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Better care for elderly will replace some “box ticking” under new GP contract

BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f6909 (Published 18 November 2013) Cite this as: BMJ 2013;347:f6909
  1. Gareth Iacobucci
  1. 1BMJ

GPs in England face sweeping changes to their contract from next year, with substantial reductions in “box ticking” in exchange for new responsibilities. These include ensuring that all patients aged 75 years or older have a “named GP” and monitoring the care that patients receive outside surgery hours.

The agreement between the BMA’s General Practitioners Committee and NHS Employers will shift £450m (€540m; $725m) worth of funding from the Quality and Outcomes Framework (QOF) into other areas, with around £290m invested in GPs’ core funding, and the remainder used to fund a new scheme for preventing patients being inappropriately admitted to hospital.

The health secretary, Jeremy Hunt, said that the deal would reduce pressure on hospitals’ accident and emergency departments and reverse the “mistakes” of Labour’s 2004 GP contract, which he said “broke the personal link between GP and patient.”

The BMA also welcomed the …

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