Written evidence submitted by Dr James Kelly (FGP0017)

 

LMC Conference 2015.; A solution to improve and incentivise GP Access for 2021!

 

KENT: That conference believes that the current formula based core contract is unfit for purpose:

 

(i) in that it fails to recognise the ever increasing demand for access and complex care associated with model 21st century general practice

 

(ii) in that it fails to incentivise the expansion of primary care needed to cope with the vision set out in the NHS Five Year Forward View

 

(iii) and should be replaced by a payment by activity contract which directly links workload to resource.

 

The GP contract could be set for a radical overhaul, with payment to be potentially based on activity rather than on capitation basis, after LMC leaders voted in favour of such a move.

 

Despite GPC setting out its concerns for such a move, LMCs voted 53% in favour of a motion that said the ‘current formula based core contract is unfit for purpose’, and should be ‘replaced by a payment by activity contract which directly links workload to resource’.

 

This proved a departure from last year, when a similar vote was lost.

 

Dr Jim Kelly from Kent LMC, who lost the vote last year, said: ‘The Government wants us to do more. They want to move more work our way and the way to incentivise activity is by paying for activity.

 

‘The problem with the NHS is that we are the most efficient part of it and we’re all on block contracts, effectively. Capitation [payment] is a block contract which means that no matter how hard you work you don’t get any more money.’

 

He said this was a ‘radical’ motion, adding: ‘It is something that is designed to shake things up. But radical problems need radical solutions.’

 

Nov 2021