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NHS plans set to pour £1.2bn into supporting general practice

Exclusive Blueprints for the future of the NHS are investing more than £1bn into primary care, a Pulse analysis has revealed.

The analysis of the ‘sustainability and transformation plans’ has found that 14 have proposed investment to support the GP Forward View, totalling £394m; extrapolated across the whole of England, this would come to almost £1.2bn.

The Hampshire and the Isle of Wight, and Sussex and East Surrey plans identify the greatest investment in the Forward View, at £71.5m and £51m respectively, with the former specifying delivery of seven-day access, extending the primary care team and offering more specialist care in primary care settings.

Other than this, there is little detail about how the investment will be used. This information is expected to be part of the primary care strategies CCGs had to submit to NHS England by 23 December.

At the same time, the 44 STP ‘footprints’ have to identify £22bn in savings from the health and social care budget between them.

At the start of 2016 NHS England tasked regional teams, CCGs, trusts and councils to produce plans for delivery of the NHS Five Year Forward View, and said they had to make provisions to invest more in primary care.

Two councils in England have rejected their local STP because of its failure to pledge sufficient investment in general practice.

Shropshire Council and Telford and Wrekin Council in the West Midlands said the Shropshire and Telford and Wrekin STP, which predicts a deficit of £131.4m by 2021, should put ‘significantly more resources’ into primary care. Instead, it sets out plans to reconfigure hospital services.

p26 jan 2017 map 580x800px

p26 jan 2017 map 580x800px

What are the sustainability and transformation plans proposing?

Pulse’s scrutiny of the 44 STPs have previously revealed how

Readers' comments (14)

  • Ah, the unmistakable click of a stable door.......

    Merry Christmas, everybody.

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  • The core problem remains: the service is grossly underfunded.
    None of the income streams promised in the GPFV correct this.
    It is no longer sustainable: this is why the first tranche of practices handing back their contracts are mostly APMS (businesses with no real commitment to their populations).
    STPs in their current form will not help us: they ask us to do even more at a time when we are already working beyond our safe capacity, in return for funding that itself is likely to be inadequate. Giving GPs an extra £3 per head and asking them to do another £6 of someone else's work is not going to rescue general practice, it will collapse it.
    Until the core funding issue is sorted out our terms and conditions of work will remain poor, practices will continue to collapse and the profession will wither away. General practice will then be run by large private providers (like Hurley) to the huge financial benefit of the few at the top, or hospitals - the least efficient part of the existing system.

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  • 10.54 hear hear.excellent comment.

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  • There is an important distinction between Primary Care funding and General Practice funding. The former is rising up to 2020 while the latter is falling in real terms (unless GPs work 7 days a week). The headline, like the comments of our BMA and RCGP leaders, is correct but misleading.

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  • From a long experience:
    1. A large proprtion will go to administration and CCG salaries
    2. A bigger chunk will go towards signing blank chequers to bankrupt local hospitals for artificial activity.
    3. What's left would be "offered" to practices AFTER setting impossible targets on referrals and prescribing.

    The great enigma to me has been why investigative journalists have never looked into where the money goes, starting from the individual salaries of CCG governing body members, varying from £80 k to £260+. All in the public domain under CCG Annual Accounts.

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  • Agree with all of above. Especially the point re "primary care". I suspect much of the money will go to schemes aiming to demonstrate that CCG are moving care closer to home, with a token amount for practices - if they agree to work with neighbouring practices.

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  • What I can not understand is why any doctor would still choose General Practice as a career. What a horrendous future they will have.

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  • This isn't more money. If you're being asked to do more for it it isn't more money. What's needed is increased core funding so longer appointments per patient are available because there are more GPs per head.

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  • Mr Mephisto

    No money for Primary Care in Northern Ireland .

    In June the Northern Ireland Assembly found an extra £72 million extra to spend on the Northern Ireland Health Service - they gave £71.81 million to secondary care and £190,000 to Primary Care.

    This week we have found out that our First Minister Arlene Foster has just blown £420 million in a botched green energy scheme which she was in charge of in her previous role as Enterprise Minister.

    She has subsequently done the dishonourable thing and blamed her replacement in the role – her former best friend and fellow DUP member Jonathan Bell.

    The whole fiasco has descended into a political farce with the politicians falling out and blaming each other.

    It now appears that Special Political Advisers (SPADS) run the country and they are accountable to on-one.

    It’s like a real life episode of “The Thick of It” with Arlene Foster taking on the dual roles of Prime Minister and Malcolm Tucker all in one.

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  • Show us the money!

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