QOF may be cut to fund commissioning

QOF funds could be top-sliced to incentivise practices to monitor their referrals and use of resources to support commissioning consortia, a top NHS manager has suggested.

Mr Stout: 'If GPs are looking for incentives to deliver commissioning it is unlikely there will be more money in the system'
Mr Stout: 'If GPs are looking for incentives to deliver commissioning it is unlikely there will be more money in the system'

Practices will need to generate data to show how they use NHS resources as GP commissioning takes off.

David Stout, chairman of the NHS Confederation's primary care network, said this is likely to be funded by reallocating money from elsewhere in the contract, such as the QOF.

'If GPs are looking for incentives to deliver commissioning it is unlikely there will be more money in the system,' he said.

Details of how to reallocate QOF money would have to be negotiated between the GPC and NHS Employers.

But contract negotiations have stalled as the DoH awaits results of the White Paper consultation, which ends this month, and a Treasury spending review.

GPC deputy chairman Dr Richard Vautrey said negotiations were stuck in 'preliminary talks' as NHS Employers negotiators awaited clear instructions from the DoH.

'NHS Employers haven't been given a mandate by the DoH yet,' he said. 'Talks have been delayed for a whole variety of reasons. There's the consultation period, it's conference season, and there is the Treasury (spending) review. There are lots of bits of the jigsaw that need to be in place before we can start.'

Dr David Jenner, GMS/PMS lead at the NHS Alliance, said taking money out of the contract and suggesting GPs earn it back through commissioning would be 'unacceptable' to most GPs.

'I think people suggesting GPs can earn back money through what might be quite a lot of work are out of touch,' said Dr Jenner.

He predicted the GMS contract would change 'very little' this year as GP commissioning plans remained undefined. 'There is neither the time or the opportunity this year for major changes,' he said.

The National Association of Primary Care (NAPC) revealed this week it would call for a 'significant amount' of practice income to be at stake for GPs who do not commission.

Meanwhile, NHS reforms may face delays after the union Unison was granted the right to take legal action against health secretary Andrew Lansley.

The union claims reforms started without adequate consultation.

Visit our GP Commissioning Resource Centre

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

Identifying patients experiencing domestic violence and abuse in general practice

Identifying patients experiencing domestic violence and abuse in general practice

Dr Vasumathy Sivarajasingam describes a pilot project in her practice that used a...

Long COVID could ‘wreak havoc’ on NHS workforce and disrupt vaccine rollout

Long COVID could ‘wreak havoc’ on NHS workforce and disrupt vaccine rollout

High rates of COVID-19 infection and the impact of long COVID could 'wreak havoc'...

GPs can give COVID and flu jabs at same time, says NHS England

GPs can give COVID and flu jabs at same time, says NHS England

GPs can now administer COVID-19 and flu jabs at the same time, according to updated...

Areas hit hardest by COVID-19 fall behind on vaccine campaign

Areas hit hardest by COVID-19 fall behind on vaccine campaign

Regions of England hit hardest by COVID-19 cases have fallen behind the rest of the...

COVID-19 pandemic drives first recorded dip in patients registered with GPs

COVID-19 pandemic drives first recorded dip in patients registered with GPs

A rise in deaths and reduced immigration during the COVID-19 pandemic saw the first-ever...

GP trainee placements delayed as COVID-19 surge hits junior doctor rotations in London

GP trainee placements delayed as COVID-19 surge hits junior doctor rotations in London

Planned rotations of junior doctors in London - including GP trainees - have been...