ABSTRACT
The contract is between the primary care trust and the practice and is for essential and additional services. The contract will safeguard premises, allowing for improvement and development in the interest of quality patient care. Alternative provider medical services contracts allow primary care trusts to amend contract details more swiftly at local level, and terminate more easily. These contracts are usually negotiated every 3 years and can include registered and non-registered patient care. The evidence can be used to make a learning portfolio (i.e. a long-term record of past experience and future aspirations) containing workload logs, case descriptions, videos, audits, patient surveys, reflection, significant event analysis and so forth. This is the ‘cradle to grave’ idea.
