The question is where to start?
There is a core of consistency relating to the PMS agreement
regulations. PMS like GMS encompasses ie essential, additional and
enhanced services along with varying abilities to opt in or out of
various services eg some of the additional or enhanced services and out
of hours. Then there is the QOF and in PMS usually some extra services -
usually defined as practice objectives which are over and above what
goes on in GMS and may be directed towards particular patient needs,
list growth, PCT targets etc. Mostly these are the justification for
growth funds though some growth funds were required just to prop up the
workforce at a time when GP partners could not be recruited for love nor
money (and some were put in apparently as an inducement so that senior
NHS managers could hit targets for recruitment into PMS)
I am involved as an LMC sec in renegotiating PMS contracts on behalf of
quite a few practices in different PCTs and while there is a common set
of regulations the approach varies not only from PCT to PCT but also
between different managers and over time. It is possible for both
positive outcomes which spearhead improvements all round in the standard
and delivery of local general practice, or on the other hand for
disastrous destabilisation of existing services.
Happy to go on but not sure what information you are seeking and for
what purpose? A more focussed enquiry might produce a less unfocussed reply!
BW
Fay
Paul Batchelor wrote:
> Can someone let me know to what extent the PMS contracts are different
> according to the PCT that is commissioning the services? I'm looking
> at the dental contracts and they vary enormously; I suspect that some
> are simply medical contracts with the word 'dental' swopped with
> 'medical' services. All in all a real dog's dinner.
>
> More than happy to discuss the issues off the group with anyone.
>
> Many thanks,
>
> Paul
>
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