From: "Andy Lee" <[log in to unmask]>
Sent: Friday, January 16, 2004 10:59 PM
Subject: Re: Someone help me with nGMS Seniority Payments
> Tim Walter wrote:
>
> > The SFE implies that the whole of Seniority must be paid to that GP,
> > and PCT will withhold payment if it is not
>
> FWIW, although different contractually, we are pursuing related issue
under
> PMS. PCT have stated seniority increases included in 'across the board'
> uplift to all PMS practices and pointed out that although some doctors
might
> think they have been under-paid, the PCT pointed out it had not reduced
the
> payment to other practices despite senior partners on a high seniority
> having left. So some doctors seniority rises are divied up in other
> practices down the road! Well that's alright then :-(
> LMC are in communication with GPC about it.
PCTs were given two alternative ways of dealing with this issue - either to
give an across the board uplift or to "unpick" the seniority out of the PMS
allocation and deal with it separately. This means that some practices would
lose the seniority element from their allocation if senior partners left and
less senior ones joined. It seems most PCTs have used the former method. One
of the down sides of being in PMS I suppose. I know a few practices who went
PMS so they would be on an allocation system and not depend on individual
doctor numbers etc. Swings and roundabouts? I think the PCTs had a fixed
uplift for PMS seniority so there are presumably as many winners as losers?
Fay
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