GP representatives will vote on policy to reduce basic opening hours to 9-5 across the UK

AVON: This conference believes that urgent action must be taken to manage the workload/manpower mismatch within general practice and demands that the basic GP contract be reduced to the hours of 09:00 to 17:00.

COMMITTEE AGENDA TO BE PROPOSED BY AYRSHIRE AND ARRAN: This conference observed that the public emerges from the pandemic with additional and unrealistic expectations of general practice, and:

(i) believes that the continued political and media pressure for general practice to meet demand relative to need in a chronically underfunded health service is unacceptable

(ii) believes that patients need more support to make informed choices for their personalized care that avoid duplication, are truly necessary and safe, and prevent or reduce medical interventions

(iii) considers it inappropriate to ask for written evidence of GP support for non-medical issues

(iv) requires an education campaign for patients to encourage the use of self-care

(v) requires an education campaign for patients to use pharmacy, optometry and dental services appropriately.

CAMBRIDGESHIRE: This conference finds that the continued political and media pressure for general practice to meet demand versus need in a chronically underfunded health service is not only unacceptable, but is also directly responsible for the demise of general practice, and :

(i) calls on the Secretary of State and the DHSC to stop using the media to profane general practice and to be honest with patients about the services that may be offered by the NHS

(ii) asks GPC UK to continue to develop, publish and strongly advocate elaborate plans to introduce safe workload limits for general practice which do not constitute a breach of contract.

COMMITTEE AGENDA TO BE PROPOSED BY CLEVELAND: This conference, with respect to the current workload in general medicine:

(i) believes that patient safety is paramount

(ii) recognizes that reducing the number of patient contacts will impact access

(iii) asks GPC UK to coordinate the creation of credible and agreed workload measures that are acceptable to the profession and to the wider NHS

(iv) request GPC UK to continue to develop, disseminate and promote elaborate plans to introduce safe workload limits for GP which do not constitute a breach of contract

(v) calls on GPCs to use safe workload data to renegotiate GMS contracts with workload limits to protect all GP staff and patients.

COMMITTEE AGENDA TO BE PROPOSED BY THE NORTHERN IRELAND CML CONFERENCE: This conference salutes the efforts of health and care workers during the pandemic, and:

(i) commends general practice for continuing to provide safe and effective health care throughout, including face-to-face consultations where appropriate, alongside the vaccination program

(ii) calls on GPC UK to work alongside GPC Northern Ireland, GPC Wales, GPC Scotland and GPC England to proactively ensure that the public is aware that their practices are, and have been, open

(iii) condemns the ill-informed and unwarranted negativity and hostility in the press and social media towards general practice

(iv) calls for changes to GMS (General Medical Services) regulations to allow immediate removal of an individual from the practice list for any form of abuse

(v) calls on the BMA to push for increased penalties for those who abuse GP staff.

COMMITTEE AGENDA TO BE PROPOSED BY LEEDS: This conference is seriously concerned about the impact of secondary care NHS treatment waiting times, both on patients waiting for unacceptably long appointments and on practice workload, and:

(i) believes that current government initiatives to reduce wait times have been grossly inadequate

(ii) requires governments to provide additional funding for the practices to support the additional workload they face

(iii) calls on the four governments to provide clear plans to reduce long wait times so that the right care can be provided at the right time

(iv) believes that the widespread rejection of primary care referrals by secondary care could lead to patient harm and important missed diagnoses

(v) insists that if a referral from GP is declined for any reason, it must be communicated by a named and responsible person.

NORFOLK AND WAVENEY: This conference calls on GPC UK to work with relevant bodies across the UK to ensure that all specialist secondary care training includes a mandatory three month GP placement.

AGENDA COMMITTEE TO BE PROPOSED BY WESTMINSTER: This conference is deeply concerned about the rise of health inequities in our communities and calls on GPC to:

(i) conduct a review of the impact of current national and local general practice funding models, including funding formulas and payments based on results

(ii) negotiate increased funding for GP practices serving highly deprived areas to meet the additional workload

(iii) negotiate the requirement for commissioners to carry out a health impact analysis when new accommodation or nursing homes are located in these disadvantaged areas

(iv) negotiates for more equitable immunization funding that does not financially discriminate against low immunization rate practices.

CAMBRIDGESHIRE: This conference notes the recent “folic acid” court case in the media and supports GPC UK in its research into the benefits of a no-fault medical compensation scheme to replace the current tort-based system, with the intention of provide this data to the government to add weight to their patient-centered reviews, in particular assessing whether a no-fault system:

(i) reduce GP anxiety associated with possible litigation and therefore reduce defensive medicine

(ii) improve the experience of doctors and patients in the resolution of a claim, in particular with regard to the impact on mental health

(iii) improve patient safety by allowing physicians to more freely admit adverse events and share lessons learned from these episodes.

WEST SUSSEX: This conference reminds GPC UK that the conference exists to formulate policy which GPC UK should strive to implement, and asks GPC UK to publish:

(i) an annual business plan, incorporating conference policy

(ii) a formal semi-annual report against the business plan, published on the BMA website and made available to LMCs at least one month before the closing date for motion submissions to the conference

(iii) a quarterly report against the business plan to the LMCs.

Source: BMA

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