Medicopolitical Digest

GPs' leader writes to review body on out of hours stalemateBMA council supports consultants' sanctionsRequest deferred for referendum on GMSC membershipBMA will consider investigating racism in the NHSMore work will be done on telephone helplineGPs can appeal over dispensing decisionNHS Executive issues guidance on NHS occupational health serviceGPs comment on drug budget proposals

BMJ 1995; 310 doi: (Published 07 January 1995) Cite this as: BMJ 1995;310:63
  1. Linda Beecham

    GPs' leader writes to review body on out of hours stalemate

    At its November meeting the General Medical Services Committee rejected the Department of Health's derisory offer of a fixed payment of £2000 per principal for out of hours work and a new night visit fee of £9 and instructed the chairman to seek a meeting with the secretary of state (26 November 1994, p 1392).

    At the December meeting the chairman, Dr Ian Bogle, reported that the negotiators had met Mrs Bottomley and that he had written to the chairman of the doctors' and dentists' review body to bring it up to date on the lack of progress on settling a payment for out of hours work.

    The negotiators had left the minister in no doubt about how strongly general practitioners felt about the increased aggravation of out of hours work, and about the paucity of the November offer. They told her that the whole contract was underpriced and that the out of hours part was underfunded and needed to be separately identified and priced. They urged her to support the profession's cases to the review body.

    Dr Bogle told the GMSC that he understood the strength of feeling on the subject but he suggested that there should be no precipitate action until the review body had reported, probably at the end of January. The GMSC's resignation from the NHS task force would meet during January and an options document would be prepared. Dr Bogle said that he hoped that the change to paragraph 13 of the terms of service, which would allow doctors to decide whether and where to visit a patient out of hours, would be approved in January.


    In his letter to the review body chairman Dr Bogle pointed out that the out of hours issue had brought the profession's disenchantment with the current level of pay …

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