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?o3G;.l1lZcy0d;a\ȯ4 .TuWތj]MK,+N~fNq.Yrx&x? r2gp1yo ׎j^2k/JQݦhcpT?1d'~N46u~8|"\H~=ԯׂͬdiU 1 汾:& ~xkDXD&8ڇ2:88xzL`:yS϶ ^t/5߈pZ\LٶU(dwvDžnI漶֢4E]ds_'_o5j$w:sӯJK`ெ (L;dGa5N<<_?ZZMfe% צxZEwZdfXEw%387uݘceDE$D0#+~֢VV!'MVSlC\iqҚcb֕k 5]MfmvW|-=躿2"#m= c c:V3JрB;{)PNWZ*T}c-GF!A'p? |5溽fhTOHlkk^+{($y 9kQ C[I$C,35_Q1Ȭޙ@aSJtkF/uTw`IE8r 3xǺz&xIfklW989W-jj^ȥdJzkNu46Uΐ݇@ap:*S^򱫨n>LWKUYIyKm ;־ǞL R (nп2>TpG#ҰƨHd7XnDTnVilZ[-7]kfvmD2 PX>7c Ԛ[ZÏ=m8 “9z<=,y8A9<^䪒5NwO[H)n&xFMβ4lRzw!%ɏP6}:ŵH$.!A#¸XlF*_qݘy# аQW a$UF'#R`O.3m"uo1$_1ҝ/,w|q?^[9lrqSŴPu>;(~& >큜A}80IUKT?MUD$qUI!f<%U[r7T?qw𓴛<Ɗ+ 9V9 x3MT(*0OLQE{p :+xco[B-QEy{mHq}M$QEyLiDRv t`yGҊ)-*uP`OJl?}QS0#>PzcQQ.ݎʃwu>)pxr<ފ*'Ӹl7''W,bǡE( jE[f(   2Carr-Hill Ratio. 258,6,Slide 6L8261,2,The Concept Explained!F2259,3,Carr-Hill ExplainedVB257,4,Click on Appropriate Button08260,5,OH Dear!<D(263,7,MPIG Explained@H,264,8,MPIG Explained 2VNB257,4,Click on Appropriate Button*P266,6,OOPS!TT@265,11,Quality Scheme Explained!.W258,6,Slide 6 ]Bf.276,15,Voting ProcedurefjR269,14,Winners (and Not quite so Winners)>n*268,13,You asked for-t270,16,Welcome to the GP Contract Vote Please answer the following question. Your Future will depend on your answer!!!`L274,20,Good! We knew you d see reason!`LAre you in favour of the New Contract?`LAre you in favour of the New Contract?`LAre you in favour of the New Contract?275,21,Thanks for your help. Your contract will be reviewed again when the NHS has more work for you to do.`L274,20,Good! We knew you d see reason!`L274,20,Good! We knew you d see reason!/ 00DTimes New Roman,6lv 0( 0 DArial Blackman,6lv 0( 0 " DImpactlackman,6lv 0( 0 "0DCourier Newman,6lv 0( 0 1 ` .  @n?" dd@  @@``_FL2Ldrumroll.wav.WAV 50110KRIFFKWAVEfmt ++dataK||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||ggg`N9@DGK`kdn`gryy||unrdYRNNGKGGGNGGGNUYYkuyyuungkdYG@@@GNRRUR\dgy|nn`rNK@KRGDKGYDR\dgk||||r`y`YdKGD9KK``nnyyu||YUgrukYYRKNUGY`kgkdryggUUu`\RnU`\uu\y|u|y||ugrr|`\uggurunuuykrunuy|y||nnnrgrdrUYdr|r|ykyyy||||ykkuunn|kuugynrnr|||uu|yukukr|u||nd|r|y||yyr||||ynn|||uu|ygdgdRDYRY`ud\Rgy|ryyynykr|gr\RUnRUkdUR\YgY`un|rnddn`\RKKYR\NYYkyyyy||gUkgKUKGood! We knew you d see reason!4!Thanks a lot Sincerely, The GPC 4 eThanks for your help. Your contract will be reviewed again when the NHS has more work for you to do.4N  ` ` ̙33` 333MMM` ff3333f` f` f` 3>?" dd@,|?" dd@   " @ ` n?" dd@   @@``PR    @ ` ` p>> f(    6kl P l T Click to edit Master title style! !  0hnl  l RClick to edit Master text styles Second level Third level Fourth level Fifth level!     S  0|rl `` l >*  0wl `  l @*  0|l `  l @*H  0޽h ? ̙33PP Default Design 0F(  r  S 8lp l   S l `  <$D 0 l   0pl ` ,$D0 <XXXXXXXX 2   0lp  ,$D0 T Today s Version! 2 &  # l4D?0-<P@@`L$D 0!0 6NEXT(2H  0޽h ? ̙33   p@(  r  S PDP  D `  0 p-@`TLD___PPT9& Forget the Red Book, that s far too complex for 21st Century GPs. The new contract is a model of simplicity. There are three main elements. The global sum. This pays for the unimportant stuff like treating the sick and paying staff wages. It is determined by the Carr-Hill Ratio 2) Quality and Organisation . This is pay for doing the really important stuff, like collecting statistics or bullying your patients in to having treatments they don t want. 3) Enhanced payments. Money for doing even more work in your spare time. (Only available in those PCTs that have not spent it already on access facilitators) x 2 2O 22 X{L!0 @`&  # lD?0-<P@L$D 0!0 6NEXT(2H  0޽h ? ̙33B   (  r  S lP  l   0Hl@  BCaring for the needy is good so the more needy your patients, the more you re worth. To work out whether you are an asset to society or just layabouts sponging off the state, the BMA have asked an eminent professor to devise a cunning formula. As it requires a brain the size of a planet to understand this, they have decided not to worry you with the boring technicalities. Instead you will receive a quarterly figure from your local PCT guestimation department. Multiply the patient list (they think you have) by the Carr-Hill ratio and you can see whether you need to sack the odd member of staff or can book that dream holiday.x 2x &  # lDD?0-<P@@`L$D 0!0 6NEXT(2H  0޽h ? ̙33  8^(  8r 8 S (4P   ~ 8 0) pp After careful examination of GP work, we have found that there are long periods of time when GPs are not working. apparently they are known in the trade as evenings, weekends and holidays. Why not put these wasted hours to good use by opting to do more work. There are people suffering due to the the long waiting lists for secondary care. Yes, NHS managers are in desperate need for your help to achieve their bonuses. In return they may even pay you (once they ve sorted out the hospital overspend.) 2& 8 # l>?0-<PpL$D 0W!0 6NEXT(2H 8 0޽h ? ̙33PP4  ` t(   r  S e-P  -   B?`a  8!0 @ Carr Hill <1 (2 (  H,i? `Q  P!0 @ Carr Hill >1 (2 (H  0޽h ? ̙33  E=P(  r  S  Z-P  -   0[-@ iIt looks like your patients are simply not needy enough. As a result your global sum is looking pitiful. j 2j(    f a-?0-<P@@`L$D 0 !0 6NEXT(2H  0޽h ? ̙33  4(  4r 4 S $`P   < 4 0  Someone must has slipped up. You might actually be being paid the amount you deserve. This is contrary to current DOH procedures so they will be adjusting your Carr Hill Ratio back to <1 where it s supposed to be. 2 & 4 # l?0-<P@@`L$D 0N!0 6NEXT(2H 4 0޽h ? ̙33PP @N(    C ArC:\WINNT\Profiles\Dr_Spinks\Personal\My Pictures\pig.jpgp  ,$D 0  0-  ,$D 0 l8DON T PANIC, MPIGS MIGHT FLY 2,    fD-?0-<P@@`L$D 0D!0 6NEXT(2H  0޽h ? ̙33  LD((  (r ( S eP    ( 0D@0  lAs the re-distributive nature of the new contract has left practices with some minor problems, such as a choice between sacking the staff or declaring bankruptcy, the BMA has negotiates a Minimum Practice Income Guarantee. In Simple terms this guarantees the minimum income they think will make a GP will vote Yes. The formula for this is given on the next slide.m 2m& ( # l?0-<P@@`L$D 0H!0 6NEXT(2H ( 0޽h ? ̙33PP  <4,(  ,r , S X@DP  D  , 00D@ 8The amount practices will receive under MPIG is calculated by: (Not quite all of Last Years Earnings) - Global Sum = X This Years Earnings = (Global sum +X)  (Arbitrary penalty) The arbitrary penalty (The value of 100 or 150 quality points)is entirely reasonable and is your own fault for practicing in the wrong area. Someone has to pay for MPIG and who better than the practices that are going to receive it.8 2?t& , # lD?0-<P@@`L$D 0T!0 6NEXT(2H , 0޽h ? ̙33PPj   (   r  S DP  D H  0޽h ? ̙33PP  TL0(  0r 0 S P    0 0pp :The concept behind the Quality aspect of the contract is determined by two assertions Not many boxes ticked = bad doctor (no pay) Lots of boxes ticked = good doctor(loadsamoney) But we haven t forgotten those reprobates working in the  easy practices that have Carr-Hill Ratios <1. These deserve further punishment so they will have their quality payments reduced in line with their Carr-Hill score. So there! , 2V[ & 0 # l?0-<P@@`L$D 0n!0 6NEXT(2H 0 0޽h ? ̙33PP  wo<(  <r < S +P   ' < 0@p@v Some time ago we wrote to GPs to ask what they were worried about in General Practice. The main worries were; clinical workload, allocations , paperwork and outside interference. The new contract answers all those worries. We are proud to have negotiated significant increases in all these areas. It has not been easy, the confederation were worried about giving you more in these areas, but we insisted!  2& < # lP?0-<P@@`L$D 0j!0 6NEXT(2H < 0޽h ? ̙33PP  >6@(  @r @ S DP    @ 0L2@pF <We cannot say it more clearly. There are no losers. This outmoded term has been replaced by the GPC-approved term  Unwinner . Amongst the winners we are also introducing the concept of  Winners-Plus . These are those doctors with a Carr-Hill >1 who can earn more quality points for doing the same work than the rest of us. (The term  jammy bastards was considered but rejected as derogatory to fruit preserves)  2s #& @ # lH?0-<P@@`L$D 0f!0 6NEXT(2H @ 0޽h ? ̙33PPR  p\(  \r \ S `:P  :  \ 07`  R"We are pleased to announce that you can now vote on the new contract using our new on-line voting procedure. Click  Next to continue to the vote 2& \ # l,?0-<P@@`L$D 0t!0 6NEXT(2H \ 0޽h ? ̙33PP ldD(  Dx D c $ !`0  : D D 3 r2 3f1? P @]!0!0 ZNextH D 0޽h ? ̙33R   Hz(  Hx H c $P  : o H   3?f1? "P @!0!0 YYESn H   3?f1? "P  @!0!0 XNO H <P  iClick on your response.H H 0޽h ? ̙33R  0Lz(  Lx L c $pP   o L  TD 3?f1? "P @!0!0 YYESn L  D 3?f1? " P @!0!0 XNO L <xDP  iClick on your response.H L 0޽h ? ̙33F  @Pn(  Px P c $7DP   o P  DD 3?f1? "P @!0!0 YYESn P  GD 3?f1? " P  @!0!0 XNO P <NDP  ]Click on your response.H P 0޽h ? ̙33~ PT(  Tx T c $Dp D x T c $(KD` @  D q T s D 3?f1? "pp@!0!0 a Send to BMA    T <xnD j$  7Click the button below to mail your response to the BMA887H T 0޽h ? ̙33 `X"(  Xx X c $-p - j X s `- 3?f1? "p@!0!0 ZExitH X 0޽h ? ̙33r`pf?oŌU}MtЧ<BS= =Oh+'0p `h   The New Contract Explained!Julian SpinksctJulian Spinksct4liMicrosoft PowerPointain@=*@Lt@uGT g  (& &&#TNPP,l2OMi & TNPP &&TNPP    --- !---&G&' wwgw' - &Gy& --iyH-- @"Arial Blackwwgwm - .!2 The New Contract +''1&8.''''. .2 b8 Explained!+''''''.--Q1-- @Times New Romanwgw' - .(2 4Version 2, 2a, 3, 3a,       .---- @Times New Romanwgwm - .2 XXXXXXXX.--&0-- @"Impact' wwgw'  - .2 :Todays Version!  .&^r&-FF- $`q//- $p_==--$`pp``&--& @Times New Romanwgwm - . 2 NEXT.--"Systemw f  -&TNPP &՜.+,D՜.+,    TOn-screen ShowNHSx?Z Times New Roman Arial BlackImpact Courier NewDefault DesignThe New Contract Explained!The Concept Explained!Carr-Hill ExplainedEnhanced Payments Explained!Click on Appropriate Button OH Dear!OOPS!PowerPoint PresentationMPIG ExplainedMPIG Explained 2 PMS SwineQuality Scheme Explained!You asked for-#Winners (and Not quite so Winners)Voting ProcedureqWelcome to the GP Contract Vote Please answer the following question. Your Future will depend on your answer!!!'Are you in favour of the New Contract?'Are you in favour of the New Contract?'Are you in favour of the New Contract? Good! We knew youd see reason!fThanks for your help. Your contract will be reviewed again when the NHS has more work for you to do.  Fonts UsedDesign Template Slide Titles  8@ _PID_HLINKSA 259,2,Carr-Hill Explained258,6,Slide 6261,2,The Concept Explained!259,3,Carr-Hill Explained"257,4,Click on Appropriate Button260,5,OH Dear!263,7,MPIG Explained264,8,MPIG Explained 2"257,4,Click on Appropriate Button 266,6,OOPS!!265,11,Quality Scheme Explained!258,6,Slide 6 -1,-1,NEXT276,15,Voting Procedure*269,14,Winners (and Not quite so Winners)268,13,You asked for-x270,16,Welcome to the GP Contract Vote Please answer the following question. Your Future will depend on your answer!!!'274,20,Good! We knew you d see reason!.272,18,Are you in favour of the New Contract?.273,19,Are you in favour of the New Contract?.271,17,Are you in favour of the New Contract?m275,21,Thanks for your help. Your contract will be reviewed again when the NHS has more work for you to do.'274,20,Good! We knew you d see reason!'274,20,Good! We knew you d see reason!%_{ Julian SpinksJulian Spinks  !"#$%&'()*+,-./012456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root EntrydO)PicturesdCurrent UserSummaryInformation(PowerPoint Document(3DocumentSummaryInformation8Root EntrydO) 5@PicturesdCurrent User;SummaryInformation(!_{ EMIS_UserEMIS_User