Distribution plan for 0.8% rise settled

A decision has been made on how to distribute the 0.8 per cent pay award for 2010/11, GP leaders say, but details are unlikely to be made public until a new government is in place.

Dr Vautrey: election is holding up GMS pay deal announcement (Photograph: Jason Heath Lancy)
Dr Vautrey: election is holding up GMS pay deal announcement (Photograph: Jason Heath Lancy)

The GPC would not confirm as GP went to press whether it had agreed an alternative to the pay distribution method set out by the Doctors' and Dentists' Review Body (DDRB).

GPC deputy chairman Dr Richard Vautrey said: 'A decision has been made, but nothing can be announced until after the election. We haven't got any information to give to GPs at this stage.'

GP revealed last month that most GMS practices would receive only half the 0.8 per cent rise under the DDRB plans (GP, 9 April).

The DDRB system would use half of the 0.8 per cent headline rise to boost GMS practices'

global sums. But correction factors would be cut by a corresponding amount, and this cash 'recycled' and distributed again into global sums.

As a result, MPIG practices - which account for around 68 per cent of GMS practices - would have their reliance on correction factors reduced, but see no actual rise from this part of the deal.

However, BMA health economists say the third of GMS practices that do not rely on MPIG will see a core pay rise of more than 1 per cent.

This is because practices with no MPIG, and therefore no correction factor to cut, would receive the full benefit of the initial uplift in addition to top ups from recycled cash.

Head of the BMA's health policy and economic research unit Jon Ford said this higher uplift for non-MPIG practices echoed the higher rise they received in 2009/10.

The 2.29 per cent headline rise for GMS last year translated into a 12.5 per cent rise for non-MPIG practices in England.

NHS Alliance contract lead Dr David Jenner said the GPC may be arguing for a greater share of the 0.8 per cent pay deal to go into QOF and enhanced services. 'When money is tight, every penny counts, and the GPC is clearly keen to divide it up so that practices keep most of it. I think the more that you put into QOF and enhanced services the more of the pay reward would go to GPs.'

But he added: 'It seems the GPC is arguing over the scraps. If you are dividing the last portion of cake, either way you do not get that much cake.'

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