BMA demands action on Capita compensation for GPs

GP leaders have called for 'serious' action to tackle Capita problems affecting GPs and expressed concern over slow progress on an update about compensation for practices.

In July, the House of Commons public accounts committee (PAC) published a report on problems with primary care support services provided by Capita.

MPs on the committee asked NHS England to write to them 'by January' outlining what steps had been taken to compensate primary care practitioners hit by problems - including delayed payments, problems with patient record transfers and more - since Capita won a contract to run Primary Care Support England (PCSE) in 2015.

NHS England was also asked to explain how it would improve future contracting and to give evidence of any harm to patients 'by January'.

Capita inquiry

However, GPonline has learned that although NHS England submitted a draft letter to the government responding to the committee's concerns more than a month ago, this information has yet to be submitted to the PAC.

A spokesperson for NHS England told GPonline it had sent a draft response to the DHSC ‘before Christmas’ so that it could be reviewed and passed on to the PAC. The PAC confirmed this week that it had not yet received a response.

A PAC spokesperson said there was no ‘procedural obligation’ to provide material to the timescale proposed by the committee, but the BMA described the slow progress as ‘concerning’.

GPC chair Dr Richard Vautrey said: ‘It’s right and proper that the PAC are looking into this but it is concerning if the information requested is not being provided.’

GP compensation

He added: ‘Practices and GPs continue to have serious concerns about the longstanding and continuing problems created by Capita’s failure… All bodies involved need to take this issue much more seriously and address the fundamental problems.’

The PAC said that NHS England’s submission would be published in Treasury minutes once received, and said that committee staff were ‘in regular contact with departments across government’ - adding that outstanding correspondence would be followed up 'as required’.

The PAC report on Capita last year called NHS England’s decision to outsource PCSE services to Capita a ‘shambles’, stating that the ‘short-sighted rush to slash by a third the £90m it cost to provide [PCSE] services was heedless of the impact it would have on the 39,000 GPs, dentists, opticians and pharmacists affected’.

GPonline has previously reported on delayed pension payments, problems with patient record transfers and other concerns that have left practices facing cashflow problems and increased workloads. Most recently, it was revealed that Capita failed to deliver cervical screening letters to 48,000 women in England.

Contract warning

Speaking at the 2018 LMCs conference in November - where GP leaders called for Capita to be stripped of its contract ‘immediately’ - Dr Vautrey described the company’s running of PCSE as ‘an unmitigated disaster’.

He said: 'How bad can it get before NHS England gets its act together and sorts out a mess that they created? They can outsource a service but they cannot outsource their responsibility.'

A PCSE spokesperson said at the time: ‘We accept that we initially underestimated the complexity of this contract, but we want to get this right so we can save the health service money over the long term and help NHS England deliver their objective of transforming locally managed, manual paper-based operations into a modern and efficient national customer-focused service.’

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