'Politically motivated' QOF plans will cost general practice millions

DH plans for the largest-ever overhaul of QOF would strip £15,000 from every practice, introduce 'unworkable' targets and siphon off cash to pay for 'politically driven' enhanced services, the GPC has warned.

DH proposals are 'unworkable', the GPC says
DH proposals are 'unworkable', the GPC says

In a letter to GP members, the GPC attacked the government's proposals following the collapse of five months of negotiations earlier this week as 'bad for doctors, bad for patients and bad for general practice'.

GPC chairman Dr Laurence Buckman wrote that despite 'year on year improvements' in QOF, the 'proposed imposition' from the government would have 'very significant' impact on practice contracts.

Plans to raise indicator thresholds could wipe £126m off the value of QOF - equivalent to 1.7% of overall practice funding, or an average of £15,000 from every practice per year.

The GPC said it was prepared in negotiations to raise some QOF thresholds. But, it added, 'increasing thresholds in this indiscriminate way shows little regard for the overriding responsibility of GPs to treat patients as individuals'.

Dr Buckman added: 'The government’s implication that doctors do not already seek to maximise the benefits to patients of the QOF is disgraceful.'

Government plans to take 15% of funds out of the organisational domain in QOF to be used for new enhanced services threatens workload, the GPC said.

'This not only forces GPs to take on swathes of unresourced new work, but also worryingly moves money from an evidence based vehicle to channel it into schemes which are undeveloped, un-negotiated politically driven government whims,' it said.

The GPC said it was willing to accept some of NICE's proposed new indicators. But it said the DH's decision to force through all of NICE's proposals would lead to 'impractical' targets in general practice - for instance, basing QOF payments on referral to rehabilitation schemes that may not be available in all parts of the country.

'This will cause problems for both practices and patients,' the GPC said.

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

NHS England to redesign GP appraisal in light of COVID-19 pandemic

NHS England to redesign GP appraisal in light of COVID-19 pandemic

GP appraisals are being redesigned to have a greater focus on wellbeing and reduced...

Primary care to lose millions in funding unless PCNs hit recruitment targets in pandemic

Primary care to lose millions in funding unless PCNs hit recruitment targets in pandemic

Hundreds of millions of pounds could be lost to primary care if primary care networks...

Practices told to prepare for 'major expansion' of flu vaccination as QOF pared back for 2020/21

Practices told to prepare for 'major expansion' of flu vaccination as QOF pared back for 2020/21

GP practices have been told to 'gear up for a major expansion of the winter flu programme'...

NHS England unveils GP contract plans for second phase of COVID-19 response

NHS England unveils GP contract plans for second phase of COVID-19 response

GPs have been told to re-start health checks and other suspended services as NHS...

More than 80% of patients report 'good' overall experience of general practice

More than 80% of patients report 'good' overall experience of general practice

Public satisfaction with GP services remains high, with 82% of patients reporting...

GPs condemn 'deafening silence' from chancellor on COVID support funding

GPs condemn 'deafening silence' from chancellor on COVID support funding

GP leaders have condemned a 'deafening silence' on COVID-19 relief funding for general...