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QOF and MPIG changes: what your PCT is doing

If you’ve been reading about the recent contract shenanigans – the scrapping of the square root formula and the beginning of the end for MPIG – you may well be wondering exactly how it’s going to affect you and your practice.

By Steve Nowottny

If you've been reading about the recent contract shenanigans – the scrapping of the square root formula and the beginning of the end for MPIG – you may well be wondering exactly how it's going to affect you and your practice.

As the GPC pointed out when it warned that practices losing out under the QOF shakeup could go under, much depends on what's happening at individual PCT and health board level. So last week Pulse contacted every PCT in England and a sizeable number of Scottish and Welsh health boards to ask them what progress they had made.

You can see the results in full and look up your own PCO here.

We asked them four questions:

1) Had the PCO yet begun talks with LMCs and GPs over how to support practices losing out under the prevalence changes?

2) How will QOF losers be supported, if at all?

3) Had the PCO managed to meet the 26 February deadline set by the GPC and NHS Employers for collecting information on the hisotirc reasons why some practices have particularly high correction factors?

4) If so, what did that correction factor data show?

The responses we received, of course, were far from comprehensive. Even contacted directly, given almost a week to respond and asked direct questions about a current topic, fewer than one in three PCTs got back to us.

We did plan to name and shame those who failed to do so, but there were just too many. If your PCT isn't among those who replied, feel free to ask them why their media team chose to ignore our request – and if they do get back to us, we'll be happy to add to them to the list.

But the 50 responses we did receive do still present a useful national picture of what's actually happening on the ground. In some areas, plans are well advanced – NHS Hull, for instance, has drawn up fairly comprehensive plans to support its one significant loser. In other areas, however, little or nothing has happened.

On MPIG, too, there is intriguing variation. Some PCTs which have completed a survey of practices claim to have identified clear trends behind why some practices are reliant on high correction factors – others claim there is no discernible pattern.

So it's not complete – but it's a useful first glance at the data the GPC and NHS Employers will be picking through shortly. And if you can update us further on what's happening in your area, please get in touch – snowottny@cmpmedica.com or 0207 921 8104.

How are NHS trusts supporting practices through the contract changes? How are NHS trusts supporting practices through the contract changes? Recent posts

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PCO survey on QOF and MPIG plans

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