GPs criticised for 'gentleman's agreements'

Updated 10.16 Thu Jul 03 2008

Keywords: gentleman's agreements, NHS, MPs, GPs

A Government minister has accused GPs of operating "gentleman's agreements" in which they promise not to take other doctors' patients.

Health Minister Ben Bradshaw blamed the GP pay system for including a lump sum which "dampened the incentive" to attract new patients and allowed some practices to survive with a small number of patients.

"There is no doubt there are some areas where gentleman's agreements operate that mitigate against lists being open to new patients and therefore work against real patient choice" Ben Bradshaw

Currently, basic pay consists of the lump sum in addition to payments per patient.

Mr Bradshaw said: "There is no doubt there are some areas where gentleman's agreements operate that mitigate against lists being open to new patients and therefore work against real patient choice."

He warned that the current system was working against Government plans to encourage patient choice as a way of fostering competition and driving up standards in health care.

The British Medical Association denied the existence of gentleman's agreements.

Laurence Buckman, chairman of the BMA's GPs committee said: "It is absolute nonsense to suggest there are gentleman's agreements - it just doesn't happen.

"Nor are we going to compete for patients, that is not the way general practice works."

Mr Bradshaw's comments come ahead of the publication of the Government's strategy for primary and community care.

The strategy builds on Lord Darzi's review of the NHS.