An initial proposal would have created winners and losers by maintaining total spending on PMS, but redistributing it between practices on a weighted capitation basis (GP, 20 April).
But a letter from Suffolk PCT to PMS practices last week, obtained by GP, set out other options. It said practices could choose to maintain income levels if they agreed extra ‘efficiencies’.
Practices could choose to go ahead with the PCT’s initial plan, or to implement it in part, with a cap on maximum losses and gains.
The PCT letter said funding could be reallocated, with swings in income capped at a maximum rise of 5 per cent, and a maximum loss of 8 per cent. However, if practices chose this option, outlying practices would have to agree efficiency savings with the PCT.
An option in the PCT letter involves a return to GMS with a five-year local enhanced service that would act as an MPIG alternative. GPs will vote on their preferred option after a meeting for all PMS practices this week.
What do you think? Email your comments to GPletters@haymarket.com