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Tuesday 16 January 2018
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Topic: Finance

November 23, 2017

Two weeks ahead of the Budget, NHS CEO Simon Stevens spoke at an NHS Providersconference in Birmingham to remind politicians of the £350m a week promised to the NHS during the Brexit campaign.

He said that, if there was a cash injection into the NHS, waiting lists will reach five million patients by 2021.

Instead, the Government has decided to give the NHS:

November 22, 2017

The Budget introduces the government’s spending plans, which they formulate after the latest forecasts from the Office for Budget responsibility.

In a nutshell, you’ll have the chance to see how the money you have paid in taxes will be spent.

The Budget affects many aspects of our lives. Non-exclusively, it will affect: students, self-employed, people in social care, businesses, pensioners and many other categories.  

November 22, 2017

The Chancellor of the Exchequer Philip Hammond has announced today an investment of £3.5bn for buildings and facilities in the NHS England by 2022/2023.

Of this money, £2.6bn will flow into the NHS’ sustainability and transformation partnerships (STPs), to help them improve facilities and help local areas to focus on providing more integrated care for patients, and better meet demand for services.

October 27, 2017

Small practices will pay a lower registration fee, while larger ones will pay more, the Care Quality Commission (CQC) has revealed.

The CQC proposes to calculate fees based on patient list sizes rather than number of registered locations, from April 2018.

Structure 'doesn't fit'

The CQC said: ‘The current fees structure does not fit the way the sector is structured, and it will become increasingly outmoded as the way services are organised and delivered develops further.’

October 26, 2017

NHS England is currently investigating whether Commissioning Clinical Groups (CCGs) are delivering the £171m to transform GP practices.

The General Practice Forward View (GPFV) allocated £171m to CCGs for practice transformational support. CCGs are expected to spend around £3 per patient, as a one off non-recurrent investment, from 2017/18.

The investment can either be split over two years or take place in 2017/18 or 2018/19, as decided by the CCGs.

September 16, 2017

The average GP earnings decreased by 1.2% in 2015/16 compared to the previous year, according to the latest report published by NHS Digital.

The analysis includes earning and expense data for both full and part-time GPs who were practicing in the UK as either contractors or salaried GPs on that period.

It reveals that the average taxable income of contractors or salaried GPs working in either General Medical Services (GMS) or Primary Medical Services (PMS) practices was £90,100 in 2015/16 compared to £91,200 in 2014/15.

September 15, 2017

A NHS scheme in Sandwell and West Birmingham Clinical has significantly benefitted patients’ health.

The Primary Care Commissioning Framework (PCCF) was created in 2016 by NHS Sandwell and West Birmingham Clinical Commissioning Group (CCG). This collaboration between local GP practices and the CCG aims to provide high-quality care to patients, reduce health inequalities and enhance partnership working.

September 14, 2017

Growth in primary care has been paralysed by misaligned policy. Angela Sharda speaks to a practice manager about how she rises to the challenge.

Q. How do you keep your practice thriving?

A. We provide high quality, patient- centred services and are often recommended by word of mouth. We also provide community engagement events. We merged with another practice in 2013 and have a service-level agreement linking us to eight care homes.

August 29, 2017
An early evaluation of the primary care home (PCH) model, which encourages GPs to work collaboratively to provide care to groups of up to 50,000 patients, shows signs of success but will need more resources to continue into the long term.

An early evaluation of the primary care home (PCH) model, which encourages GPs to work collaboratively to provide care to groups of up to 50,000 patients, shows signs of success but will need more resources to continue into the long term.

The PCH model is a novel approach to primary care that involves GP practices collaborating with other healthcare professionals – including in mental health trusts, hospitals, social care and the voluntary sector.

Good progress

July 28, 2017
In an announcement released today, the BMA warns plans for severe funding cuts could have ‘serious consequences’ for hospitals and GP surgeries, including longer waiting times and even closures

The announcement relates to the ‘Capped Expenditure Process’ (CEP) which was introduced in April and asks NHS Commissioners in 13 areas across England to make considerable cuts in order to make up for budget deficits.

The areas affected include Cheshire and Merseyside, several areas in the South West including Bristol, Somerset and Devon, as well as three London CCGs. These areas are reportedly expected to cut spending by £500 million by April next year.

June 15, 2017
Political uncertainty could benefit the NHS, the NHS Confederation's chief executive has said.

Political uncertainty could benefit the NHS, the NHS Confederation's chief executive has said.

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 31, 2017
A 5,000-patient branch practice has been forced to plan its closure after failing to recruit new GPs for vacant positions.

A 5,000-patient branch practice has been forced to plan its closure after failing to recruit new GPs for vacant positions.

The Folkestone East Family Practice in Kent will close on 1 November after a major recruitment campaign did not result in a single application.

The doctors will continue to provide services at the Sandgate Road Surgery, but patients fear they will not have capacity to absorb the whole patient list of its sister practice.

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 10, 2017
An incorrectly reported practice split and significant changes to some practice registration numbers led to incorrect QOF figures being sent to the majority of practices in England, an NHS Digital investigation has found

An incorrectly reported practice split and significant changes to some practice registration numbers led to incorrect QOF figures being sent to the majority of practices in England, an NHS Digital investigation has found.

Following reports from practices that 2016/17 QOF payment figures were significantly lower than those for 2015/16, NHS Digital and NHS England investigated the problem.

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 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.