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Global sum will increase by just 92p per patient

GPs will receive just under £1 per patient more as part of the 2019/20 global sum, NHS England has announced.

In a letter giving extra details on the new five-year GP contract - released earlier this month - NHS England said the global sum price per weighted patient will rise from £88.96 in 2018/19 to £89.88 in 2019/20 - meaning practice will get an extra 92p.

On top of this, practices will receive £1.76 per head for joining a primary care network.

The letter said that this year's increase is smaller than following years because there is a 'one-off payment' this year to cover the costs of the new indemnity scheme.

The BMA told Pulse the global sum figure will include the additional pots of money outlined in the contract, for example the £20m for subject access requests.

GP Committee chair Dr Richard Vautrey said the funding boost should give practices the 'confidence' to plan for the future.

The new global sum payment will include:

Speaking to Pulse, GPC chair Dr Vautrey said: ‘That [£89.88] includes everything - but then you have to factor in the network participation payment as well, which is £1.76. Collectively that's the investment that will go into practices' baseline to enable them to maintain their activity and resource their staff.’

‘The [global sum and network participation payment] will enable them [GPs] to resource their practices and together that should be sufficient to deliver a 2% pay uplift for all practice staff,' he continued.

Dr Vautrey added the five-year contract will also help tackle the risk of clinical negligence indemnity faced by GPs.

He said: ‘Overall, the contract value increases by 1.4%, which provides practices with the confidence to be able to plan for the future.

‘We’ve secured a five-year agreement that will ensure practices receive uplifts year on year for the next five years, and at the same time we’ve removed the risk of indemnity, which would have increased significantly more during that period of time.’

Responding to the news, Walsall GP and LMC medical secretary Dr Uzma Ahmad said: ‘The GP contract comes with a lot of changes, so I understand that the rise in global sum is not as much as we might have expected.

'But income will come to the practice through other routes, there will be a reduction in expenses, and indemnity relief is a big deal, so we have to look at it and balance it that way.’

More to follow...

This article has been corrected. It previously incorrectly said that the global sum increase will include the £1.76 per head for network participation. 

Readers' comments (20)

  • So we lost extended hours?
    But got £0.92 to cover rising costs?

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  • So lots of extra work for under £1 per patient extra.

    Well done BMA!

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  • Took Early Retirement

    "‘Overall, the contract value increases by 1.4%, which provides practices with the confidence to be able to plan for the future."

    The planning almost all GPs should be doing is to get your exit strategy sorted asap.

    What planet does the BMA person live on?

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  • Lost faith in the BMA. We should go private and be done with this stressful endless reorganization and yearly contract changes.The "increase" will be eaten up by rising costs and tax as well as the falling pound. The end result of no surprise is less take home pay as usual and more work.

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  • This is utterly ridiculous. 2% salary uplift for all staff = 80% of the 92p. This leaves 18p and from this we are meant to contribute 30% on costs for a pharmacist?! Where is the money for SARs, where is the 1% for GP Partners? BMA should be utterly ashamed

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  • How to recruit and retain! EPIC FAIL BMA,well done you , the 2 session prawn sandwich power point meeting brigade.How can you negotiate for the profession you supposed to represent.

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  • The NHSE contract document says that the 1.4% baseline uplift incorporates the £1.76 pp payment so I am confused as to whether this is in this figure or a separate payment. Anyone know?

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  • 1.4% is not so bad when you take account of the 'one-off permanent adjustment' (i.e. recurrent adjustment) to cover indemnity costs. This will have a significant beneficial impact on net GP income.

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  • £1.76? It was going to be £2 a few weeks ago. I can't see this ending well. Day by day i creep closer to retirement. Nothing here to deter me. Shambolic.

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  • Dr Vautrey’s knighthood has been confirmed, Hip, Hip, Hurray!
    Arise Sir Richard!

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