HASC GP Services Inquiry 12 month progress on Recommendations – Select Committee Inquiry Report Completion Date: 25th November 2014 Date of this update: 24th November 2015 Lead Officer responsible for this response: Debra Elliot (NHS England for Recs 1,3,4,7), Richard Corbett (Healthwatch Bucks for Recs 5), Annet Gamell & Lou Patten (Aylesbury Vale & Chiltern CCGs for Rec 2 & 6 Accepted Original Response and Actions Progress Update Committee Recommendations Assessment of Progress (RAG status) 1: NHS England should publish a I think we go some way to meeting this request for action N/A national benchmark indicator of though our publishing NHS payments to general practice general practice funding per 2013-14 through the Health and Social Care Information capita, facilitating comparisons Centre. This was published just last week. with the funding received in This is a list of investment into each and every general different CCG areas. This practice, broken down to reflect payments from NHS England benchmark should then be against a range of national enhanced services as well as published as a routine at least core. annually in future. This does not correlate directly with GP take home pay, - because for GP partners this is obviously dependant on the net profits arising from payments having taken away running costs. The majority of these in primary care (as in NHS generally) being staffing costs. Whilst it is common to look towards some sort of benchmark, - it proves very difficult to be able to rank payments to practices in any logical form. As you know, core funding to – general practice is based on a weighted formula, - Currently, - practices do not receive equal levels of pay based on their weighted list size. It is to address this inequality that the DH – imposed a contractual change to withdraw MPIG over 7 years. Likewise, we have decided that PMS practices should be funded at the same level for the same work as GMS practices, and have agreed a transition of between 4-7 years to be determined locally. One could argue that the pace of change is too slow, however, we are aware that for a significant minority of practices this change in funding can be significant, alongside this, the Carr-Hill formulae is being revised, therefore we
HASC GP Services Inquiry – 12 month progress on Recommendations Select Committee Inquiry Report Completion Date: 25th November 2014 Date of this update: 24th November 2015 Lead Officer responsible for this response: Debra Elliot (NHS England for Recs 1,3,4,7), Richard Corbett (Healthwatch Bucks for Recs 5), Annet Gamell & Lou Patten (Aylesbury Vale & Chiltern CCGs for Rec 2 & 6 Accepted Recommendations Original Response and Actions Progress Update Committee Assessment of Progress (RAG status) 1: NHS England should publish a national benchmark indicator of general practice funding per capita, facilitating comparisons with the funding received in different CCG areas. This benchmark should then be published as a routine at least annually in future. I think we go some way to meeting this request for action though our publishing NHS payments to general practice 2013-14 through the Health and Social Care Information Centre. This was published just last week. This is a list of investment into each and every general practice, broken down to reflect payments from NHS England against a range of national enhanced services as well as core. This does not correlate directly with GP take home pay, - because for GP partners this is obviously dependant on the net profits arising from payments having taken away running costs. The majority of these in primary care (as in NHS generally) being staffing costs. Whilst it is common to look towards some sort of benchmark, - it proves very difficult to be able to rank payments to practices in any logical form. – As you know, core funding to general practice is based on a weighted formula, - Currently, - practices do not receive equal levels of pay based on their weighted list size. – It is to address this inequality that the DH imposed a contractual change to withdraw MPIG over 7 years. Likewise, we have decided that PMS practices should be funded at the same level for the same work as GMS practices, and have agreed a transition of between 4-7 years to be determined locally. One could argue that the pace of change is too slow, however, we are aware that for a significant minority of practices this change in funding can be significant, alongside this, the Carr-Hill formulae is being revised, therefore we N/A
Committee-assessment-of-progress-rag-status-report-november-2015.docx