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Guaranteed increase to global sum next year, says BMA

There will be a ‘guaranteed’ increase in the global sum in the 2019/20 financial year, on top of the other funding settlements announced as part of the contract, the BMA has said.

The global sum for 2019/20 has not yet been decided, but it will be an increase on the £88 per patient that practices currently receive.

This will be on top of the other funding announcements, including the £2 per patient DES for practices to join a network and the state indemnity scheme.

The global sum uplift will also include money from the removal of seniority pay and MPIG.

Dr Richard Vautrey, chair of the BMA GP Committee, told Pulse: ’The 1.4% uplift is for the core practice level contract. This includes an increase in global sum despite the introduction of state-backed indemnity, as well as investment in other areas. As the precise global sum calculation is reliant on a number of other factors, for example recycling MPIG and seniority, we will be calculating a definitive figure for the global sum uplift and releasing this in the coming weeks.’

The full agreement between the BMA GP Committee and NHS England said that the ‘core contract’ will increase by almost £1bn by 2023/24, with a £109m increase this coming year, followed by a further £187m increase the following year.

The reason for the lower increase next year is due to the need to fund the state indemnity scheme, which will cover the costs of all practice staff and GPs.

The BMA said the £405m provided for 2019/20 means practices would be able to increase staff pay by at least 2%.

Under the contract, there will be funding uplifts to the global sum of around 1.5% a year, which can be adjusted if the economy experiences particularly high or low inflation.

In addition, the new ‘practice participation’ DES will account for funding worth an extra circa 1.5% increase on the total core contract a year.

This is on top of the funding for the state-backed indemnity scheme.

The full details of the funding will be announced later today.

Other changes under today’s announcement include: 

  • NHS 111 direct booking into practice appointments at a rate of one appointment per 3,000 patients available per day
  • Increased digital access for patients, meaning practices will be able to make 25% of appointments bookable online
  • £20m annual funding for practices to deal with subject access requests following the removal of the ability to cover costs under GDPR legislation. Practices will also have access to a data protection officer through their CCG to provide support on GDPR issues
  • An agreement by the BMA and NHS England to put forward joint proposals to the Government addressing the issue of tax charges once annual and lifetime pensions contributions are breached

More to follow

Increase to core GP contract per year

2019/20: £109m

2020/21: £187m

2021/22: £229m

2022/23: £216m

2023/24: £237m

(Total uplift over the five years: £978m)

Readers' comments (5)

  • What about the employers pension contribution.

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  • Too little, too late for some and in particular me! I’m not ‘standing’ for much longer so: going, going, gone! One less to be expected to do ever increasing and policed work on an ever decreasing true budget. Good luck to the rest of you.

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  • Less than inflation Dr Vautrey.

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  • Quite right Stelvio, 1.4% is less than inflation which is now 2.7%. With possible tax rises and risks of Brexit, the safe option is still to continue the exodus as it is too little. and the toxic climate of practice with the risk to jail , GMC, NHSE, CQC quadruple whammy and the excess GDPR work is still there. Still crap.

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  • If the DOH can find the workforce for what they pay [ 88 + 30 = 110 { profit 60 ]per patient year, for 6+ consults, 24 other contacts on average], good luck. They may well do [ full training posts]

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