The collective power of general practice

The strength of general practice lies not just in its individual practitioners but in its collective unity. At the heart of this unity stands the General Practitioners Committee (GPC), negotiating on behalf of the profession for over a century

CREDIT: This is an edited version of an article that originally appeared on Ockham Healthcare

The roots of collective bargaining in general practice trace back to the establishment of local committees under the 1911 Insurance Act. These committees, later evolved into Local Medical Committees (LMCs), paved the way for the formation of the GPC in 1912 by the British Medical Association (BMA). Since its inception, the GPC has been the cornerstone of collective action, pooling the voices of thousands of GPs for shared objectives.

Historic triumphs

Throughout its history, the GPC has secured pivotal victories for general practice. At the birth of the NHS in 1948, it was the collective strength of the GPC that safeguarded the autonomy of general practitioners, preserving their status as independent contractors. In the face of a crisis in 1965, the GPC negotiated a landmark contract that addressed pressing grievances, averting a mass exodus from the NHS.

Challenges and resilience

Despite its successes, the road for the GPC has not always been smooth. Instances such as the imposition of the GP contract in 1990 and the contractual row over extended hours in 2008 underscore the challenges faced by the profession. However, through resilience and perseverance, the GPC has remained a steadfast advocate for general practice.

Facing the future

In recent years, general practice has witnessed consecutive contract impositions, highlighting the need for a stronger mandate. The forthcoming referendum, scheduled for March, presents an opportunity for the profession to reaffirm its collective strength. This mandate not only bolsters the GPC’s negotiating position but also lays the groundwork for potential industrial action, amplifying pressure on policymakers.

As the profession braces for upcoming contract negotiations, unity remains paramount. General practice must stand together, sending a resounding message of solidarity and strength. With a stronger mandate from practices, the GPC can navigate the path forward with confidence, ensuring that the profession’s voice is heard and respected.

Recognising the significance of the collective bargaining power wielded by the GPC is paramount for practice managers in navigating the complexities of healthcare contracts and negotiations. By harnessing the strength of unified action, practice managers can strategically advocate for their practice’s interests, ensuring they remain resilient and responsive amidst the evolving landscape of general practice.