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Serious issues with GP training payments since Capita handover, warns BMA

GP practices are not receiving reimbursements for training payments since this became the responsibility of Capita, the BMA has warned.

Practices from a wide range of regions said that since NHS England regional teams stopped doing the task, and it was outsourced to the NHS England support services provider, the new payments system has 'hit serious problems'.

The BMA said the issues spanned Berkshire, Buckinghamshire, Oxfordshire, Humberside, Nottinghamshire, Derbyshire and the North East.

It added that this comes at a time 'when practice budgets are being squeezed' and ’causing serious issues for the practices involved’.

Dr Krishna Kasaraneni, the GPC’s education, training and workforce subcommittee chair said: ’Capita’s incompetence at delivering a service that they have signed up to is extraordinary. Practices up and down the country are now left without support for calculation of trainees salary and are not getting the salary reimbursed.

’Practices cannot absorb this level of financial drain at a time when they are stretched to the breaking point already. We have escalated this as a matter of priority to NHSE and anything less than immediate resolution will not be satisfactory.’

Practices are resonsible for paying GP registrars but Primary Care Support England (Capita) for reimbursing the cost.

A Capita spokesperson said: 'There has recently been some confusion regarding the different elements of this process across all parties which has resulted in some delays. All reimbursements due will be paid during September and where necessary back dated to August.'

This is the latest in a string of issues with primary care support services chronicled by Pulse.

Recent problems included Capita mistakenly flagging patients for removal from practice lists in error, and practice staff being put at risk after a two-week delay in removing a violent patient.

Earlier this year, GP practices were struggling with delayed transfers of patient records as well as a lack of basic clinical supplies.

The GPC also said that practices reported patient notes going missing, leading to the Information Commissioner’s Office enquiring about information governance breaches.

Last month, the GPC passed a motion of no confidence in Capita for its primary care support services in light of the failures, which it claims are putting patients at risk.



Readers' comments (14)

  • Vinci Ho

    Does the government care?
    Cheaper the better.
    But , sh** money gets you s**t service, common sense!
    It also serves the hidden agenda to destabilise general practice .
    One stone kills two birds, happy days!!!

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  • Typing error

    it's Crapita not Capita!

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  • Given their track record this is hardly a surprise.

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  • Capita is a private contractor and will only provide the services it signed up to at the start of the contract. The question needs to be asked if reimbursement of trainees ages was included in the original service spec. Did the commissioners realize the extent of the services originally provided at local level and were they all included in the service spec?

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  • It would be really good if the media could identify a job they have done right. However as someone has pointed out most private contractors bid less because they do less, hence get the contract. Most public sector organisations know what needs to be done and therefore quote for that. In my experience very few outsourcing and procurement exercises actually result in less expenditure, normally much more. But someone has already made their profit and closed the public sector down by then. Hence why the USA healthcare system is one of the most expensive in the world with relatively poor population based outcomes.

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  • There are problems with Capita full stop

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  • Can people please stop giving them contracts please!? It's dangerous.

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  • What these types of companies are good at - is opening the right doors.

    they know how to do a contract presentation.

    There are no penalties if they are incompetent.

    NHSE need to be held to account.

    But is anyone surprised. this is where GPC and RCGP (from deanery perspective) need to be on the case

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  • For anyone affected by this, please check you are put on the correct payscale when you are paid (as there may be errors). Being on the wrong scale can also affect your annual leave entitlement. Current scales including an estimated take home pay for registrars is at

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  • To the person who asked if the Capita/NHSE contract had specified all the tasks that needed doing the answer is we most likely can't know as the contract will be "commercially confidential." This prevents proper public and professional scrutiny of such contracts. And I doubt that NHSE has the resources to do proper contract monitoring. Just as previous research by Pulse showed most CCGs do not do proper contract monitoring. There is the additional fear of litigation if these companies are challenged or their contracts removed - and they have deeper pockets than NHSE or CCGs. We should demand that all public sector contracts are open to scrutiny, in the interests of transparency. That is the only way that we can start to hold these companies and the people who commission them to account.

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