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Gp Contracts

Volume 173: debated on Tuesday 5 June 1990

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40.

To ask the Secretary of State for Health whether he has received any representations claiming that patients are being removed from doctors' lists as a result of the new general practitioners' contract.

Expenditure by FPCs (England): 1979–80–1990–91 Practice Staff and Premises
In CashAt 1990–91 Prices1
£million£million
YearStaffPremisesTotalStaff PremisesTotal
1979–80250·92720·40871·335108·70443·561152·265
1980–8165·06326·69691·759117·35448·152165·506
1981–8278·76932·319111·088129·41053·097182·507
1982–8389·48039·141128·621137·10159·972197·073
1983–84102·72147·489150·210150·37369·519219·892
1984–85114·63254·481169·113159·86675·979235·845
1985–86134·02867·030201·058177·39988·721266·120
1986–87143·83874·535218·373184·12795·412279·539
1987–88166·79883·726250·524202·660101·727304·387
1988–89200·50896·396296·904227·416109·332336·748
1989–903242·099121·940364·039257·835129·866387·701
1990–914261–072165·032426·104261·072165·032426·104
Total1,649·935829·1932,479·1282,113·3171,040·3703,153·687
1 Delated using GDP Deflator.
2 Figures for 1979–80 to 1988–89 are taken from Summarised Accounts (England), and show direct reimbursement of 70 per cent, of the cost of practice staff, direct reimbursement of rent and rates and improvement grants. The rest of the cost of practice staff is reimbursed indirectly through GPs' fees and allowances.
3 1989–90 figures are on a similar basis but show provisional out-turn.
4 1990–91 figures are preliminary allocations for cash limited expenditure on direct reimbursement of practice staff costs, cost rents and improvement grants and estimated non cash limited expenditure on other rent and rates.

I have received a number of such representations and I have had the facts investigated wherever possible. None of these cases has proved to result from the GPs' new contract and some well-reported complaints have proved to be quite inaccurate. As I have repeatedly said, it is dishonest and unprofessional for GPs to suggest that the Government's new contract justifies the removal of any patient from a practice list.

43.

To ask the Secretary of State for Health what assessment he has made of the effect of the new general practitioners' contract on the family doctor service.

49.

To ask the Secretary of State for Health if he will make a statement on the operation of the new general practitioner contracts.

69.

To ask the Secretary of State for Health what assessment he has made of the effect on service to patients of the new general practitioners' contract.

I refer my hon. Friends and the hon. Member to the reply my right hon. and learned Friend the Secretary of State gave the hon. Member for Cunninghame, South (Mr. Lambie) on I May at columns 517–18.