BMJ 1995;311:824-825 (30 September)

Editorials

The new out of hours agreement for general practitioners

Will it encourage a market in out of hours care?

It has taken three substantial rounds of negotiation, two ballots, and the threat of industrial action for the government to acknowledge general practitioners' desire to opt out of the 24 hour commitment to patient care. In a reversal of government policy,1 2 agreed unanimously be the General Medical Services Committee, general practitioners will be offered the opportunity to divest themselves of out of hours work.3 If they can find another principal on the medical list of a family health services authority and agree a fee between themselves they may transfer all of their out of hours responsibility.

As two thirds of general practitioners have already made clear their wish to opt out of 24 hour commitment,4 the market of general practitioners willing to assume their colleagues' out of hours responsibilities will come from the remaining third. There is no restriction of . . . [Full text of this article]


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Relevant Article

New agreement is not the answer but an opportunity
John Hopkins
BMJ 1995 311: 1028. [Extract] [Full Text]

This article has been cited by other articles:

  • Hallam, L. (1997). Out of hours primary care. BMJ 314: 157-157 [Full text]  
  • Cragg, D K, McKinley, R K, Roland, M O, Campbell, S M, Van, F, Hastings, A M, French, D P, Manku-Scott, T K, Roberts, C (1997). Comparison of out of hours care provided by patients' own general practitioners and commercial deputising services: a randomised controlled trial. I: The process of care. BMJ 314: 187-187 [Abstract] [Full text]  
  • McKinley, R K, Cragg, D K, Hastings, A M, French, D P, Manku-Scott, T K, Campbell, S M, Van, F, Roland, M O, Roberts, C (1997). Comparison of out of hours care provided by patients' own general practitioners and commercial deputising services: a randomised controlled trial. II: the outcome of care. BMJ 314: 190-190 [Abstract] [Full text]  
  • Jessopp, L., Beck, I., Hollins, L., Shipman, C., Reynolds, M., Dale, J. (1997). Changing the pattern out of hours: a survey of general practice cooperatives. BMJ 314: 199-199 [Full text]  
  • Kai, J. (1996). What worries parents when their preschool children are acutely ill, and why: a qualitative study. BMJ 313: 983-986 [Abstract] [Full text]  
  • Wright, J., Prasad, N., Dalrymple, G. (1996). Emergency referral letters from deputising doctors need to be improved. BMJ 312: 1304-1304 [Full text]  
  • Hopkins, J. (1995). New agreement is not the answer but an opportunity. BMJ 311: 1028a-1028 [Full text]  



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