Her warning follows reports from earlier this year that health and social care secretary Sajid Javid had told the prime minister that general practice should be effectively nationalised - and that all GPs should be directly employed by hospitals. Last month Mr Javid also backed a health think tank report that called for the end of the GMS contract within a decade, with GPs becoming predominantly salaried. Under the Northumberland model, all GPs working for NPC are salaried - with each practice having a site manager and one senior manager. GPs are able to keep their names on the contracts and hold the contract - but they are employed by Northumbria Healthcare, the trust foundation.ĭr Lothian said that the model had proved successful in her area due to ‘long-standing relationships’ between practices, and the combination of successful and struggling practices working together. She said: ‘Each practice has joined for a different and very genuine reason. 'There may have been difficulties with premises, with recruitment, or with management.

It's all sorts of things, but it's been a well thought-through process for each practice. There's potential for people to move around so we don't lose them from the area. There is also a lot of potential for cross cover and benefits around mutual support, training and governance.’ Contractor modelīut she warned that the same approach would not necessarily work for others and that it should not be mandated nationally. She said: ‘I think it would be a mistake because there are some people who want to have a more traditional model. But there are others who aren't going to want to commit to the personal and financial risk.

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