title: Implications of the new GP contract.
abstract: A new contract for general practitioners (GPs) was introduced in the UK on 1 April 2004 which has implications for secondary care. In particular, the contract means that GPs can opt out of out-of-hours care, and accident & emergency services have voiced their concern that their workload may increase as a result. The new contract provides the potential for a rise in GPs' salaries by two means: through the provision of the Quality and Outcomes Framework which includes the management of 10 common chronic diseases; and through 'Enhanced Services', which are a series of optional 'extra' more specialised services with national specified standards that can be commissioned by primary care organisations (PCOs).
authors.affiliation: University of Warwick, Coventry. rodger.charlton@warwick.ac.uk
authors.forename: Rodger
authors.initials: R
authors.lastname: Charlton
mesh_terms: D032982:Contracts; D005194:Family Practice / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care; D012017:Referral and Consultation; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom