GMS Contract

Template Letter

Please find a link to template letters below for:

  • Secondary care work transfer
  • Inappropriate prescribing requests
  • Requests to follow up investigations performed in other settings
  • Letter to Health Board regarding inappropriate workload transfer
  • Request to complete non-contractual administraive task
  • Request for work absence sick notes for less than seven days
  • Letter to Health Board regarding delay in information request or providing payment
  • Letter to Health Board regarding follow up of diagnostic test results following a patient's discharge from hospital
  • Letter to Health Board response to requests to follow up investigations performed in other settings and diagnostic test results following a patient's discharge from hospital. 

These can be copied and pasted into the correspondance section of your clinical system and be branded with your practice header and edited as required. 

If you are sending these letters back due to inappropriate requests then please fill in the GRUMP form on this website. We track these requests and if recurrent themes are picked up we escalate to resolution. 

BMA Safe Workload Guidance for GPs in Wales

This is a fantastic resource to help practices operate at a safe workload and contains the following sections of advice:

 

  1. Direct patients to appropriate NHS services.
  2. Determine a safe level of working for all GPs in their organisation.
  3. Safe working levels should apply to duty doctors.
  4. Consider 15 minute appointments

 

If workload sustained at unmanageable level:

  1. Inform the Health Board through Escalation processes.
  2. If vulnerable to risk of closure or reduction in service provision then discuss the GP Sustainability Assessment Framework with the Healthboard.
  3. Consider reviewing practice arrangements for access.
  4. Push back on inappropriate workload.
  5. Highlight indirect patient complaints about Government Policy to empower patients to approach the relevant organisations.
  6. Consider formal list closure.
  7. Consider reducing provision of supplementary services to maintain core services. 

GMS Contract

GMS Contract Negotiations have broken down

GP leaders issue stark warnings about the future of general practice in Wales as GP contract negotiations fail to reach a conclusion

by Press Office Wales

Press release from BMA Cymru

Location: Wales

Published: Tuesday 24 October 2023

 
Contract negotiations between Welsh Government, NHS Wales and BMA Cymru Wales’s GP Committee (GPC Wales) have ended without resolution, leading to a stark warning on the future of General Practice from GP leaders.
 
Dr Gareth Oelmann, chair of GPC Wales, sent an open letter* to GPs across Wales announcing the development which said:
 
“The financial settlement on offer from Welsh Government did not match our reasonable expectation of an uplift to the contract value that would help to counter the damaging impact of soaring inflation on practice costs and staffing expenses. With no credible financial offer on the table and no tangible mitigations offered, prolonging the negotiation process would be futile. Unless there are any new and significant proposals brought to the table by Welsh Government, we do not foresee any further discussions on this year’s contract.
 
“Our Save Our Surgeries campaign lays bare the impact of long-term underinvestment in general practice and its consequent impacts upon workload, workforce and wellbeing. Despite the remarkable efforts of hardworking GPs in Wales, 80% fear they are unable to provide quality and safe care to patients due to their excessive workloads, diminishing workforce, and the rising demands on the service.
 
“We entered into negotiations in good faith, giving Welsh Government the opportunity to address these longstanding issues. We had hoped that through the contract negotiation process, we would reach a settlement that would put general practice in Wales on the right track.
 
“It will therefore be particularly galling to the profession across Wales that there is nothing resembling a ‘rescue package’ for general practice on the table. We have been absolutely clear that practices and patients will suffer because of it. We have urged the Welsh Government to reconsider and come back to the negotiating table with a credible offer that provides security and sustainability for practices and patients alike.”
 
The letter ended offering support to GP practices during the ‘crisis’ with guidance on how to prioritise safe patient care and steps to take before closing a surgery and handing back a contract to a health board.
 
Commenting on the announcement, Dr Gareth Oelmann said:
 
“Unless the Welsh Government can commit to a rescue package that begins to support GPs and their patients with the correct level of support then I’m afraid the GP crisis will only deepen in Wales.
 
“The unsustainable pressure facing GPs is felt up and down the country. We have heard from GPs who have been unable to recruit permanent staff for years on end, examples of extreme burnout causing hospitalisation and a rising number of surgeries having to close their doors as they struggle with bills and staffing expenses, leaving thousands of patients having to be treated elsewhere.
 
“There have been 84 surgery closures in the last decade. That’s 18% fewer surgeries available to patients with GPs taking on an unmanageable 32% more patients each.
 
“General Practice does not have sufficient funds for workforce, premises or services to meet the growing needs of patients. This is already undermining patient safety, and we are clear, without investment from Welsh Government, the future of the service is at real risk of collapse.”