GMC must investigate rationing and quality premium, says GPC

Proposed quality premium payments for commissioning groups and rationing of NHS care are 'appallingly unethical' and should be investigated by the GMC, GP leaders have said.

GMC: urged to investigate rationing and quality premium

GPC chairman Dr Laurence Buckman said the committee had written to the GMC asking it to investigate ‘incentive schemes’, warning that PCTs and clinical commissioning groups (CCGs) were still pressing ahead with them despite repeated warnings from the BMA.

Dr Buckman said the GPC’s letter to the GMC includes its concerns about the government’s plans to introduce the quality premium in England under the health reforms.

This comes after DH commissioning development lead Dame Barbara Hakin revealed that the quality premium could be worth up to £30,000 for the average practice.

Dr Buckman said: ‘Taking money from patient care and pocketing it for reducing something you do for patients by a fixed percentage or number is wrong.

‘We have said that repeatedly. We don’t think it is a good idea to tell doctors that if you reduce your referrals by 10% you will receive a payment.

‘We said we think that is wrong and PCTs and shadow CCGs are continuing to do this. Although you might be mindful of expenses, you should not be chopping an arbitrary piece of patient service and then taking money which you are allowed to keep. There are lots of reasons why that is bad including the fact that patients will not trust you because they will think that everything you do will be dependent on making a profit out of it, from them.

‘We think this is appallingly unethical.’

Dr Buckman said that the GPC had not yet received a response from the GMC.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published

GP appointment

General practice delivered 342m appointments in 2022 - and lost nearly 500 GPs

General practice in England delivered around 342m appointments in total in 2022 with...

NHS sign

Local GPs unite to take over two practices run by hospital trust

GPs in Swindon have come together to take over two practices that had spent more...

Talking General Practice logo

Podcast: Why are junior doctors preparing to strike?

Talking General Practice speaks to BMA GP trainee committee chair Dr David Smith...


Practices face losing out on QOF income amid soaring demand

GP practices risk losing out on QOF income this year because sky-high demand for...

Nurse giving older man a COVID-19 vaccine

JCVI recommends targeted COVID-19 vaccination programme in 2023

People at higher risk of severe COVID-19 should be offered a booster vaccination...

Health and social care secretary Steve Barclay leaving number 10 Downing Street

Government sets out plans for 'major conditions' health strategy

The government is to set out a strategy to tackle six 'major' health conditions in...