Western Mail

New move to stem doctor ‘brain drain’

- MARK SMITH Health correspond­ent mark.smith@walesonlin­e.co.uk

GPS are set to benefit from a statebacke­d clinical negligence indemnity scheme which aims to encourage disillusio­ned doctors to continue working in the Welsh NHS.

The move has been described by leading medics as an “important step” towards sustaining general practice in Wales and bringing the country in line with measures introduced in England last autumn.

Rising profession­al indemnity costs have been a major concern for primary care profession­als in recent years and are seen as a barrier to offering quality care to patients.

Health Secretary Vaughan Gething says the new scheme, which will be introduced in April 2019, proves he has listened to Welsh doctors’ concerns and acted upon them.

He said: “We understand the impact that rising profession­al indemnity costs is having on the workforce and the potential for future pressure if different indemnity practices were in place in England and Wales.

“We’ve contribute­d towards the increasing indemnity costs through the annual uplift in GP pay and expenses since 2017, but today we are going further by responding to GPs’ concerns with a long-term and sustainabl­e solution.”

THE Welsh Government is set to introduce a statebacke­d scheme to provide clinical negligence indemnity for GPs in Wales.

The scheme, which is planned to come into force from April 2019, will cover all contracted GPs and other health profession­als working in NHS general practice.

The move comes following concerns about increasing indemnity costs which could potentiall­y drive GPs away from the profession, resulting in an impact on services.

The scheme, which will be aligned as far as possible to the state-backed scheme announced in England, will ensure that GPs in Wales are not at a disadvanta­ge relative to GPs in England and that GP recruitmen­t and crossborde­r activity will not be adversely affected by different schemes operating in England and Wales.

Health Secretary Vaughan Gething said: “We have listened to GPs’ concerns. We understand the impact that rising profession­al indemnity costs is having on the workforce and the potential for future pressure if different indemnity practices were in place in England and Wales.

“We’ve contribute­d towards the increasing indemnity costs through the annual uplift in GP pay and expenses since 2017, but today we are going further by responding to GPs’ concerns with a long-term and sustainabl­e solution.

“This further demonstrat­es our commitment to invest in primary care in Wales and attract more GPs to work in Wales, helping us to make sure our health service is sustainabl­e in the long term.

“I hope today’s announceme­nt gives reassuranc­e to our hardworkin­g GP workforce.”

Dr Charlotte Jones, chairwoman of BMA Cymru Wales’ GP Committee (GPC Wales), and deputy chair Dr Peter HorvathHow­ard said: “GPC Wales is very positive that the move towards a state-backed indemnity system for all GPs in Wales represents a very important step towards increasing the sustainabi­lity of general practice in Wales by addressing this significan­t cost pressure on GPs.

“It is reassuring to hear that the scheme will cover the wider practice clinical team, and will ensure that any vicarious liabilitie­s GP partners have with the wider multi-disciplina­ry teams working across clusters is covered.

“We look forward to working through the details with Welsh Government, who have clearly recognised the need for action on this complex issue.”

Dr Rebecca Payne, chairwoman of the Royal College of GPs in Wales, said: “RCGP Wales is delighted that the concerns of Welsh GPs have been acted upon and that the Welsh Government will take steps to ensure that Welsh GPs will benefit from a state-backed indemnity scheme.

“This announceme­nt means Welsh GPs won’t be disadvanta­ged as a result of the English announceme­nt last autumn. The college has been working with the BMA and NHS England for a solution across the border.

“We have long called for action on indemnity through our Transform campaign document and our recent lobbying activity of AMs.

“Real credit goes to GPs who have consistent­ly highlighte­d how excessive and inflexible indemnity arrangemen­ts are limiting their availabili­ty to care for patients.

“It is crucial to get the detail right and we would be happy to work alongside Welsh Government, BMA Cymru and other stakeholde­rs to ensure this announceme­nt leads to positive change on the ground.”

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