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

Register

Already registered?

Sign in

Follow Us:

Just published

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...

Tributes as GP and 'staunch defender of the NHS' Dr Kailash Chand dies

Tributes as GP and 'staunch defender of the NHS' Dr Kailash Chand dies

Tributes have poured in for long-serving Manchester GP, BMA vice president and NHS...

Unfunded 3% pay rise could add £20,000 to average GP practice wage bill

Unfunded 3% pay rise could add £20,000 to average GP practice wage bill

GP practices in England could see their wage bill rise by £20,000 on average after...

Pandemic driving surge in burnout among trainee doctors and educators, GMC poll shows

Pandemic driving surge in burnout among trainee doctors and educators, GMC poll shows

One in three trainee doctors and a fifth of trainers feel burned out to a 'high'...

Quadruple funding for long COVID enhanced service, GPs warn

Quadruple funding for long COVID enhanced service, GPs warn

Funding for the long COVID enhanced service should be quadrupled to ensure practices...

GPs to start COVID-19 jabs for vulnerable children by 23 August 'at the latest'

GPs to start COVID-19 jabs for vulnerable children by 23 August 'at the latest'

GP-led sites delivering COVID-19 vaccination have been told to start rollout of jabs...