Exclusive: DoH to dump MPIG but new formula criticised

Health minister Andy Burnham has said the MPIG is not permanent and should be phased out, at the same time as the RCGP issued a damning verdict on the revised Carr-Hill formula.

DoH to dump MPIG but new formula criticised
DoH to dump MPIG but new formula criticised

In an exclusive interview, Mr Burnham said that the MPIG would be tapered off under DoH plans for a 'decisive move away from paying people for existing'.

When the GMS contract was negotiated, it was agreed that it was ‘not a permanent feature', he said. 'It was something that was done to ease the transition to a new contract. The idea was to taper it over time, and for me that's got to be right.'

Removing the MPIG would enable patient choice to play a greater role in defining practice pay, Mr Burnham said.

'We are looking to an NHS where it's the patient's choice that matters - where does the patient want to go, which places are offering the services that people want. Every bit of the system will need to feel the effect of that,' he said.

Under the current system, more than 90 per cent of GMS practices receive correction factor top-ups to global sums to prevent them earning less than they did under the Red Book.

A consultation on proposed changes to the GMS contract that could see the MPIG scrapped ended this month.

The RCGP's response to the consultation, obtained by GP, says proposed improvements to the Carr-Hill formula would bring a slight improvement to fairness of resource distribution, but 'more by accident than design'.

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