Global sum must change if DoH is to abolish MPIG

Scrapping the MPIG will destabilise practices unless it is accompanied by an increase in global sum investment, say GPs.

The MPIG was a last-minute addition to new GMS, made when many practices found they could lose as much as a third of their income. However, last week's National Audit Office (NAO) report said the MPIG had stopped funding from flowing to under-doctored areas.

It suggested that the DoH phase it out, and redirect spending to quality incentives and enhanced services.

GPC deputy chairman Dr Richard Vautrey, said that the suggestion came as no surprise.

'In many ways we'd be happy for the MPIG to be removed,' he said. 'But it must be done through additions to the global sum.'

Dr James Kingsland, chairman of the National Association of Primary Care, said it supported the abolition of MPIG: 'It must be linked to an acceptance by the government that it has to start giving inflationary lifts in funding.'

An NAO spokesman said that it was not proposing simply removing the MPIG.

'We're not saying we won't have to look at the global sum as well,' he said.

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