This is the 41st report (HC 463, NHS Pay Modernisation: New Contracts for General Practice Services in England) from the Committee of Public Accounts in the 2007-08 session, and follows an NAO report on the same topic (HC 307, session 2007-08), published in February 2008. There are around 33, 000 GPs who hold some 290 million consultations each year, with the services costing some Ap7.7 billion, which amounts to almost 10 per cent of NHS expenditure. In April 2004 a new GP contract was implemented that was intended to encourage more doctors into general practice through better pay and conditions. This report examines the contract negotiation, the cost implications, and the extent to which expected benefits for patients and the NHS are being realised. The Committee has set out a number of conclusions and recommendations, including: that the new contract cost some Ap1.8 billion more than planned; that there has been an increase of some 4, 098 GPs working in primary care, but general practice productivity has decreased annually by an average of 2.5 per cent; many primary care trusts do not have the capability to use the new contracts to maximise benefits for patients; that such contracts have not led to improved services in deprived areas and that access to general practice services has not significantly improved overall; GP pay and the Quality and Outcomes Framework requires further improvements; that GP's partners' pay has increased on average by 58 per cent and not the 15 per cent originally expected.Most GPs were not happy with their working conditions. There were funding inequalities between practices in different parts of England, and services were not flexible enough to meet local needs. At the same time, the Department consideredanbsp;...
|Title||:||Nhs Pay Modernisation|
|Author||:||House of Commons|
|Publisher||:||The Stationery Office - 2008-10-09|