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Trainee tariff plans will not happen until April 2015, says DH

Exclusive Reforms to the funding of postgraduate medical training that could eventually see practices paying for the ‘benefit’ they get from having a trainee working in their practice will not be introduced in April 2014, due to an ‘error’ in planning documents.

The Department of Health said that an mistake in planning documents meant that controversial plans to introduce a new training ‘tariff’ in primary care would not now occur in April this year, and instead are planned for April 2015.

Pulse revealed last August that plans to extend the tariff model to primary care could see GPs having to pay part of the salaries of trainees in proposals the GPC warned could ‘spell the ‘end of general practice training as we know it’,

But the deadline to introduce more ‘equitable model’ of funding for postgraduate medical training from April 2014 contained in Health Education England’s business plan for 2013/14 was a mistake according to the DH.

A DH spokesperson told Pulse that an ‘error’ meant that the HEE business plan had the wrong deadline to introduce the tariff and that the introduction of the tariff in secondary care would not take place until April 2015 ‘at the earliest’.

She said: ‘We are working with Health Education England, the BMA, the Royal College of GPs and the medical schools to establish how a new system could work.

‘Any new system will need to be properly costed and the impact of the changes understood. Decisions on when to implement changes won’t be taken until that work is complete and implementation will not begin before April 2015.’

GPC chair Dr Chaand Nagpaul said that the GPC was lobbying the Government not to go ahead with the controversial plans to charge practices for trainees.

He said: ‘We are involved in these dialogues and we have made it clear to the Government that if it wants to increase GP numbers then the work involved in training GPs has to be properly financially recognised.’


Readers' comments (4)

  • Welcome to the future.

    I foresee GP ST4's filling in the WIC 8-8 7 day rota for low pay.

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  • Kick the can down the road till the next election

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  • Bob Hodges

    This is a bunch of idiots back tracking on their stupidest idea to date.

    This will die a death and it will do so quietly allowing them to 'save face'.

    There aren't enough GPs to deliver primary care in 2014. The problem will be worse in 2015 to the point of the system collapsing because EVERY missive from the DoH or NHSE or negative breifings to the right wing press make RETENTION more difficult and encourage early retirement and emigration in the full time part of the workforce we rely on most. My own GP is off to Tasmania next month, probably never to return.

    They have passed the point of no return already, and would be unable to improve workforce numbers with training even if they paid double what they paid practices now. Making pracitices PAY to train is beneath contempt on an intellectual basis.

    A free market in OUR skills and labout will appear, much to OUR financial benefit. They will squirm and squeal and attempt to illegally rig/manipulate the market but this will also fail. There will be no coming back, because 'defeating' the BMA's GPC by imposing contracts means that the GPC is no longer able to negotiate for doctors - they have no channel other than offerring more money on a take it or leave it basis until enough Doctors 'take it'.


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  • I echo the comments regarding the last 3 months being the only time that there is any "gain" for the practice - and then only depending on the calibre of the Registrar. Not being able to select our own ST3s leaves practices are at the mercy of the selection process - which in our area has let us down in the past 2 years with drs who clearly should not have been allowed through the selection process.

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