GP Forward View funding explained

The GP Forward View, which was published in April 2016, promised to increase annual investment in general practice by at least £2.4bn a year by 2020/21. GPonline explains what the funding will pay for.

Most of the additional funding that comes into general practice during the five years from 2016/17 to 2020/21 will be allocated to practices via CCGs, but some extra money has also gone into the GP contract. The list below shows the funding promised within the GP Forward View and how it will be delivered to practices.

Via the GP contract

  • Increased funding through the GP contract - £322m in 2016/17, £238.7m in 2017/18. Extra funding for coming years will be decided as part of the annual contract negotiations between the BMA and NHS Employers.
  • Support for increasing indemnity costs – £30m a year in 2016/17 and 2017/18. It remains to be seen whether this will continue in the next financial year.

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Via CCGs

  • Increased funding for IT via CCG allocations – it is unclear how much this amounts to.
  • General practice resilience fund - £40m between 2016/17 and 2019/20, to help practices that are struggling and at risk of closure to become more sustainable.
  • Practice transformational support - £171m funding from CCGs, or £3 per head in 2017/18 or 2018/19 split over the two years. To be spent on supporting development of at-scale providers or the 10 High Impact Actions in order to increase sustainability of general practice. There is more on the High Impact Actions here.
  • Training for reception and administration staff - £45m between 2016/17 and 2020/21 to train receptionists in active signposting and administrative staff to deal with clinical correspondence.
  • Online consultation systems - £45m over 3 years from 2017/18, although funding has only recently been released. CCGs must apply to NHS England for funding and decide how to allocate this money to practices. See here for more details.
  • Clinical pharmacists in general practice – £112m from January 2017 until 2020 (this is in addition to an initial £31m pilot programme that ran before the GP Forward View was published). Funding pays for training and support for pharmacists, it also funds 60% of the cost of recruiting and employing a clinical pharmacist in the first year, which reduces to 40% in year two and 20% in year three.
  • NHS GP health service - £19.5m. The service aims to improve access to help and support for GPs suffering from mental ill health including stress and burnout see here for more details.
  • Prime minister's GP access fund - £500m a year of recurrent funding by 2020/21 (It was £138m in 2016/17 and £258m is due to be spent in 2018/19). This is to ensure everyone has access to routine evening and weekend appointments that meet local demand.
  • Estates and transformation fund - £900m over five years - capital funding that covers infrastructure such as premises and IT development.

Other sources

  • STP funding – the latest guidance is that STPs should spend between 15% and 20% of their allocations on investment to support general practice.
  • GP winter indemnity scheme - £10m for this winter (£5m was available last year). GPs access this via the medical indemnity organisation. More detail on this here.
  • Practice nurse training and development - £15m. It is unclear how this money is to be spent and how practices can access it.
  • Practice manager training and development - £6m over three years from 2016/17. According to NHS England the money will be spent on growing local networks of practice managers that will promote sharing of good ideas, action learning and peer support. However it is unclear how this funding can be accessed and how well these plans are progressing.
  • Multi-disciplinary training hubs - £3.5m to be spent on developing training hubs across each of Health Education England's 13 local offices.They should meet the needs of the multi-disciplinary primary care team by bringing together NHS organisations, community organisations, local education providers/systems and local authorities.
  • Mental health staff in general practice - the GP Forward View promised an extra 3,000 mental health therapists would be working in primary care by 2020. There was no specific funding amount attached to this pledge.

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