Supplementary agenda for the BMA Annual Representative Meeting, 1 - 4 July 2002
Report of the agenda committee
To follow item 10
609 motion by the agenda committee: that the sub-heading “consultant contract” be deleted from the senior hospital doctors section and that the section be re-ordered as follows:
269, 618, 619 bracketed with 276 and 280, 274, 271, 270, 272, 273, 275, 277, a278, 279.
610 motion by the agenda committee: that item 64c be removed from the bracket and be debated separately after item 64.
to follow item 12
611 motion by the agenda committee: that the first part of the business on Tuesday morning be taken as follows:
9.00 am - doctors’ performance (items 226 to 234)
9.10 am - motions not related to any section of the annual report of council
- other motions (items 235 to 245)
9.30 am - BMA Services Limited (items 220-221)
9.35 am - BMJ Publishing Group (items 222-225)
Bye-laws
To precede item 15
612 erratum: include “staff and associate specialists committee” under the provisions of bye-law 93 (2) (a).
Finances of the association
To precede item 105
613 erratum: the figure 5.67 in item 105 should read 4.7%.
Training and education
Undergraduate training
To follow item 124
614 amendment by the junior doctors conference: that the words “and age” be added to item 124 between the words “sexuality” and “to ensure”.
Professional self regulation
GMC annual retention fee
To follow item 150
615 rider by M Porter and S Millar: that the words “informed by a BMA study of the funding and control of medical regulation in other countries.” Be added to the end of item 150.
International affairs
International conflicts
To be included in the bracket with item 165 as the starred motion
616 motion by the junior doctors conference: that the BMA condemns the targeting and harassment of health workers in the West Bank and Gaza and calls on all parties in conflict to accept the critical role of doctors, nurses and paramedical services on duty and to respect their medical neutrality under the terms of the fourth Geneva Convention.
The public health
Alcohol and drugs
To precede item 263
617 erratum: that the word “of” be added before the word “misuse” in item 263 so that the motion reads “that this meeting supports controlled legalisation of drugs of misuse.”
Senior hospital doctors
618 emergency motion by the Central Consultants and Specialists Committee: that this Association notes the CCSC resolution to recommend the proposed new consultant contract and supports the CCSC in its policy.
[the CCSC's resolution referred to in item 618 above was passed at the CCSC'smeeting held on 13 June 2002 and reads as follows: “the CCSC believes that the proposed new contract is a major step forward in recognising and rewarding the high quality elective and emergency work performed by consultants. Both sides have made compromises in achieving the best deal available. We recommend this new contract to all consultants.]
To follow item 618
619 motion by the junior doctors conference: that with regards to the agreement on the proposed new consultant contract framework, that this meeting:
(i) Recognises the considerable efforts of the CCSC negotiating team and is pleased that detailed proposals have now been published;
(ii) Welcomes the removal of the 10% private practice limit and the maximum part time contract for consultants;
(iii) Welcomes that there will not be a total ban on private practice for any consultants;
(iv) Supports the clearer demarcation of NHS and private work;
(v) Believes it may result in greater recognition for consultants' additional work, most of which is currently unrecognised and unpaid;
(vi) Is concerned that many consultants will be disadvantaged by greater managerial control;
(vii) Regrets that changes to the standard working day will increase employers' ability to determine "normal" work to take place in the evenings and at weekends with the inevitable detriment to work life balance;
(viii) Rejects any differential treatment within the contract for newly appointed consultants;
(ix) Demands that specialist registrars be given a vote in the forthcoming referendum on the proposals;
(x) Believes that the new contract for consultants who work less than full time is fundamentally flawed;
(xi) Taking all of the above into account, this meeting is unable to commend the contract as presently written and demands that the current CCSC negotiating subcommittee undertake immediate negotiations to rectify the unacceptable aspects.
To follow item 270
620 rider by Bromley Division: that the following words be added to the end of item 270 “and believes that the present proposals for an extended working day are unacceptable.”
General practitioners
GP contract
To precede item 293
621 motion by the annual conference of representatives of LMCs: that this meeting:
(i) thanks the GPC negotiating team for its hard work in negotiating the new GP contract;
(ii) welcomes the proposals for the new GP contract outlined in your contract, your future;
(iii) recognises the importance of further detailed discussion and pricing of the new contract;
(iv) believes that the proposals in your contract, your future will only solve the crisis in general practice if they are significantly resourced.
622 motion by the annual conference of representatives of LMCs: that this meeting:
(i) insists that the pricing of the new contract must provide a significantly increased income to all GPs;
(ii) declares that any pricing of the contract that forces the majority of practices to list quality targets to maintain their existing income is unacceptable;
(iii) instructs the GPC to ensure that the pricing of the new GP contract takes into account the need for practices to recruit additional staff and to pay all staff competitive rates if they are to achieve the proposed quality agenda;
(iv) urges GPC to specifically address the issue of differential income throughout the four countries of the United Kingdom in order to achieve reasonable parity under the new contract.
623 motion by the Annual Conference of Representatives of LMCs: that this meeting insists that there can be no final agreement to a new contract without satisfactory resolution of all outstanding pensions issues.
Junior hospital doctors
To precede item 321
624 motion by the junior doctors conference: this meeting reaffirms that all junior doctors’ accommodation (whether compulsory or not) should be subject to the agreed standards and inspection, monitoring and enforcement mechanisms, and rejects the attempts by the department of health to withdraw from the agreements as discriminatory, family unfriendly and raises significant concern over the good faith with which the departments of health enter into such negotiations.
To follow item 323
625 amendment by the junior doctors conference: that part (i) of item 323 be deleted.
Structure and function of the bma
Divisions
To follow item 364
626 amendment by Portsmouth and South East Hants Division: that motion 367 be added to the motions in the bracket at 364.
Regional services
To be bracketed with item 401
627 motion by the junior doctors conference: that in the light of proposed new contracts for consultants and GPs, as well as continuing failure to implement fairly at local level pay and hours deals for junior doctors, the BMA must immediately enhance support and recognition for its regional offices and staff.
to follow item 401
628 amendment by G Dilliway and A S J FReeman: that item 401 be amended to read:
“that this meeting calls for the Association to increase its investment in, and carry out a complete and open review of its funding and staffing of regional services which are the first point of contact for many members and are an important function of the Association.”
Information technology
To follow item 416
629 amendment by Bromley Division: that the following words be deleted from item 416 “all aspects of information technology” and be replaced with “relevant aspects of technology”.
Armed forces
To precede item 433
630 motion by the Armed Forces Conference: that this meeting urges:
(i) the MOD's medical manning and retention review to recommend measures likely to improve both manning and ensure pay comparability to civilian practice;
(ii) that the measures taken should be regularly and publicly audited;
(iii) and that further action should be taken where necessary to ensure progress toward these objectives.
631 motion by the Armed Forces Conference: that this meeting believes that the pay of DMS junior doctors should take into account both the stage of training and the length of post-registration medical experience.
632 motion by the Armed Forces Conference: that this meeting believes that in view of the increased reliance of the DMS on medical reservists, reserve medical officers should enjoy the equivalent terms and conditions of service to their regular colleagues.
Medical workforce
Working conditions
To follow item 449
633 amendment by the Junior Doctors Conference: that the following words be added to part (i) of item 449 between the words “do this” and “when returning home”: “as part of their normal on-call duties and” so that part (i) of the motion reads as follows: “to commission a report into the dangers of driving when tired as many doctors do this as part of their normal on-call duties and when returning home from prolonged periods of duty working for the NHS.”
Superannuation
GP locums and non-principals
To precede item 535
634 erratum: the name of the proposing constituency of motion 535a should read Cleveland LMC and not Clevelend LMC
Financing the NHS
Patient charges
To precede item 577
635 erratum: “NHS” should appear before “general practitioners” in item 577.
Medical ethics
Assisted suicide and euthanasia
To follow item 590
636 amendment by A S J Freeman and I R Wilson: that item 590 be reworded to read as follows: “that this meeting believes, in the light of the case of Diane Pretty and others, that amendment of the Suicide Act is necessary and desirable to take account of mentally competent individuals who wish to take their own lives but are physically incapable of so doing.”