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Saturday 18 November 2017
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Topic: *** AskTheExpert: Finance

June 13, 2017
The recent announcement that NHS staff are to be awarded a 1% pay rise this year, while disappointing, is perhaps the percentage uplift most people had been realistically expecting.

The recent announcement that NHS staff are to be awarded a 1% pay rise this year, while disappointing, is perhaps the percentage uplift most people had been realistically expecting.

On the whole, staff might have accepted this with a resigned shrug, given the current financial pressures on the health service. But then we learned that MPs are to enjoy a 1.4% increase, which, according to the Daily Mirror, gives the politicians a new take-home pay of £76,011 per annum.

June 7, 2017
It’s worth keeping a close eye on practice finances, and with the software packages now available it’s easier than ever, writes Mark Dempsey.

It’s worth keeping a close eye on practice finances, and with the software packages now available it’s easier than ever, writes Mark Dempsey

There is more pressure than ever before on GP practices to keep good financial records, meaning they need to be up to date, accurate and easily accessible. The slowdown in funding growth is making it increasingly difficult for practices to live within their means and places them under tremendous pressure to get their finances in order.

May 19, 2017
The Conservative Party election manifesto pledges £8bn and seven-day GP access across England by 2019 – one year earlier than their 2015 promise.

The Conservative Party election manifesto pledges £8bn and seven-day GP access across England by 2019 – one year earlier than their 2015 promise.

It also states that if re-elected, the Tories would recover the cost of treatment from people not resident in the UK by increasing the Immigration Health Surcharge.

The new fees would be £600 for migrant workers and £450 for international students.

May 16, 2017

NHS England’s blueprint for service transformation, Next Steps on the Five Year Forward View, has a number of implications for primary care, including the creation of GP practice ‘hubs’ covering patient list sizes of 30,000 – 50,000 patients. Andrew Broadbent, a solicitor in the hlw Keeble Hawson litigation and dispute resolution team, looks at the potential impact of the new arrangements on practice partnership agreements and supplier contracts

May 11, 2017
A draft of the Labour Party's 2017 election manifesto has been leaked to the press despite the party leaders only today (11 May) meeting to finalise it ahead of its planned launch.

A draft of the Labour Party's 2017 election manifesto has been leaked to the press despite the party leaders only today (11 May) meeting to finalise it ahead of its planned launch.

The manifesto, which the party has confirmed is a genuine draft, says that a Labour government would give more than £6bn in added funding to the NHS.

The Conservative Party has called the plans 'a total shambles' which would 'unleash chaos' on Britain.

Workforce

May 9, 2017
Two practices in Norwich have come together to provide a housing and benefits advice service to patients aged over 60.

Two practices in Norwich have come together to provide a housing and benefits advice service to patients aged over 60.

The pilot scheme, introduced three years ago by Cotman Housing Association, is now being offered in practices for the first time at Lionwood Medical Practice and St Stephens Gate Medical Practice.

Trained advisors at the practices run clinics where older patients can ask questions, make an appointment or be referred to other services by their GP or nurse.

May 8, 2017
A group of sixteen practices in the southeast have banded together to form a federation to ease pressure on their resources.

A group of sixteen practices in the southeast have banded together to form a federation to ease pressure on their resources.

The GP federation for Windsor, Ascot and Maidenhead (F-WAM), will see a group of surgeries from across the borough to share their expertise.

The federation was officially formed on 26 April after a year’s worth of preparation. The group will now have 140,000 registered patients on their list.

May 5, 2017
The Dispensing Doctor Association (DDA) has launched its 2017 general election manifesto, asking for all parties to protect rural dispensing practices.

The Dispensing Doctor Association (DDA) has launched its 2017 general election manifesto, asking for all parties to protect rural dispensing practices.

The association is calling on election candidates in each of the devolved nations to:

May 4, 2017
The Scottish government has announced £2.5m for ‘up-skilling’ general practice staff, including practice managers.

The Scottish government has announced £2.5m for ‘up-skilling’ general practice staff, including practice managers.

The investment will offer managers, as well as receptionists training on how to direct patients to the right service and to take on more administrative tasks currently done by GP.

Health secretary Shona Robinson has committed to investing an extra £250m in general practice per year by 2021.

April 28, 2017
The new deal for general practice has surpassed expectations, but will it be enough to make a tangible improvement to practice finances? Alice Harrold examines the 2017/18 GP contract to find out what practices can expect in the coming year.

The new deal for general practice has surpassed expectations, but will it be enough to make a tangible improvement to practice finances? Alice Harrold examines the 2017/18 GP contract to find out what practices can expect in the coming year

The GP contract for 2017/18 gives the first indications that the Government is waking up to the need to stabilise primary care. The consequences for the NHS of an underfunded general practice are finally getting recognition.

April 28, 2017
What will your job be like in a decade’s time? Victoria Vaughan asks the experts.

What will your job be like in a decade’s time? Victoria Vaughan asks the experts

If the past year has taught us anything, it is that predicting the future is a fool’s errand. Few people expected Brexit, to see Theresa May moving into Downing Street or Donald Trump waving from the White House.

But, closer to home, there are some clues to how the role of the practice manager is changing – and how it might look 10 years from now. 

April 7, 2017
Two of the largest practices in Plymouth have unveiled plans to merge later this year serving 60,000 patients across the region.

Two of the largest practices in Plymouth have unveiled plans to merge later this year, serving 60,000 patients across the region.

Beacon Medical Group and Ocean Health have partnered up and believe it marks a 'bright future for primary care' in and around Plymouth.

The GP partners will serve patients within the communities of Plympton, Chaddlewood, St Budeaux, Mannamead, Efford and Ivybridge.

April 6, 2017
The small business model of GP practices is ‘not fit for purpose and is inhibiting change’ according to a House of Lords Committee on NHS sustainability, suggesting that NHS England look into alternative models.

The small business model of GP practices is ‘not fit for purpose and is inhibiting change’ according to a House of Lords Committee on NHS sustainability, suggesting that NHS England look into alternative models.

The committee’s conclusions echoed evidence given by Dr Clare Gerada, former chair of the Royal College of General Practitioners (RCGP), who was one of a number of senior healthcare figures to give evidence.

March 29, 2017
General practice staff show concern for workforce levels and NHS budgets as the Government sets in motion the UK's departure from the EU.

General practice staff show concern for workforce levels and NHS budgets as the Government sets in motion the UK's departure from the EU.

After Article 50 was officially triggered today (29 March), the Prime Minister said: 'In accordance with the wishes of the British people the United Kingdom is leaving the European Union. This is an historic moment from which there can be no turning back.'

March 27, 2017
Dr Chaand Nagpaul is not afraid to voice his views on the topics that matter to general practice. As the chair of the British Medical Association (BMA)’s General Practice Committee (GPC), he has fought hard to highlight the crisis in general practice as well as to ensure the profession is well represented within the wider NHS.

Dr Chaand Nagpaul is not afraid to voice his views on the topics that matter to general practice. As the chair of the British Medical Association (BMA)’s General Practice Committee (GPC), he has fought hard to highlight the crisis in general practice as well as to ensure the profession is well represented within the wider NHS. He worked on the details of NHS England’s GP Forward View which promised a £2.4bn investment in general practice and is set to see practices through a lot more changes in the coming year.

March 24, 2017
A shiny new GP surgery reopened after a state-of-the-art makeover. Dr Surinder Chaggar explains how he got the NHS to fund it.

A shiny new GP surgery reopened after a state-of-the-art makeover. Dr Surinder Chaggar explains how he got the NHS to fund it

Practice profile:
Forum Health Centre, Coventry
16,500 list size
6 partners
3 salaried GPs
3 registrars

We applied for the money through the Primary Care Infrastructure Fund (PCIF)

March 8, 2017
At his first Budget speech, Chancellor of the Exchequer, Philip Hammond announced today (8 March) new funding for social care and certain primary care regional plans.

At his first Budget speech, Chancellor of the Exchequer, Philip Hammond announced today (8 March) new funding for social care and certain primary care regional plans.

Hammond revealed that there would be £2bn injected into social care funding over the next three years. The provision includes £1bn spending for social care in 2017/18.

‘State of emergency’

March 6, 2017
HMRC has announced that from next month there will be 'changes to the way the current intermediaries legislation (known as IR35) is applied to off-payroll working in the public sector'.

HMRC has announced that from next month there will be 'changes to the way the current intermediaries legislation (known as IR35) is applied to off-payroll working in the public sector'.

From 6 April, the legislative change will affect all practices that contract locum GPs working through their own limited companies.

March 3, 2017
The additional work undertaken by practice managers and administrative staff as a result of Capita’s overhaul of the patient records system last year will be compensated, NHS England has said.

The additional work undertaken by practice managers and administrative staff as a result of Capita’s overhaul of the patient records system last year will be compensated, NHS England has said.

Each practice will receive a £250 once-off payment a letter from NHS England director of commissioning, Rosamond Roughton revealed.

March 1, 2017
NHS chief executive Simon Stevens has announced upcoming changes to regional healthcare commissioning, during questioning from the Public Accounts Committee (PAC) in a select committee meeting on 27 February.

NHS chief executive Simon Stevens has announced upcoming changes to regional healthcare commissioning, during questioning from the Public Accounts Committee (PAC) in a committee meeting on 27 February.

There will be a new reorganisation of how NHS services are commissioned in parts of England, as NHS 'transformation' areas will receive 'governance rights' at the end of March, Stevens revealed.

February 28, 2017
Anthony Brand advises on how to develop the perfect business plan.

Anthony Brand advises on how to develop the perfect business plan

Every practice should be thought of as a business and it is vital that these businesses set a budget, especially in the current uncertain NHS economy. 

February 23, 2017
It was revealed in the 2017/18 GP contract deal that the value of a QOF point will increase from April this year by 3.6% from £165.18 to £171.20.

It was revealed in the 2017/18 GP contract deal that the value of a QOF point will increase from April this year by 3.6% from £165.18 to £171.20.

As the population grows, it was decided that the value of a QOF point would increase proportionally to the consumer price index (CPI) and growth in average GP practice list size.

If the increase was not made year on year, then inflation would mean that work related to QOF would automatically become worth less to practices.

February 15, 2017
Management in Practice spoke to practice manager Sue Wilkins ahead of the merger of her two Poole practices with a combined list size of over 20,000.

Management in Practice spoke to practice manager Sue Wilkins ahead of the merger of her two Poole practices with a combined list size of over 20,000.

Parkstone Health Centre and Madeira Practice are expected to become one practice on 1 April this year once the Madeira premises and merger site is refurbished.

Q. How has the state of primary care effected this decision?

February 14, 2017
The man charged with improving general practice talks to Angela Sharda about how practice managers are key to revitalising primary care.

The man charged with improving general practice talks to Angela Sharda about how practice managers are key to revitalising primary care.

As NHS England’s head of general practice development, Dr Robert Varnam has no easy task.