services Committee, Dr Ian Bogle, has admitted that the key to progress on general practitioners' out of hours work will be a change in the terms and conditions of service. He reported after the January meeting of the GMSC that he and the other negotiators were continuing discussions with lawyers and the Department of Health about how doctors could offer a consultation at a medically appropriate venue or arrange a hospital referral rather than have to offer a home visit. Dr Bogle hopes that sufficient progress will be made for him to be able to communicate with all doctors before the conference of local medical committees in June.
The GMSC chairman told a press conference that he believed that there was more support in the committee for a change in treatment venue provided that he could achieve a change in the terms of service. The ultimate aim was to ensure that doctors had the maximum choice for delivering out of hours care. The proposed primary care emergency centre was not the only solution, Dr Bogle said. More and more cooperatives were being set up and he and other committee members had visited some. At the GMSC meeting it was resolved that guidance on the development of cooperatives should be prepared for local medical committees and other interested parties.
The consultants appointed to assess all possible options for paying doctors to provide a new service have not yet met. But Dr Bogle said, The work will not go down, it will be done in …