06 June 2003
The government's NHS modernisation plans were boosted this week as the British Medical Association sent out ballot forms effectively urging its GP members to accept new contract proposals.
The contract could increase GP pay by 11% in the current year. Doctors will be asked: 'Do you wish to see the proposed new GMS [general medical services] contract implemented?' The ballot will close on June 20.
A ballot in March was postponed after GPs raised fears that many practices would lose income under the new deal. The government promised to introduce a minimum practice income guarantee (MPIG) to prevent this.
A special meeting of GP leaders last month voted to delay the ballot while further concessions were sought. Voting forms, however, were posted this week.
GP leader John Chisholm said the decision was taken because the government had made additional income guarantees, including the removal of a £7,500 penalty that could have applied to practices using the MPIG.
A further reason for the rush to ballot may be the parliamentary timetable. Primary legislation is required to implement the new contract, and both sides want it introduced in full next April.
Chisholm backed the proposed contract. 'GPs asked for a new contract that was better for doctors and better for patients. I believe this contract delivers that,' he said.
The result is not a foregone conclusion and many GPs, like their consultant colleagues, are in militant mood.
In another boost for the government's plans, more than eight out of ten Unison health members voted to support 12 pilots of the Agenda for Change pay package, it was announced this week.
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