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PCTs must think how GMS uplift will affect PMS

Although a key role of NHS Primary Care Contracting is to support the implementation of national policy, it mainly works with PCTs to facilitate and develop good primary care commissioning ('NHS bosses plot to prevent PMS GPs getting GMS uplift').

The document referred to in your article is a record of an NHS Primary Care Contracting workshop that took place for managers in the West Midlands and does not represent Government policy.

Although the GP contract agreement changes for 2009/10 apply to GMS contracts, PMS contract prices remain a matter for local determination.

However, in the interests of equity in the treatment and funding of different GP contracts, PCTs will need to consider the implications of GMS contract changes on PMS practices.

For GMS practices, the Government's acceptance of the DDRB's recommendations, combined with the change to the QOF prevalence formula, will have the following implications:

  • 33% of practices will get increases in income of more than 2.29%
  • 26% will get between 1% and 2.29%
  • 23% will get between 0% and 1%
  • 13% will lose between 0.1% and 1%
  • 4% will lose up to 2%
  • 1% might see a reduction of between 2% and 3%.

From Dr David Colin-Thome, national clinical director for primary care

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