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Indemnity provider changes subs in response to seven-day access drive

Medical Protection has made changes to how it sets GP subscriptions in response to the Government’s drive for seven-day routine GP access.

The indemnity provider’s new subscriptions will see sessions previously defined as ‘core hours’ and ‘out of hours’ instead classed as ‘scheduled care sessions’ and ‘unscheduled care sessions’.  

Under the new work patterns, scheduled care can be any time between 8am to 8pm, seven days a week, where registered patients are seen by appointment and staff have access to the patient’s full medical record. 

Any other work, such as sessions undertaken at any time of day in a walk-in or urgent care setting, will fall under the unscheduled care definition.

Medical Protection said the change would be 'particularly good news' for taking part in the Prime Minister’s seven-day access pilots in England.

The Government is working to meet its political manifesto pledge for all patients in England to be able to book routine GP appointments to , seven days a week by 2020.

Head of underwriting policy at Medical Protection, Dr Nick Clements, said: 'Primary care is evolving, with new models of care and practices opening longer, and it’s important that we reflect these changes in the way we set membership subscriptions.

’Previously, we based subscription rates on the time the care was undertaken, whereas now it is based on whether the care is scheduled or unscheduled. This is particularly good news for in practices that are extending their opening hours, such as through the Prime Minister’s GP Access Fund.’

Readers' comments (4)

  • OOH is still buggered then. Idiots.

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  • Could all surgeries who have on the day appointments be charged at the higher 'unscheduled' rate?

    Appropriate risk sharing is important to help balance costs. Moving the frame around the risk will only highlight other costs.

    Why not have a higher rate for practices where GPs share care more often? or practices where there are less 'traditional' or comprehensive consultations? Charge more for one off consultation cover?

    Each of these changes are political, supporting one group, and direction of change over another.

    The overall cost of the insurance risk remains higher than the system is prepared to pay. The expense is being wrung out of those in the middle. Those who already carry the clinical and emotional risk.

    This all contributes to retirement, and emigration and a failure to recruit.

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  • And you'll still see a 26% increase on costs - more if you're working more than 8 sessions a week. Best of luck

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  • These buggers will now increase charges by 20-30% from April hammering the final nail to the coffin. These Providers are working together with the government to drive out GPs. If the government is fair, it should provide crown indemnity to all health professional or none - why single out GPs?

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