GP practices must deliver further efficiency savings, NHS England tells DDRB

NHS England has rejected BMA warnings that GP practices have delivered nearly all possible efficiency savings in evidence to the Doctors and Dentists Review Body (DDRB).

Supplementary evidence from NHS England to the DDRB this week warned that 'to suggest there is no scope for improvement [on efficiency] would not be accurate'.

'Practices do have opportunities to reduce their costs, including through federating - or even simply clubbing together to purchase supplies and achieve economies of scale,' NHS England claimed in response to questions from DDRB officials.

NHS England's evidence also made clear that it did not accept that funding should necessarily increase to match rising practice expenses, despite expenses now having risen to 63.5% of gross earnings.

GP expenses

BMA evidence to the DDRB last month warned that practices' viability was now seriously under threat, because 'GP workload has increased substantially but limited ability to reduce expenses means that personal income continues to fall, thus completing the vicious circle'.

But NHS England's evidence to the DDRB says: 'It does not necessary follow that, just because a particular expenses category has increased in the past – or appears to be doing currently, as in the case of professional indemnity insurance - we should necessarily automatically fund any increase relating to that going forward.'

GPonline reported this year that one in three GPs say their indemnity costs have risen 20% in the past five years.

Meanwhile, NHS England makes clear that despite arguing in the Five Year Forward View that 'NHS pay will need to be competitive in a buoyant economy' any pay award to GPs will 'need to live within the government’s public sector pay policy, of only funding uplifts of up to 1%, for the next four years'.

Photo: iStock

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published

Hospital entrance

NHS England issues warning over norovirus and rising winter pressures

Almost three times as many people were in hospital with norovirus last week compared...

BMA Northern Ireland GP committee chair Dr Alan Stout

Northern Ireland GPs face deepest-ever crisis as practices hand back contracts

Northern Ireland's GP leader has warned that general practice in the region is facing...

GP consulting room

GP appointments hit record high of over 34m in October

GP practices delivered a record 34.3m appointments in October this year excluding...

GP consultation

New contract that enforces continuity would make GPs and patients safer, says watchdog

A new GP contract that makes continuity of care an 'essential requirement' for practices...

GP receptionist on the phone

Some practices to receive funding to upgrade digital phone systems

GP practices whose digital phone systems do not meet new NHS England standards will...

Woman using mobile phone

Safety issues with remote GP consultations 'extremely rare', study shows

Safety incidents are 'extremely rare' in remote GP consultations but risk is higher...