Family doctors are considering striking over Government plans to cut
their pay. The British Medical Association, the doctors’ union, will meet on
Thursday to discuss whether to hold a vote on industrial action. They are at
loggerheads with the Government over plans to change their lucrative contracts
– changes that could mean they have to work longer hours for less money.
Family doctors are considering striking over Government plans to cut their pay
This summer, GPs and hospital doctors staged their first strike in 40
years over proposals to change their pensions. For 24 hours they refused to treat patients
unless they were urgent. But the protest proved highly unpopular with the
public and in the end only one in ten doctors took part. This latest dispute
centres on Department of Health plans to change a bonus scheme within the GP
contract known as the Quality and Outcomes Framework, or QOF. It enables
practices to earn points – converted into cash – for monitoring and treating
conditions such as high blood pressure, diabetes, dementia and obesity.
But officials want to raise the bar so GPs have to treat and monitor
higher numbers of patients before they are rewarded. They also want to scrap
payments known as 'organisational targets' whereby practices are given payments
for sending staff on training courses and giving patients leaflets about
opening hours. The Government says these are 'basic standards' and GPs should
not be rewarded for providing them. But Dr Mark Porter, the chair of the BMA , accused the Government of
being 'cavalier' and forcing the contract on family doctors.
The British Medical Association will meet on Thursday to discuss whether to hold a vote on industrial action
In an interview with GP magazine, (please keep), he said the union's general practitioner's committee would discuss whether to ballot members on industrial action this Thursday. 'I wouldn't want to imply there is a deadline for industrial action. It is always one of the options open to a profession whose negotiations are being treated in such a cavalier manner,' he said. 'At the moment the Government has decided to pull back and decided to impose the contract rather than negotiating it.'
And Dr Laurence Buckman, chair of the BMA's GP committee said the
changes would mean 'the addition of new work into existing remaining points for
no new money'. The existing contract - brought in by Labour in 2004 - has
resulted in GP average salaries soaring by 50 per cent to £105,000 a year. This
was largely due to the introduction of the QOF bonus scheme, which makes up
around a third of family doctors' salaries. But critics have said the scheme
enables doctors to earn points too easily.
There is also evidence they have been overly focusing on the patients
who bring in points and ignoring others. But the latest NHS figures show that
GPs average salaries have fallen in the last year by 1.5 per cent to £104,100. Family
doctors are self-employed and their salaries are largely determined by the
amount of money made by their practice, or surgery. Any reduction to the income
of the practice will result in a cut to their salaries.
Source: Daily Mail UK
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