In a revised operating framework for 2010/11, health secretary Andrew Lansley also confirmed all GP access and extended hours targets will be scrapped.
The document pledges that as management funding and infrastructure is stripped back, resources will be transferred to GP commissioning groups in the form of a ‘running cost allowance’ by 2012.
PCTs and SHAs will be expected to reduce their costs by at least £222m in 2010/11 and a further £350m by the end of 2011/12.
A DoH white paper, expected at the start of July, will set out further details of how GP commissioning will work.
The GPC is calling for management-type salaries to cover GPs’ time and clarity over who is responsible for commissioning budgets.
GPC negotiator Dr Chaand Nagpaul said payment to GP commissioners should be made irrespective of the savings or losses their consortia generate. ‘This should be no different to the accountability of NHS middle-managers, who have a salary that is unaffected by their decisions,’ he said.
Sources close to the Conservatives have speculated that money could be removed from the GP contract to pay for GP commissioning. No details have been given as to how QOF points for access targets will be redistributed.
It also remains unclear whether GPs will be able to profit directly from the savings their consortia make.
|Read the full story in this week’s edition of GP newspaper dated 25 June|