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NHS-run GP practices handed 'an extra £29 per patient'

GP leaders have accused health boards of ‘double standards’ after it was revealed NHS-run practices could be funded up to a third extra per head compared to GP-run surgeries.

LMCs in Wales were told that Betsi Cadwaladr University Health Board funds LHB-run practices an additional £29 annually per patient.

North Wales-based GP Dr Alison Hughes revealed the funding differential at the the Welsh Conference of Representatives of Local Medical Committees in Chester last weekend during a debate on the issue.

She said that the ‘inequity’ was unjustifiable, but a Betsi Cadwaladr University Health Board spokesperson - which runs one practice and is due to take over three others shortly - said that the funding was for extra staff.

A BMA analysis last year revealed that ten practices in Wales are now under health board control and a further eight were‘at risk’.

A motion at the Welsh LMCs meeting called for the additional resources and support put into LHB-managed practices to be ‘equitably made available to independent contractor practices to prevent them from collapsing in the first place.’ The motion was passed unanimously.

Dr Hughes said: ‘Why do LHBs think it is ok to pour money into practices that they are running but refuse to give support to employ more staff to keep practices on the brink from going under? We condemn their short-sightedness and the inequity and the double standards that we have between LHB-run practices and GMS.’

Gwent LMC vice-chair Dr Deborah Waters said of the extra £29 per patient: ‘That’s an enormous amount of money – if we all had that what could we do with it? There are double standards.’

A Betsi Cadwaladr University Health Board spokesperson said the organisation is running one practice in Blaenau Ffestiniog and will take on another in Wrexham in September after the Pen-y-Maes Health Centre announced plans to close. Two practices in Prestatyn have gone under and replacement services will be run by the health board from April, he added.

‘It is not a valid comparison to look at the costs of running an LHB-managed practice with costs of running other practices. We have to put in extra money for locums, nurses and pharmacists.’

Betsi Cadwaladr is running the Blaenau Ffestiniog practice on a long term basis but wants to return the others to private contractors as soon as it can, said the spokesperson.


Readers' comments (18)

  • "She said that the ‘inequity’ was unjustifiable, but a Betsi Cadwaladr University Health Board spokesperson.... said that the funding was for extra staff"

    Why should patients at an NHS funded GP surgery get services provided by 'extra staff' that are not afforded to patients at a GP run surgery?

    Absolutely guaranteed that the 400k extra funding if my 15000 patients had an extra 29 pounds per head - would make a massive difference to the service and health of my patients. They should not be disadvantaged by not having that funding available.

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  • Just watch when private companies are paid £300 plus a year to look after the easy patients cherry picked from your list because they never attend and you are left with all the complex stuff at £136 a time. They will need the money to be 'commercially viable' but you will have to fold

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  • Why are you all complaining about this???

    Its not really as though this is the first time something like this has been implemented.

    What you ought to be doing is folding away your laptops, turning off your computers and making a wholehearted genuine attempt to


    Any other route is the road to perdition!!!

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  • It's wrong on so many levels as it just destabilises other practices and their ability to recruit nurses ,doctors etc etc. As the market is distorted

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  • Divide and conquer

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  • 00:30- other healthcare provider-
    get some sleep my dear instead of screaming at the top of your head - Ditch the country comrades. If you have the balls, put your name to a post or drop this commie slogan. Maybe you are working for Virgin?

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  • 8.29 am
    Have you not figured it out 0.30 am HAS LEFT THE COUNTRY.?Aus.

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  • In other countries it is £80 per patient seen for 15min excluding medication etc.
    Like all professionals and lawyers it is calculated by time. No tel. calls or home visits. Do the maths. How can us straight A students get paid less than a plumber for a call out fee? Lawyers certainly do not accept that.Ditch the contract.

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  • A classy service needs a classy budget. Nuf said.

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  • Disgusting.

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