Intended for healthcare professionals

Rapid response to:


New GP contract deal: a game changer for primary care?

BMJ 2019; 364 doi: (Published 01 February 2019) Cite this as: BMJ 2019;364:l531

Rapid Response:

Re: New GP contract deal: a game changer for primary care?

If the new contract was intended to improve recruitment and retention of GPs I doubt this will be achieved. Instead it appears that the aspiration to increase the number of GPs has been given up on. Most GPs yearn for their workload to reduce but not having to become involved in more bureaucracy in employing 20,000 social prescribers, pharmacists and physiotherapists. Most of the work done by these workers isn’t something GPs would feel should be part of their remit in any case. More importantly the responsibility and liability of the work done by these 20,000 workers will fall on GPs. Indemnity being paid for by the NHS won’t be any consolation as the money is being deducted from the global sum. It’s the equivalent of being told that the NHS will pay for your car insurance but deduct it from your salary; this wouldn’t affect your safety in a car or your confidence in driving it. Fundamental reform of the Medical Negligence process and complaints procedures is required. Also, the contract does nothing to reduce demand or encourage patients to use the service more responsibly according to need and not want.

Competing interests: No competing interests

10 February 2019
Kaiser Chaudhri