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Thursday 24 May 2012
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GP commissioners warned to expect ‘significant changes’ to planned budgets

By Gareth Iacobucci | 10 Feb 2012

GP commissioners have been warned not to make detailed plans based on funding estimates from the Department of Health, as they are ‘subject to significant change'.

The DH published projected spends per clinical commissioning group (CCG) this week based on PCT financial data in 2010/11, with the average allocation estimated as around £260k.

Find your projected budget on our map

The DH said the figures are to help with ‘initial planning' for CCGs, but GP commissioners told Pulse budgets should be approached with caution as the funding formula is likely to change.

Dr Johnny Marshall, chair of pathfinder United Commissioning and a GP in Buckinghamshire, said: ‘I would caution CCGs about making detailed plans on this basis as the figures could still be subject to significant change.'

Dr Shane Gordon, chief executive of North East Essex CCG,anda GP in Tiptree, Essex, agreed, saying there were likely to ‘winners and losers' when the final formula is agreed.

He said: ‘These are provisional estimates, so treat them with caution. The real question is about how this is implemented - will there be a limit on movement or some sort of distance from the target process?  This is where the risk lies.'

 

READERS' COMMENTS

Gary Young, Practice Manager,
13 Feb 2012
I'd be interested to know to what extent the proposed Patient-Based Resource Allocation (PBRA) to determine CCG budgets for secondary care costs might be used to influence primary care income, not least as this weights on hospital need which surely reflects on primary care need too? Any thoughts?
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Anonymous, PCT,
13 Feb 2012
It wont because the PBRA allocation will not be to provide GP services as that will be topsliced and managed by the Commissioning Board. CCG's should get to manage the LES budget and Im sure there will be some procurements to bring care closer to home that GP's will sucessfully tender for. The difficulty with standardising an amount per patient in Primary care are

The current contract has as many interpretations as to what is core and what isnt as there are practices so there is no uniform level of included services at the moment.

And given that there is no more money to be had the only place it can come from is other parts of the budget or practices who currently get more than the figure per patient!! THat wont be a pretty process.
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Gary Young, Practice Manager,
13 Feb 2012
Thanks Anon, PCT, I agree your final comment about not a pretty process, whichever way it cuts. It seems more is expected of primary care without the money to do it always following - no doubt a consequence of the vagaries of the current contract, as you note, with LESs differing depending where are located. I asked Q as interested in opinion of any correlation between PBRA and load on general practice, and thank you for reply.
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