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Independents' Day

All practices will benefit from GP Forward View, promises Simon Stevens

Exclusive All practices will benefit from the £2.4bn boost in general practice funding announced in the GP Forward View, regardless of contractual status or size, NHS England chief Simon Stevens has said.

In an exclusive interview with Pulse, the NHS England chief executive pledged that the additional investment will not be dependent on GPs forming large federations or multispecialty organisations with hospitals.

He said discussions with the profession would determine exactly how the new investment, a 14% funding increase by 2020, in the Forward View is split between traditional contracts and new models of general practice.

But when pressed on whether a GP today would have to be part of a ’multispecialty community provider’ to get the funding in the Forward View, Mr Stevens said: ‘No, you wouldn’t. The bulk of the programmes that we’re describing here will be available to all practices regardless of the contractual form they’re on, be that GMS, PMS, APMS or the new voluntary contract.’

Mr Stevens also explained that funding to deliver the Prime Minister’s new voluntary contract, for practice federations or organisations with more than 30,000 patients, will be on top of the resources in the Forward View.

He added: ‘The scope of services in the new voluntary contract will be wider than core primary medical services, so that will bring in other funding streams, but that’s on top of the £2.4bn we talked about.’

NHS England has been testing new models of primary care through its Vanguard programm e, which is funding the first MCPs and hospital-led primary and acute systems (PACS). MCPs will see groups of community and primary care providers increasingly take on secondary care services as envisioned in Mr Stevens’ Five Year Forward View.

The GPC has spoken strongly against initiatives driving more hospital takeovers of practices, but Pulse has already shown how a whole town in Hampshire is considering a employment by their MCP as national workforce crises continue.

Mr Stevens explained he expects to see more practices increasing size or federating in the next four years, saying that ‘sharing a more supportive structure’ was an appealing logic to practices.

He added that these organisations address many of the problems facing traditional general practice, by securing investment for large multidisciplinary teams and removing the risk of ‘last partner standing’ situations.

NHS England is looking at changes to regulation for larger group practices which could make them more attractive.

Mr Stevens said this could include ’changes on the way indemnity works, changes to the way that the CQC engage so that rather than inspecting individual practices, it’ll be every five years, but more of a group engagement - there may be a number of reasons why GPs choose to do that, but that will be led by them.’

What is the General Practice Forward View?

gp forward view logo 3x2

gp forward view logo 3x2

NHS England’s new plan for general practice was announced last week, and committed £2.4bn extra funding a year by 2020 for general practice, and a £508m rescue package over five years.

The rescue package included a £40m practice resilience fund to support vulnerable practices, £16m of which will be available this year, alongside a new mental health service for burnt out GPs.

It also details plans to boost the number of in-practice pharmacists, will provide a mental health worker in every practice, and will fund the recruitment of 500 overseas GPs.

Alongside this, it has cut the frequency of CQC inspections and introduced measures to prevent hospitals from dumping work onto practices.

However, GPs have said it is short on detail and emergency funding, and have questioned how it will be delivered in practice.

Read all about the Forward View here

Readers' comments (22)

  • What a crock!

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  • The proof of the pudding is first actually seeing it and then in the eating. It may not taste very nice.

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  • The new package is a burden in disguise. I will raise demand exponentially!

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  • Mr Stevens, don't make promises you can't keep. You have no control over NHSE and that is the reason why this one Practice can't get paid as per Exeter statements. Do you have nay plans to look into manipulation in Exeter payments at local levels? You may wish to start with that else all payments will go to the local Boys' clubs instead of being evenly distributed.

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  • BTW, thank you for a 2p per month increase to my patients who appreciate that this government treats them like third class citizens. Much appreciate your governments stance towards deprived areas !

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  • can we stop calling initiatives "the Prime Minister's this " and "the Prime Minister's that". Unless he is using his personal fortune to finanace these new initiatives, (and I for one would welcome if it he were), then it is government money, and if it is government money, it is the country's money

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  • It's very much "jam tomorrow". Stevens seems like a decent bloke caught between a rock and a hard place.

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  • This comment has been moderated

  • Just Your Average Joe

    Major leak from Brussels reveals NHS will be ‘KILLED OFF’ if Britain remains in the EU

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  • Will it help cancel out the damage done to PCSE?

    That is NHS England's true legacy for primary care...

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  • "..removing the risk of ‘last partner standing’ situations"

    This was never an issue before - better to ask why no-one wants to be a GP and fix that rather than muddying the waters to hide their departure

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