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GP commissioners cut CCG sessions to help plug financial black hole

A CCG in London has asked 25 GPs who are board members, clinical leads and cluster leads, to voluntarily reduce their paid sessions in a bid to make £3m savings, to prevent GP enhanced services being cut.

In a letter seen by Pulse, the NHS Newham CCG admits that it needs to save £3m between now and the end of the financial year in order to meet NHS England financial targets.

The CCG says that the deficit has been caused by NHS England’s insistence on holding a 1% (£6.5m) reserve and the rising acute spend.

One suggested scheme is that all ‘GP board members, clinical leads and cluster leads voluntarily agree to reduce their CCG sessions by 50% for four months starting on 1 December’.

The CCG states that for many GPs this will mean losing either a half or one session per week: ‘A reduction of one session would amount to approximately £170 and would I believe not represent an excessive burden at a very challenging time. As of 1 April we would resume normal payments.’

The letter also warns that if financial targets are not met then NHS Newham CCG Board would lose their decision-making powers and the CCG would be forced to cut discretionary funding.

It adds: ‘And in that scenario one of the first casualties is likely to be programmes such as Enhanced Primary Care Services (EPCS).’

In a statement to Pulse, NHS Newham CCG said: ‘There are 25 GPs affected as board members, clinical leads and cluster leads of the CCG. These 25 GPs will continue to work with the CCG by providing clinical input, but will be voluntarily reducing their paid sessions over the coming months to ensure the CCG achieves financial balance while continuing to do the best for the local population.

‘The voluntary reduction of sessions by this group of GPs will not impact on patient care directly or indirectly.’

 

Readers' comments (11)

  • Why dont all the CCG managers take a pay cut?

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  • Portfolio careers - ha ha ha ha

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  • Sometimes I despair of my colleagues.

    As above, I bet the managers are not getting a cut.

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  • I still wouldnt take a hit - well I might but would do less work and I would expect management to do same. Too many leads anyway

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  • I'm not in London but I am in one of the CCGs as GP board memeber.

    I think some of my colleagues are being unfair. I took a pay cut to join the CCG from my partnership position. I only get paid for a day but meeting alone fills more then a day and my weekends are opften spent (as I'm doin now as well) reading papers and responding to emails raised by colleagues and managers. I know my income would be much healthier if I ditched all this and worked as a locum but I do it partly becuase I enjoy it and partly because I want to ensure we (the GPs) do not loose out by allowing the managers to dictate the strategy of the CCG.

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  • http://www.newhamccg.nhs.uk/Downloads/News-and-Publications/Annual%20report%20and%20accounts/Annual%20Report%202015-16.pdf

    read page 78 onwards!

    - anonymous salaried!

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  • this is also blackmail!

    this is why GP's should not take on commissioning positions as there is risk of tumult, and also we should not take on federation positions as there is risk of liability.

    - anonymous salaried!

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  • I think asking CCG board members to cut their own hours is not really appropriate. In my area at least they do not get paid enough. I considered running for a role on the CCG, but put that to one side when I realised that I would have to take a pay cut to do so. The CCG remuneration is less that my practice income per session.

    On a similar note, this is ridiculous:
    "in that scenario one of the first casualties is likely to be programmes such as Enhanced Primary Care Services"

    I do not know if it is the same in every area, but in our area all these contracts are designed to save money - and they do save money. We as a practice would specifically halt our enhanced services AND much of the cost reduction we do without a contract, if we had our contracts trimmed to save money.

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  • More muppets working for free. Let it go already.

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  • Obviously not that crucial if their work can be dropped.
    They are only using clinicians to rubber stamp decisions from up high anyway.
    Which is why I no longer do CCG work.

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