NHS England reveals full details of MPIG support package

Practices hit hard by MPIG cuts in deprived areas have just weeks to bid for financial support under a deal that will exclude practices where GPs draw above average earnings, or with greater than average profits.

Funding: MPIG support package details unveiled
Funding: MPIG support package details unveiled

NHS England London has revealed the criteria practices must meet to apply for the package of support announced on Tuesday, which include demonstrating significant funding losses, population deprivation and service quality.

NHS England nationally said on Tuesday that 'other area teams would be making the same offer where practices meet the criteria'.

In a letter to LMC leaders, London region officials said no doctors at practices applying for the two-year support package should have declared pensionable earnings in excess of £106,100, the Doctors and Dentists Review Body's calculated average pay for GPs in 2011/12.

Expenses to profit ratio

Practices must also show they have expenses greater than the average 63% of revenue and have no contract breaches since April 2013.

In the letter to LMCs, NHS England London's head of primary care commissioning Neil Roberts said: ‘This support will apply where there is evidence of extenuating circumstances within the practice population, related to patient demographics, that have an impact on practice workload. We have decided that this will be defined as an Index of Multiple Deprivation (IMD) score of 35 or higher (the upper quintile) for the practice. Among other factors, this measure is designed to take account of health inequalities.’

Full criteria:

  • GMS global sum reduction greater than £3 per patient in 2014/15.

  • No GP should have declared pensionable earnings over £106,100 pa.

  • Practice expenses must be greater than 63%

  • No contract breaches for any reason since 1 April 2013.

  • Half of contract holders do not have live cases with NHS England performer machinery or GMC, including interim orders panel.

  • Fewer than five outliers on the GP High Level Indicators system.

  • The practice population must meet a score of 35 or higher on the Index of Multiple Deprivation, the upper quintile, to demonstrate local demographic factors not fully reflected in Carr-Hill funding formula.

Practices have until 30 September to apply for and sign the funding agreement. Funding available to practices will be the ‘total annual loss as determined by NHS England arising from GMS global sum changes for 2014/15 and 2015/16 (and no greater than this)’.

Discretionary financial support

Funding will be provided using the provisions of section 96 of the 2006 NHS Act which allows commissioners to provide discretionary financial assistance to primary medical service providers.

GPC said yesterday the support package must be followed by a national, long-term plan' to help all affected GP practices.

Chairman Dr Chaand Nagpaul said the plans to put MPIG cuts on hold for a small minority showed NHS England was ‘failing to honour its commitment’ to help all practices facing heavy cuts.

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