Annual Representative Meeting 2003
Supplementary agenda
REPORT OF THE AGENDA COMMITTEE
TO FOLLOW ITEM 10
516 Erratum That items 213 and 214 be included in a bracket with item 211 with the star on item 211.
517 Motion by THE AGENDA COMMITTEE: That the items in the General Practice, GP Contract section be reordered as follows: 124, 125, 528, 529, 530 bracketed with 127 with the star on 530, 128, 129, 126 [this reordering means that item 126 is now unlikely to be reached]
518 Motion by THE AGENDA COMMITTEE: That item 217 be an “A” motion.
519 Motion by THE AGENDA COMMITTEE: That The Health of the Public Section be reordered as follows: Items 536, 236, 235, 237, 234 [this reordering means that item 234 is now unlikely to be reached]
520 Motion by THE AGENDA COMMITTEE: That item 398 be an “A” motion.
ARTICLES
TO PRECEDE ITEM 15
521 Erratum Add the words “and the Isle of Man” to the end of the amendment regarding Article 1.
BYE-LAWS
TO FOLLOW ITEM 16
522 Amendment by THE CHAIRMAN OF THE ORGANISATION COMMITTEE: That the Representative Body invoke its power under standing order 29 to consider the following proposed amendment to item 16 to which three weeks' notice has not been given:
That both parts 2 of the amendments to columns 3 and 5 of the bye-laws under General Practitioners Committee (pages 4 and 5 of appendix II to the ARM agenda) be withdrawn.
TO FOLLOW ITEMS 16 AND 522
523 Emergency motion by E M Borman and seconded by P D Miller: That the Representative Body invoke its power under Article 63 (7) to consider the following proposed amendment to the second schedule to the bye-laws to which three weeks notice has not been given:
That the constitution of the Central Consultants and Specialists Committee be amended with regard to the representation of South West and Southern Regional Consultants and Specialists Committees by deleting “2001-02 and 2002-03 sessions” and inserting “2003-04 and 2004-05 sessions”.
THE NATIONAL HEALTH SERVICE
Targets
TO FOLLOW ITEM 35
524 Motion by THE ANNUAL CONFERENCE OF REPRESENTATIVES OF LMCs: That this Meeting welcomes the recent Audit Commission report on targets and strongly agrees that they distort clinical priorities and could harm patients
THE NATIONAL HEALTH SERVICE
Management
TO FOLLOW ITEM 63
525 Amendment by THE CONFERENCE OF STAFF AND ASSOCIATE SPECIALISTS: That the words “an annual” be added between the words “have” and “vote of” so that item 63 reads:
“That doctors in the SAS group must have a direct input into the appointment of clinical and medical directors and that clinical and medical directors must have an annual vote of confidence carried out by a secret ballot from all medical staff.”
Other motions
TO FOLLOW ITEM 65
526 Motion by THE CONFERENCE OF REPRESENTATIVES OF LMCs: That this Meeting:
(i) condemns the governments’ lamentable failure to persuade the public of the safety of the MMR vaccine which continues to penalise GPs twice;
(ii) urges the governments to accept that the target payment system is a significant contributory factor to the continuing lack of parental confidence in the MMR vaccine;
(iii) deplores the attitude of the Chief Medical Officers to target payments for immunisations;
(iv) calls upon the Chief Medical Officers to resign;
(v) insists that exception reporting, including informed dissent by parents, is allowed for all target payments, particularly with regard to MMR.
GENERAL PRACTICE
TO FOLLOW ITEM 121
527 Rider by the Bromley Division: That the following words be added to the end of the motion 121: “and this concept should be rejected”.
GP contract
TO FOLLOW ITEM 125
528 Amendment by THE ANNUAL CONFERENCE OF REPRESENTATIVES OF LMCs: That the following be added as part (iii) to item 125:
“and calls for the GPC to be recognised by the government as the sole national negotiator for all forms of general practitioner contracts.”
TO FOLLOW ITEMS 125 AND 528
529 Motion by THE ANNUAL CONFERENCE OF REPRESENTATIVES OF LMCs: That this Meeting while welcoming the changes to the proposed contract achieved in the past month:
(i) condemns the four governments’ insistence that GP core work must be further devalued to fund the changes;
(ii) continues to believe that the daily care of patients who are ill or believe themselves to be ill is worth more than £51 per patient per year;
(iii) finds the proposal that in the year 2005/06 the reduced global sum will be uplifted by only £1 per patient, without adjustment for inflationary pressures completely unacceptable;
(iv) instructs the GPC, should the contract be accepted, to negotiate an annual uplift to the global sum which as a minimum will cover inflation and increases to the cost of employing staff.
TO PRECEDE AND BE BRACKETED WITH 127 AS THE STARRED MOTION
530 Motion by THE ANNUAL CONFERENCE OF REPRESENTATIVES OF LMCs: That this Meeting condemns the failure of the new GMS contract to take into consideration the effect of diseconomies of scale:
(i) which will bring into question the viability of small practices;
(ii) which fails to recognise the important of branch surgeries in the provision of accessible health care, especially in rural areas;
(iii) which devalues staff working in those affected practices;
(iv) and requests GPC UK to continue negotiation with government regarding the including of diseconomies of scale factor in the new contract formula.
Personal medical services
TO PRECEDE AND BE BRACKETED WITH 136 AS THE STARRED MOTION
531 Motion by THE ANNUAL CONFERENCE OF REPRESENTATIVES OF LMCs: That this Meeting, following John Hutton’s letter, dated 5 June 2003, to all PMS GPs:
(i) finds ministerial delay in informing PMS practices about the effects of the proposed GMS contract on PMS until after the ballot was underway unacceptable;
(ii) insists on clarity, by September 2003, on the exact mechanism and funding for those returning to GMS;
(iii) on the basis that PMS remains a “separate, permanent, voluntary local option” seeks clarity from the government, by September 2003, as to whether the PMS practices who have been put on a “mainstream statutory basis” will have a permanent option to return to GMS at any time;
(iv) believes PMS GPs should be entitled to an MPIG;
(v) asks the GPC to ensure that a return from PMS to GMS is made as easy as possible.
TO FOLLOW ITEMS 136 AND 531
A532 Motion by THE ANNUAL CONFERENCE OF REPRESENTATIVES OF LMCs:That this Meeting demands an end to the inequity arising from growth monies being available solely to PMS practices but not to GMS practices and requires an equitable process for allocation of these funds to all practices regardless of contractual status
MEDICAL WORKFORCE
Other motions
TO PRECEDE MOTION 190
533 Motion by THE JUNIOR DOCTORS CONFERENCE: That this meeting asks the BMA to demand from the government and the Academy of Medical Royal Colleges that all specialist doctors taking responsibility for directly providing specialist services in diagnostic and treatment centres be required to be on the specialist register of the General Medical Council.
TO FOLLOW ITEM 190 AND AND 533
534 Rider by THE CONFERENCE OF STAFF AND ASSOCIATE SPECIALISTS: That the words “with protection of salary for extra hours” be added to the end of part (ii) of item 190.
MEDICAL STUDENTS
TO PRECEDE ITEM 223
535 Erratum “MSC” in item 223 to read “BMA”
THE HEALTH OF THE PUBLIC
TO PRECEDE ITEM 236
536 Motion by THE ANNUAL CONFERENCE OF REPRESENTATIVES OF LMCs: That this Meeting reaffirms the fundamental principle of the NHS that treatment will be free and according to need, and therefore rejects the proposal that GPs enter into contracts with patients who smoke or who are obese, making free treatment dependent on compliance with the advice given.
TRAINING AND EDUCATION
“Modernising Medical careers”
TO FOLLOW ITEM 265
537 Amendment by the JUNIOR DOCTORS CONFERENCE: That the following words be added between “provide” and “experience” in part (ii): “training and”
That a new part (iii) be added as follows: “should not result in the extension of the PRHO period from one to two years”
That the current part (iii) become part (iv).
The amended item 265 to read:
That this Meeting believes that changes to SHO training as a result of 'Unfinished business':
(i) should not result in junior doctors providing service posts in underdoctored specialties at the expense of education
(ii) provides an opportunity for the foundation year to provide training and experience in areas of medical practice which would not otherwise be available
(iii) should not result in the extension of the PRHO period from one to two years
(iv) calls on the JDC to ensure that the foundation programme is a genuinely educational experience for newly qualified doctors.
CONSULTANTS
TO FOLLOW ITEM 293
538 Motion by THE CONFERENCE OF SENIOR HOSPITAL STAFF: That this Meeting is dismayed at government intransigence since the rejection of the consultant contract and calls on BMA Council to conduct a ballot of consultants in England on industrial action if CCSC and DoH negotiators prove unable to make a joint announcement of a timetable for the negotiation of a new framework for a new consultant contract in England.
STRUCTURE AND FUNCTION OF THE BMA
Annual Representative Meeting
TO FOLLOW ITEM 326
540 Emergency motion by the EDGWARE AND HENDON DIVISION: That this Meeting congratulates the Agenda Committee on significantly improving the layout of the agenda for this year’s ARM with clarity on which motions are unlikely to be reached, and additionally by specifying the proposing division for bracketed Agenda Committee motions.
Communications
TO FOLLOW ITEM 344
541 Amendment by THE BUCKINGHAMSHIRE DIVISION: That a new part (iii) be added to item 344 as follows:
“(iii) members to vote on topics which will form BMA policy”
ARMED FORCES
TO PRECEDE ITEM 398
542 Motion by THE ARMED FORCES CONFERENCE: That this Meeting believes that to promote recruitment and retention in the Defence Medical Services it is essential for pay comparability under the MMRR to be completed this year as planned.
A543 Motion by THE ARMED FORCES CONFERENCE: That all evidence put before the Armed Forces Pay Review Body should be free of any outside interference, and that the AFPRB should be reminded that, in order to recruit, retain and motivate DMS personnel, the AFPRB should be encouraged to independently assess the evidence.
544 Motion by THE ARMED FORCES CONFERENCE: That this Meeting believes that the proposed interim pay award for CMPs of 2.4% is derisory in comparison with the pay award for all doctors in the UK.
545 Motion by THE ARMED FORCES CONFERENCE: That reserve medical and dental officers should receive annual increments in pay on the same basis as regular medical and dental officers.
PROFESSIONAL FEES
TO PRECEDE ITEM 458
546 Erratum: The word “form” should read “fee”.