Exclusive: UK GMS contract faces cuts in 2012/13 as profits fall

UK governments will seek further efficiency savings from the GMS contract in 2012/13, senior GPs and managers predict, despite stark warnings from the BMA over the impact of falling practice income.

Dr David Jenner: 'The DoH will undoubtedly try to make further efficiencies. This could see the QOF thresholds increase' (Photograph: JH Lancy)
Dr David Jenner: 'The DoH will undoubtedly try to make further efficiencies. This could see the QOF thresholds increase' (Photograph: JH Lancy)

GMS contract negotiations for 2012/13 are underway, and GPs believe DoH demands for an efficiency saving in 2011/12 are likely to be repeated.

Data from accountants, revealed in this week's GP, show that the decline in GP profits is already accelerating.

The BMA will submit evidence to the Doctors' and Dentists' Review Body, focusing on the 'deterioration of doctors' pay' and evidence of a decline in morale and motivation.

NHS Alliance GMS/PMS lead Dr David Jenner said it was unlikely the DoH would impose major GMS contract changes because it was 'in danger of losing most GPs over the Health Bill and pensions'.

But he said the DoH would 'undoubtedly' try to make further efficiencies. This could see QOF thresholds increase and a reduction in points for certain indicators, he said.

NHS Confederation acting deputy chief executive David Stout agreed that the DoH's focus would be on efficiency and productivity gains. 'The DoH must look at every penny of NHS spend including that in primary care. I don't expect general practice to be exempt.'

But GPC member Dr Nigel Watson warned that practices were already facing falling income and some could be forced to cut services if efficiency savings were demanded.

He said: 'Many practices are now back at the 2004 position or slightly worse than that.'

QOF quality and productivity indicators introduced last year are expected to continue into 2012/13. Dr Jenner said it was too early to assess their impact, but PCTs felt they were useful.

NICE has shortlisted 17 indicators for removal from the QOF. Dr Jenner said the depression indicator was the 'one to watch'.

Both he and Dr Watson believed practice boundaries were unlikely to be scrapped as part of the 2012/13 negotiations. Dr Jenner said: 'My guess is the government is still keen but it might slip another year.'

The DoH would not comment on whether practice boundaries would be abolished in April as initially planned, but it said it was discussing GMS contract plans with GP representatives.

GP Online recommends

NHS Fees

Read more

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

Fitness to practise and revalidation to continue despite pandemic, GMC confirms

Fitness to practise and revalidation to continue despite pandemic, GMC confirms

Revalidation and ongoing fitness to practise cases will continue despite huge pressure...

UK COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...

Supporting men and children experiencing domestic violence through general practice

Supporting men and children experiencing domestic violence through general practice

IRIS is an evidence-based programme designed to reach female survivors of domestic...

Learn about neurological aspects of 'long COVID' at a MIMS Learning webinar

Learn about neurological aspects of 'long COVID' at a MIMS Learning webinar

Loss of taste and smell and neurological aspects of 'long COVID' infection will be...

COVID-19 vaccine stocks must not be diverted to large sites ahead of local GPs, warns BMA

COVID-19 vaccine stocks must not be diverted to large sites ahead of local GPs, warns BMA

The government must ‘ramp up’ COVID vaccine supplies to general practice and avoid...

GP-led sites behind almost three quarters of COVID-19 jabs in England

GP-led sites behind almost three quarters of COVID-19 jabs in England

GP-led vaccination sites have delivered nearly three quarters of COVID-19 vaccine...