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After months of intense negotiation we have finally signed off this year’s GP contract deal. Its centrepiece is the delivery of the much heralded state-backed indemnity scheme whose origins began in negotiations that started 2 years ago in the wake of the change to the Discount Rate. It has therefore been a long road that we have travelled and the launch of the scheme in April will see a new era in general practice.
The contract delivers an agreement which will provide all GPs and other clinical staff working in general practice (including out of hours settings) with state-funded indemnity in perpetuity in addition to a 1.4% contract uplift, subject to network engagement. This is a one-off settlement and puts to bed forever the spectre of spiralling indemnity costs. For the first time in the history of the NHS, GPs will no longer need to worry about the arrival of the inexorably rising annual bill, or fret about whether an MDO might terminate their membership. If you are on the Performers’ List you are covered for NHS general practice work. It is that simple.
GPs will still need to be a member of a Medical Defence Organisation (MDO) to ensure cover for GMC hearings, coroners and criminal cases and for services provided outside of the GMS/PMS/APMS contract (eg HGV medicals etc). MDOs are currently contacting members to explain the cover that they will be offering from April 1st and their proposed pricing structure.
NHS Resolution has been given the task of running the new scheme and we are liaising with them, DHSC and NHSE regarding how this will work in a practical sense. Indemnity cover will exist by right as a result of being on the Performers’ List and working in GP settings, and the finer details of the schemes administration will be announced shortly. The interface between MDOs and NHSR will be an important one and cases that are already ongoing will continue to be handled by the MDO currently involved.
I have discovered over the last couple of years that the field of indemnity is both fascinating and utterly complex. There are a thousand nuances and many special cases that require careful consideration. This has been the task of those of us working to deliver this development which henceforth will be funded entirely by government. Details of this work will be disseminated in guidance, but the profession can now rest easy in the knowledge that the promise that many believed could not be delivered has finally arrived.
Mark Sanford-Wood is a member of GPC executive
Learn more about the new GP contract
Well done GPC-BMA. Negotiations behind closed doors are more fruitful than protesting with petitions and confronting the British Government in sight of media, which would have been counterproductive, as experienced in past. I appreciate the tactful work done by the BMA Chair Dr Chaand Nagpal and GPC Chair Dr Richard Vaultery. Negotiation is not easy but it pays more than confrontation. Dr Bashir Qureshi
Well done Richard Vautrey for negotiating this key change.
Well done Mark and team-really should make a difference to retention and recruitment
that's great, we all know the money we save will be clawed back from us by the abusive paymaster that is our government
Due to a previous GMC hearing , I have had to seek indemnity with All Med Pro and have been paying upwards of £15000 per year. My indemnity is up for renewal on 19.3.19 and when I contacted them for an extension until 31.3.19 they declined stating that I will have to take out a non refundable annual cover. Can anyone advise me please
For the Anonymous doctor whose current Indemnity cover ends on the 19th of March. You could pay for 2 weeks or maybe a 1 month rather than the whole year alternatively if that is not an option you could take those 2 weeks as annual leave.
Can you tell me if my subscription for MPS will go down as a result.? I am retired locumwho just do 3 clinical session a week
Thank you enormously, it should now feel like we're valued, working on a decent salary and not a trainee's wage.
Any body knows if this scheme will include Locums or work for OOH?
Does this mean we could cancel our current cover from April?
What about coils and implants?
Yes locum and OOHs is included - the article clearly states ALL NHS GP WORK will be covered.
at last ! very good news and well done - it may persuade me to continue in a locum role after I retire
Always worried when a committee GP tells me not to worry! There is no such thing as a free lunch and General Practice will end up paying for this some how, some where down the line. Just a question of when.....
Is it in fact the case that our global sum is being reduced to pay for this?