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MPIG-reliant practice faces 25% drop in funding after NHS England backtracks on protection for 'outliers'


In my 25 years in medical politics, I have become increasingly cynical about any long term "deal" as our contracting authority seems to be able to rip up a bipartite deal with no consequences to it at all. I remember when on GPC in 2002-5, the MPIG deal was heralded as protecting outlying practices "in perpetuity" until the global sum rose to remove it, allowing the intended redistributive effects of the contract deal to take place. GS/GSE has not risen enough and a practice like mine stands to lose funding equivalent to the profit share of one of my part time partners (we have me on 8 sessions and two partners on 6 sessions). We are not an exceptional practice in anything other than having a young patient profile. The other "long term" deal was the pensions agreement under which doctors, especially GPs, agreed to pay a larger percentage of their income to protect low paid NHS workers was also torn up last year and swingeing rises in the contribution rates to the NHS Pension are demoralising my younger partners and will inevitably lead to an exodus from NHS General Practice. Who will still be there to look after me in my dotage (which some say is forecast for next year....)?

Posted date

17 Feb 2014

Posted time