This new era of control and accountability was, in addition to the continuing concern about the variability in the quality of primary health care, the context of the 1990 medical contract. The 1990 GMS contract, imposed by the Conservative government despite considerable opposition from the profession, sought to clarify the terms of use of GSP. It introduced new minimum standards of service; for example, the obligation to provide health check-ups to newly registered patients, patients who have not seen their GMP for 3 years or more, and all patients over the age of 75. In addition, elements of GMP compensation have been more related to the provision of specific services; z.B. screening, cervical screening and health promotion clinics. The contract introduced financial incentives and penalties to manage the provision of physicians and to change the overall balance of BMP compensation177. A larger share came from thought payments and revenue from incentives to provide specific services, such as vaccination and screening programs. These specific services were often provided by practitioners.176 As the PMS contract, the 2004 GMS contract was now with practice and not with individual physicians. On the other hand, the PMS contract took over many of the elements of the GMS contract, such as QOF, improved services, investments in information technology and pension improvement181 In addition to the 2004 contract, other measures were taken to introduce stricter regulatory and governance mechanisms in general practice.

Annual CEP assessments were introduced in 2002. Starting in 2011, all medical practices will be required to register with the CQC, 177 i. professional incompetence or negligence of the CMP; ii. CMP does not have an ongoing and valid certification or license necessary to implement the services under this agreement;iii. CMP violates the standards of medical care applicable to the services provided under this agreement. iv. CMP does not notify HCF as intended and without notice; this is contrary to HCF`s drug abuse guidelines;vi. CMP does not comply with HCF`s written guidelines for the provision of services under this agreement;vii.

CMP does not meet the qualifications indicated by the employment notice. It`s a .viii. CMP violates the provisions of paragraph 9 of this MSA with respect to confidential information about HCF. For the specialized equipment that hospitals need, there are many benefits of the organization to lend it, or used equipment instead of buying any new equipment that can be very expensive. Some device leases can be considered by the IRS as a tax-deductible transaction, are more flexible, faster and easier to manage than credits. A more detailed report on the rental of medical equipment can be healthlthleadersmedia.com. The 2004 treaty was the last incarnation of the medical contract before the 2013 NHS reforms. The core of the contract includes “essential” and “additional” services. Essential services are mandatory and very broad to include the management of sick patients during the duration of the disease, which are normally expected to recover; or have a long-term chronic disease or are terminally ill. Additional services are nominally optional, but if practitioners decide to opt out, the money is deducted and used by the PCT to order services from other providers. Other services include services such as vaccination, child health surveillance, maternity services and standard contraceptives.

Payment for both types of services depends on the process (weighted according to discrimination, etc.). 189 When the NHS was created in 1948, GPS was, in addition to GDP and opticians, among the three groups of health care providers that remained independent contractors. General practice has been responsible for both all personal medical care, with a reduced role in the hospital and public health, as well as the hospital access portal and specialized medical care.