If you continue without changing your settings, we’ll assume you’re happy to receive all cookies from the BMA website. Find out more about cookies
When you visit any web site, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalised web experience.
Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.
These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.
You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.
These cookies are required
These cookies allow us to know which pages are the most and least popular and see how visitors move around the site. All information we collect is anonymous unless you actively provide personal information to us.
If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.
These cookies allow a website to remember choices you make (such as your user name, language or the region you're in) and tailor the website to provide enhanced features and content for you.
For example, they can be used to remember certain log-in details, changes you've made to text size, font and other parts of pages that you can customise. They may also be used to provide services you've asked for such as watching a video or commenting on a blog. These cookies may be used to ensure that all our services and communications are relevant to you. The information these cookies collect cannot track your browsing activity on other websites.
Without these cookies, a website cannot remember choices you've previously made or personalise your browsing experience meaning you would have to reset these for every visit. In addition, some functionality may not be available if this category is switched off.
Our websites sometimes integrate with other companies’ sites. For example, we integrate with social networking sites such as Twitter and Facebook, to make it easier for you to share what you have read. These sites place their own cookies on your browser as a result of us including their icons and ‘like’ or ‘share’ buttons on our sites.
The landscape of general practice is changing rapidly, and new models of care are being presented as innovations to solve the workload, workforce and funding crises. We have all heard about the emerging super-partnerships, federations and now MCP models of care coming forward, but has anyone thought about the implications for a sessional GP?
Currently, with the independent contractor status, practices that hold a GMS contract must offer terms no less favourable than the model salaried contract. However, with these new models of care the protection of the model salaried contract can potentially be lost. Technically these practices may no longer be bound by GMS regulations and therefore do not have to offer the model salaried contract.
This can have advantages and disadvantages, depending on how you look at the situation. New models can offer flexibility and incentives such as reimbursement for postgraduate diplomas in specialties, for example in dermatology. Or by losing the GMS contract, it can make the sessional GP more vulnerable as they lose the protection of the salaried contract and are left open to a locally negotiated contract.
The main point to remember in this current climate is to respect your own value and not to rush into agreeing any new terms and conditions without understanding their implications. Just because new models of care are trying to solve the general practice crisis, the value of the sessional GP must not be forgotten and it is imperative that sessionals are thought of in any new plans. Sessional GPs are part of the GP workforce and should not be scapegoated to meet the new model’s needs.
If in doubt, please contact the BMA service to check your contract to highlight any potential flaws. However, as mentioned earlier, things are changing rapidly – so while being cautious about this new environment, please keep an open mind as these models may expand your own horizons to equip you with the right skills to face this new era of general practice.
Pooja Arora is a freelance GP and West Midlands representative for the sessional GP subcommittee
This already happened. I applied to salary posts in few practices. And only one offered the model contract. Most had their own terms with no sick pay amongst others