APMS will 'leach' cash from GMS practices

The 250 new APMS health centres proposed in Lord Darzi's interim report will eventually leach funds from existing practices, according to GPC deputy chairman Dr Richard Vautrey.

The £250 million access fund for the centres will barely cover the new centres' initial set-up and the long-term running costs will have to come out of PCTs' budgets, said Dr Vautrey.

'It is simple maths really, and the numbers don't add up. We are effectively talking about £250 million for 250 surgeries.

'When you consider the cost of staffing, equipping and building these centres, I'm not sure it will even be enough to set up a practice in the short term. It effectively means the ongoing running cost is paid from the PCT's existing annual budget, meaning less money for other practices', added the GPC deputy chairman.

Previously, health minister Ben Bradshaw said it would not necessarily be one new APMS practice per PCT from the DoH's £250 million access fund, and that the government would discuss what else it could do to improve access, indicating that practices could use some of the access fund for opening extended hours (GP, 30 November).

But Dr Vautrey said the government now seemed adamant that the access fund would not be used to fund extended hours for existing practices, or in areas where a polyclinic or supersurgery was not suitable.

The fund will also pay for the 150 supersurgeries proposed in the junior health minister Lord Darzi's interim report. All 250 surgeries will open extended hours and use APMS contracts.

The overall aim of the new centres and the access fund is to overcome health inequalities and improve access to GPs.

The GPC has previously warned that the 'polyclinic model' will mean greater distances to travel for patients.


Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published

£20 notes spread out

VAT trap for PCNs could strip millions of pounds from general practice

Tens of millions of pounds could be stripped from general practice because work carried...

Talking General Practice logo

Podcast: Is the BMA representing GPs effectively, why GPs face a pension tax hit, and views on the workload crisis

In our regular news review the team discusses representation of GPs, a new survey...

Man sleeping

NICE guidance on insomnia backs app to replace sleeping pills

Hundreds of thousands of people with insomnia could be offered treatment via a mobile...

Health worker prepares a dose of COVID-19 vaccine

JCVI backs autumn COVID-19 booster campaign for high-risk adults and NHS staff

Frontline health and social care staff and adults at increased risk of severe illness...

GP consultation

Government accused of 'misleading' claims on general practice workforce

GP leaders have accused the government of making misleading claims about the general...

Consulting room door

LMC calls for enhanced access to be scrapped after abuse forces practice to close reception

A Midlands LMC has backed a practice forced to close its reception desk after abuse...