Cookie policy notice

By continuing to use this site you agree to our cookies policy below:
Since 26 May 2011, the law now states that cookies on websites can ony be used with your specific consent. Cookies allow us to ensure that you enjoy the best browsing experience.

This site is intended for health professionals only

At the heart of general practice since 1960

Funding formula penalises GPs in Scotland and Wales

GPs in Scotland and Wales are losing out in payments through the quality framework because of the way the funding formula is calculated.

Funding for diabetes and heart disease fails to properly account for the extra workload in areas of high prevalence, an analysis concludes.

A comparison of data between the four UK countries found prevalence varied by up to 28% – but that this was not reflected in resource distribution.

The analysis of all 10,065 UK practices concluded this 'penalises practices in the high prevalence countries, Wales and Scotland'.

Study leader Dr Gary Mclean, research fellow at the University of Glasgow, warned the inequalities could mean, over time, patients suffering. 'It might affect the quality of care they receive if the practice they go to receives less resources,' he said.

Although Scotland is penalised under the contract, care actually appeared to be better than in England, while in Wales it was substantially worse.

For instance, Scottish practices had an average 2.7% higher score for diabetic retinal screening than England, whereas Welsh practices scored 2.9% less.Dr McLean also noted clinical quality in Northern Ireland was strikingly higher, which 'may reflect greater population or health services stability'.

The study was published online by the BMC Health Services Research journal.

Rate this article 

Click to rate

  • 1 star out of 5
  • 2 stars out of 5
  • 3 stars out of 5
  • 4 stars out of 5
  • 5 stars out of 5

0 out of 5 stars

Have your say