“PCTs will be working with practices and LMCs to discuss and agree contracts for next year. In doing so, they will be looking to secure similar changes to those outlined in GMS. This means an approach based on:
Delivering improved efficiency - through freezing current contract prices, making continuous improvements in quality delivery secured through the national QOF, as well as new arrangements for dispensing doctors. We look to PCTs and practices to work together to introduce these changes in local contracts. Together these measures will secure real improvements for patients as practices continue to respond innovatively to deliver better care to their patients.
Continued investment in practices through Directed Enhanced Services that increase patient access & choice, drive greater utilisations and uptake of information & IT systems and incentivise the roll out of Practice Based Commissioning.
The final balance between actual levels of efficiency and new investment will vary between practices depending on local contract discussions, particularly where practices concerned are dispensing practices.
PCTs are reminded that existing contractual provision is based on an agreement jointly entered into, and that changes to those arrangements may only be achieved through proper consultation and negotiation with practices. . That means where additional efficiencies over and above that currently expected can only be achieved with the agreement of the practices concerned.
The Government and NAPC remain committed to the benefits that can jointly be achieved for patients, practices and the NHS from high quality, appropriate local contracting that allows innovation in service delivery. However, securing value for money, as well as high quality care and a greater range of services delivered in a local setting remains a pre-requisite to achieving a sustainable partnership between contractors and commissioners.
**ENDS**
Contact details for NAPC Executive Members are as follows:
Dr James Kingsland: 07887 894 124
Dr Peter Smith: 07879 696 960
Dr Johnny Marshall: 07802 946 196
Dr Howard Freeman: 0207 636 7228