Dear all Please find below Michelle's briefing to support you, and assist in discussions with commissioners. Kind regards Lesley
Lesley Williams Assistant Director Primary Care Strategy Londonwide LMCs and Londonwide Enterprise Ltd Tel: 020 7387 2034 ext *221 Direct Dial: 020 3818 6221 Mobile: 07768 109690 Email: [email protected]<mailto:[email protected]> Web: www.lmc.org.uk<http://www.lmc.org.uk/> Twitter: @LondonwideLMCs From: Londonwide LMCs <[email protected]<mailto:[email protected]>> Sent: 10 March 2022 14:22 To: Subject: Briefing on GP Contract 2022/23 %%_PreHeader%% To view this email as a web page, go here.<javascript:void(0);> [Londonwide Logo] [https://image.s6.sfmc-content.com/lib/ffcf14/m/1/spacer.gif] Thursday 10 March 2022 Dear Colleagues, Briefing on GP Contract 2022/23 As you will now be aware, despite lengthy negotiation no agreement was reached on changes to the national contract for 2022/23 <https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.england.nhs.uk%2Fwp-content%2Fuploads%2F2022%2F03%2FB1375_Letter-re-General-practice-contract-arrangements-in-2022-23_010322.pdf&data=04%7C01%7CLesley.Williams%40lmc.org.uk%7C02ca36ddccfd4dd417ee08da02aa64c9%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C637825228106682325%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=pNgRSb%2Bivn5vM7X5Ppcq%2FYPjPbOU5eCtb2w7EmuLhd8%3D&reserved=0> . Negotiations between NHS England and GPC England were part of the five year 'deal' agreed in 2019 and on 1 April we will enter year four of that deal. Despite the challenges we have all faced over the past two years there has been no willingness from government, or its agency NHS England, with whom the GPC negotiates, to address any of the severe issues for GPs that have arisen during the pandemic - for them it is as if nothing has happened. A five year deal is a five year deal. And so the contract has been amended and imposed on the profession. You can see our comments and thoughts on the measures contained in the new contract update here: * Download our GP Contract 2022/23 briefing<https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.lmc.org.uk%2Fvisageimages%2F2022%2520Londonwide%2520Newsletters%2FLondonwide%2520LMCs%27%2520briefing%2520on%2520GP%2520Contract%25202022-23.pdf&data=04%7C01%7CLesley.Williams%40lmc.org.uk%7C02ca36ddccfd4dd417ee08da02aa64c9%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C637825228106682325%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=1aO6Tz8biHdzdZSWKowZwno3qY7hO7b6%2F4Dc%2F2gF%2BNQ%3D&reserved=0> This contract update has been forced on general practice despite the unparalleled success of the Covid vaccination programme; record-breaking appointments being delivered to patients; extraordinary workforce constraints, and workload concerns. Similarly global events and the stress of the current geopolitical threat resulting in migrants and asylum seekers reaching our shores in need of general practice care have not led to any change in approach. In recent weeks we have seen an increase in GP-bashing in the media. One article in particular in the Sunday Times (not one of the usual suspects) has increased anxiety amongst our colleagues with bold statements about vertical integration and the future of general practice. Whether this is an innocent article, albeit raising the prospect of an existential threat to general practice as we know it (not just the partnership model, but the very philosophy of continuity care, holistic, relational and longitudinal), or kite flying and deliberate dis-information designed to make us feel threatened, there is a pattern developing of public facing messaging framing GPs as indolent, incompetent, or inconvenient. The same week we saw NHS England unilaterally impose contract changes on general practice, right-leaning think tank Policy Exchange published a new report with a proposal to reform general practice and enable digital healthcare at scale<https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpolicyexchange.org.uk%2Fpublication%2Fat-your-service%2F&data=04%7C01%7CLesley.Williams%40lmc.org.uk%7C02ca36ddccfd4dd417ee08da02aa64c9%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C637825228106682325%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=Cr3JPeux3tSsx4xv7r%2FHZYYACe5qWEsoIlLIzJmIuu8%3D&reserved=0>, challenging the independent contractor model. It is unclear whether this represents Secretary of State for Health, Rt Hon Sajid Javid MP's "Independent Review of General Practice <https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fpracticeindex.co.uk%2Fgp%2Fblog%2Fnews-dismay-as-javid-runs-secret-review-of-general-practice%2F&data=04%7C01%7CLesley.Williams%40lmc.org.uk%7C02ca36ddccfd4dd417ee08da02aa64c9%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C637825228106682325%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=uPQh7%2BmeS%2FtGMWnMEjYCVsAQ2zZie6ExUUzfDx3Q%2B4Y%3D&reserved=0> ", but Mr Javid wrote a warm foreword. Time will tell whether this is an innocent albeit "wonky" kite, or a vision of things to come. You decide. Both are nasty. Regardless of what Ministers, think tanks or commentators think, one thing is clear: your elected LMC members are here to represent you and the Londonwide team are on your side. Please continue to let us know your thoughts on what this means for you, your practice, and your profession. With best wishes [https://www.lmc.org.uk/visageimages/images/Michelle%203.jpg] Dr Michelle Drage MBBS FRCGP CEO, Londonwide LMCs Londonwide LMCs and Londonwide Enterprise Ltd Tel: 020 7387 2034 Fax: 020 7383 7442 Email:: [email protected]<mailto:[email protected]> Web: www.lmc.org.uk<https://eur02.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.lmc.org.uk%2F&data=04%7C01%7CLesley.Williams%40lmc.org.uk%7C02ca36ddccfd4dd417ee08da02aa64c9%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C637825228106682325%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=9JmxZ1m0%2F5nzpsTMNCSVlzRj%2BvqvfoBtoxIjsRkxX6c%3D&reserved=0> Twitter:@LondonwideLMCs<https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Ftwitter.com%2Flondonwidelmcs&data=04%7C01%7CLesley.Williams%40lmc.org.uk%7C02ca36ddccfd4dd417ee08da02aa64c9%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C637825228106682325%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=%2FY7oI6omFpCpz9Q7MKLNJJd6pUy4aOb3BGK3O%2FyF1Xk%3D&reserved=0> Facebook: www.facebook.com/LondonwideLMCs<https://eur02.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.facebook.com%2FLondonwideLMCs&data=04%7C01%7CLesley.Williams%40lmc.org.uk%7C02ca36ddccfd4dd417ee08da02aa64c9%7C5670c82635004dfd9a7fc45939b3c53f%7C0%7C0%7C637825228106682325%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=o1aLC37C93iFkIf7%2BAi1vx%2FKBA2XXpDcIghlHi8nwPo%3D&reserved=0> PS: Make sure that you add us to your 'safe senders' list so that these emails do not go to your Junk email box. Think of the environment - Do you really need to print this e-mail? Londonwide Enterprise Limited is a wholly owned subsidiary of Londonwide Local Medical Committees Limited. Registered and office address: Tavistock House South, Tavistock Square, London WC1H 9LG. Registered in England No. 6990874. Londonwide Enterprise Limited is registered as a Company Limited by Shares. VAT no: 130 1454 66. Londonwide Local Medical Committees Limited and Londonwide Enterprise Limited do not provide legal or financial advice and thereby excludes all liability howsoever arising in circumstances where any individual, person or entity has suffered any loss or damage arising from the use of information provided by Londonwide Local Medical Committees Limited and Londonwide Enterprise Limited in circumstances where professional legal or financial advice ought reasonably to have been obtained. 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