Every winner is a loser
The recent proposals to reshape the global sum formula looked at first like an enactment of Robin Hood, with great bags of gold being taken from the richest practices and handed to the poorest. For the losers it was potentially devastating – with some facing losses of as much as 19 per cent of their global sum income. But at least there also appeared to be winners, and for those practices who suffered acute underfunding through Car-Hill, it was a rather welcome prospect.
Giving with one hand...
Except that in the complex and confusing world of general practice finance, nothing is quite as it seems. We now learn that those global sum winners – some of whom thought they were going to see their income leap by an astonishing 31 per cent – may not actually win much at all.
At the moment, more than 90 per cent of practices are propped up through MPIG, including almost all of those who would apparently gain under the formula review. It turns out that as the new global sum money flows in, the Government plans to drain out MPIG money at the other end.
Nobody knows where the money will go, but one thing is certain – it will not be used to prop up the practices that are losers under the proposed formula revisions. What looked at first like an honest attempt to redistribute wealth, now seems far more like a sneaky attempt to snatch millions of pounds from general practice.