General medicine is the foundation of the NHS, and the NHS is thriving again and thriving. This agreement between NHS England and the government-backed BMA General Practitioners Committee (GPC) in England translates the commitments of the NHS Long Term Plan1 into a five-year framework for the family doctor service contract. We confirm the direction of basic services for the next ten years and we try to meet the reasonable expectations of the profession. During our discussions, we shared five main objectives: 8. To give clarity and certainty to practices to five-year funding. Resources allocated to primary and community medical services will increase by more than £4.5 billion by 2023/24 and will increase as a percentage of the total NHS budget. This agreement now confirms how many of them will be affected by the national legal laws provided for general medicine under practice and network contracts. GPC England and NHS England have agreed that we are not expecting additional national money for practice or network contract claims by 2024/25. Funding for the practice contract is now agreed for each of the next five years and will increase by £978 million in 2023/24. As a result, DDRB will not make recommendations on the net income of PM partners. As part of this agreement, we expect in-office staff, including employed family physicians, to receive an increase of at least 2.0% in 2019/20, but the actual effect will depend on compensation agreements within practices. NHSE and GPC have asked the government to ask the DDRB not to make recommendations for family doctors employed for the 2019 salary round.
We have also asked the government to continue to include, from the 2020 salary cycle, recommendations on the remuneration of salaried family doctors in the scope of the DDRB. Recommendations should be based on affordability and, in particular, on the fixed contractual resources available to practices under this agreement, and color the decisions of family physicians` offices regarding the payment of employed family physicians. We have asked the government to ensure that the DDRB continues to recommend, as usual, trainees, educators and experts for family physicians. As now, the government will decide how it will respond to the DDRB recommendations. A new compensation mechanism will be adjusted, if necessary, between the overall sum and the amount of the labour reimbursement in the DES network contract according to the actual level of the partners` salaries. This will be designed in 2019 by NHS England and GPC England. Due to significant investments and public confidence in the GP partnership model, pay transparency will be enhanced. Family doctors whose total NHS income is over £150,000 per year are listed in a national publication by name and income, starting with 2019/20 income. The government will work to simultaneously introduce the same pay transparency for other independent contractors in the NHS. The use of this template is not mandatory. Primary Care Networks is free to enter into, at its discretion, various forms of data sharing and data processing agreements. If the model is used, it must be developed among members of the Primary Care Network.
Instructions are provided at the end of the template. NHS England and Improvement has published a model agreement for data sharing and a data processing agreement Creating a pcN checklist for discussions and agreements CCGs are expected to provide an annual report to LMCs so they can monitor local investments in general medicine. The important role of LMCs is also highlighted throughout the Treaty document. . . .