Commissioners agree £4.6m local contract for non-core GP services

Commissioners in east Cheshire have agreed proposals for a 'landmark' £4.6m package to fund non-core GP services, but practices will have to achieve over £3m in savings.

Services covered by the deal include ECG readings
Services covered by the deal include ECG readings

As reported last week by GPonline, if practices sign up, the new Caring Together scheme will pay £22.77 per weighted patient to provide a comprehensive range of non-core services, many of which are already being delivered by practices.

The scheme would help solve longstanding concerns over unfunded GP services - a GPonline investigation this year found that practices across England provide services worth tens of millions of pounds for free.

East Cheshire's primary care co-commissioning committee agreed last week to use £2m new CCG investment for the package on top of £1.1m of existing locally commissioned service funding and £1.2m of reinvested PMS premium funding being withdrawn under NHS England’s equitable funding drive. The committee includes representatives from NHS England and Eastern Cheshire CCG.

GP funding

Practices will, however, be required to achieve £3.01m of savings through proactive care, reducing demand and deflecting activity in other parts of the health service in order to retain the full investment.

The new service specification would bring together a wide range of new and existing non-core services into a single CCG-wide contract with all services available from all GMS, PMS and APMS practices. The contract will take in services currently commissioned by the CCG, NHS England and public health. All 22 practices, if they all agree, will receive the aggregated per weighted patient price.

Services that would be provided by every practice include improved access, enhanced support for long-term conditions and enhanced investigations, including 24-hour BP monitoring and ECG reading.

GP access

Eastern Cheshire CCG chief officer Jerry Hawker said: ‘The investment recognises that the GP surgery is the first point of contact with the NHS for most people and that it represents a golden opportunity to relieve pressure on urgent and emergency care by helping people to better manage their health in the community.

Commissioners are now negotiating with practices to finalise the list of services to be provided by the new contract which is due to go live next month.

A document detailing the new contract said: 'Retention of the full levels of investment is dependent upon practices achieving the planned level of savings and required quality standards and outcomes.'

The paper noted that despite the new investment six PMS practices in phase 1, and two practices in phase 2 of the scheme will see their income drop. The CCG said it will guarantee transition funding for them.

Eastern Cheshire LMC said it would be inappropriate for them to comment while practices are still in negotiations with commissioners.

Photo: Amelie-Benoist/BSIP/SCIENCE PHOTO LIBRARY

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Close up of a man turning off a light switch

GP's online carbon calculator helps practices cut emissions and save money

A Yorkshire GP has developed an online calculator that is helping practices to reduce...

GP wearing surgical mask speaks to patient in consulting room

General practice recruitment scheme falling short by thousands of staff

A recruitment scheme designed to bring 26,000 extra people into the general practice...

(Photo: Mike Kemp/Getty Images)

Coronavirus: Key guidance GPs need to know about COVID-19

GPonline provides an overview of the key guidance relating to coronavirus, including...

Health and social care secretary Sajid Javid speaking

Sajid Javid writes thank-you letter to 'outstanding' primary care staff

Health and social care secretary Sajid Javid has written a thank-you letter to primary...

Sign pointing to entrance of COVID-19 vaccination hub

Parts of QOF and enhanced services to halt until March to speed COVID booster rollout

NHS chiefs have agreed to suspend parts of the QOF and some enhanced services until...

NHS sign

Barriers to hospital treatment creating 'two-tier' NHS, GPs warn

Long waits for hospital treatment linked to the growing NHS backlog and a rise in...