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West Midlands Nuts and Bolts

West Midlands Nuts and Bolts. Dr Dean Marshall GPC Negotiator. Current issues. GMS Contract Appraisal and Revalidation HSCA Other issues. GMS contract. Current state of “negotiations” How did we get here? What does it all mean? What can we do next?. Current position.

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West Midlands Nuts and Bolts

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  1. West MidlandsNuts and Bolts Dr Dean Marshall GPC Negotiator

  2. Current issues • GMS Contract • Appraisal and Revalidation • HSCA • Other issues

  3. GMS contract • Current state of “negotiations” • How did we get here? • What does it all mean? • What can we do next?

  4. Current position • DH have threatened to consult on imposition of changes to the GMS contract unless we return to negotiations

  5. How did we get here? • 5 months of “negotiation” • Mandate from DH – further “efficiencies” • GPC position –workload saturation

  6. What does it all mean? • 1.5% “contractual uplift” if we agree • “fairer funding” between GMS and PMS • Implementing NICE QOF changes • Increasing QOF thresholds • Removing organisational points

  7. What does it all mean? • Changing time limits on some QOF indicators from 15 to 12 months • Changes to Carr- Hill - CPI and deprivation

  8. What can we do next • Return to negotiating table? • Disengage from commissioning • Maximise income and minimise expenses

  9. Appraisal and Revalidation • Introduction of revalidation in 2013 • “Leaders of the profession” go first • 5 appraisals + MSF • Appraisal does not equal Revalidation

  10. Appraisal and Revalidation • Sessional GPs • Consistency of appraisal across England • Peer appraisal • RO conflict of interest • Failure to revalidate

  11. Health and Social Care Act • CCG constitution • Authorisation process • Conflict of interest • Quality premium • Performance Management

  12. Health and Social Care Act • NHSCB • LATS • LETBs/Clinical senates • Health and Well Being Boards

  13. Other issues • Pensions • Premises • Extended GP training • Recruitment and Retention

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