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GP payment system to be reformed to end 'unacceptable' burden on practice time


NHS Fraud should crack down on NHSE at local levels as that is where the most likely source of manipulation is as suggested to me last year by an Exeter helpdesk member. Last year on 1st April the list size was 4003 and weighted list was around 3600. This year the whole uplift was erased for the Practice as the list size on 1st of April was 3992 - 10 patients less but weighted list went down to 3400. Number of above 75s reduced only by 4 patients but there was a baby boom in the Practice. The Practice that does not have an MPIG should have got most of the 3.2% uplift. PCA in Kent did not log a call to Exeter when I queried this but sent an email statement that they had done so. After repeated denials by Exeter that they had not had any incident calls logged, PCA logged 'another' call unable 'to find record or number' of the first one. A copy of this call log was never sent to the Practice despite repeated requests. Exeter response to PCAs log was ' Our software is working normally' Despite my clarification what was the content of call logged, there has been no response. There are 5 Practices in the vicinity with a similar population but only one - my Practice -has weightage reduced by 15%. Three years ago there was a massive attempt by NHSE to force me out of the Practice and an APMS Medical Director 'advised' me to make a deal with the PCT Contractor under the threat of being struck off by GMC via a complaint from PCT. When I publicized this, the Contracts Director instead of explaining he had nothing to do with the threat, sent a letter saying I was 'an unreliable partner for the PCT and therefore my Practice would be closed in 5 weeks. I'm still here and repeating this stale story on this forum. The fact remains, the effort to strangle the Practice financially by reducing payments, refusing funding even for a stair lift has been on-going since then. IT IS NHSE THAT NEEDS TO BE INVESTIGATED BECAUSE IN ALL PROBABILITY THAT IS WHERE THE PAYMENT MAYHEM STEMS FROM. We need transparency and not arm twisting and eye wash.

Posted date

25 Apr 2016

Posted time