Open Access Implications of the new GP contract

Author: Charlton, Rodger

Source: Clinical Medicine, Journal of the Royal College of Physicians, Volume 5, Number 1, January 2005 , pp. 50-54(5)

Publisher: Royal College of Physicians

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Abstract:

A new contract for general practitioners (GPs) was introduced in the UK on 1 April 2004 which has implications for secondary care. In particular, the contract means that GPs can opt out of out-of-hours care, and accident & emergency services have voiced their concern that their workload may increase as a result. The new contract provides the potential for a rise in GPs' salaries by two means: through the provision of the Quality and Outcomes Framework which includes the management of 10 common chronic diseases; and through 'Enhanced Services', which are a series of optional 'extra' more specialised services with national specified standards that can be commissioned by primary care organisations (PCOs).

Keywords: CHRONIC DISEASE; CONTINUITY; GATEKEEPER; OUT-OF-HOURS CARE; PRIMARY CARE; QUALITY

Document Type: Research article

Publication date: 2005-01-01

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  • Clinical Medicine is published six times a year and circulated to 20,000 Fellows and Members of the Royal College of Physicians. The journal is read by physicians both established and in training in hospitals across the world. It features a wide range of articles including original papers, professional issues, clinical guidance, medical humanities, ethics and clinical governance. The journal publishes the key features from the College lectures and conferences. Each issue has a CME section which reviews the latest advances in a chosen specialty.
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