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Patients to meet minister as PMS practice's cuts appeal rejected

Patients of a practice set to lose £550,000 in PMS contractual funding have secured a meeting with a health minister.

The meeting will come as health secretary Jeremy Hunt has rejected a formal appeal made by the practice based in King’s Lynn in Norfolk.

A patient group representative will accompany local MP Sir Henry Bellingham to meet health minister Alistair Burt on 25 May discuss the situation.

It comes as they have already considered joining an existing legal case against PMS cuts brought by patients of a practice based in Huddersfield.

The patient group has claimed NHS West Norfolk CCG and NHS England should have consulted patients before deciding on the level of cuts to the 37,000-patient practice.

Lynn News reported that the health secretary has rejected an appeal from the practice against the cuts, following an earlier rejection from NHS England.

This is the second appeal against the cuts after the first was refused by NHS England.

Sir Henry said he was hopeful the decision may be changed, saying NHS England had to ‘get a grip of this, review it and start again’.

However NHS West Norfolk CCG chief officer Dr Sue Crossman said the decision ‘will not be reversed or consulted upon’.

The CCG said it was not its job to consult patients because it ’does not currently commission general practice’, while NHS England said they can only consult patients after plans have been set out for development.

It said in a statement: ‘Following the conclusion of the appeal process, NHS England and the local CCG will work together to set out plans that support the development and transformation of all local GP practices through equitable and fair investment of the released funding. Once plans are developed we will be able to engage with patients.’

The funding cuts decision was reached as part of the national review of PMS premiums, which aims to ‘redeploy’ funding across GP practices.

Readers' comments (6)

  • I would suppose that any Uptake with NHSE would be welcomed better, with a 'Sustainable Business Plan' presented by the patients...along with the funding to support co-comissioned Services!

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  • Go legal. The only way forward. Don't expect to win.

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  • Rather than cut PMS funding the obvious answer is to bring everyone else up to the same level . Look what's happening in Leicester .

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  • The banks were too big to fail . We're too small to survive.

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  • PMS contract changes cannot be imposed.
    The only recourse NHSE have is to give 6m notice to remove contract if agreement to change is not reached. They would then have to re-tender the contract. In current environment there are likely to be no takers at current GMS price which puts incumbents with own premises in very strong position to win any new tender at a higher price. If a large enough block of GPs decided to decline to accept the contract variations NHSE would be very worried indeed about their capacity to re-procure GP services.

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  • Simon Bradley has the right idea.

    If they push through changes, just hand back the contract.
    No takers on GMS guaranteed.
    The cost of NHSE procuring and then funding a higher paying APMS contract is likely to be more than the current PMS contract.

    Suspect once the notice is in there will be a solution forthcoming. If not just leave and work as a locum.

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