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34,000 patients left without a fixed GP as practices 'sucked into black hole'


The data provided by Access Health to Pulse is dis-ingenuous and entirely incorrect. Access Health have compared their PMS contract value (£191.67 per weighted patient) to the TOTAL payments coming to general practice for every other practice giving the total of £151.37. This data also includes practices outside of the city that are dispensing and far from average. Let’s review publically available data from here: Let’s remove the dispensing practices from the calculations and focus on city practices - the total cost of these practices is £126.70 per patient (to include GMS, QOF, LES, DES, rental costs etc). If we want to tally up the same data for Access Health we get a whopping cost of £315.65 per weighted patient – a whole 249% more than the average practice. But the Access Health practices in the data used for this analysis do make heavy use of PFI property so let’s be fair and compare just core contract value GMS versus PMS - £191.67 versus £78.71 – and we still get Access Health receiving funding per patient at 244% of the average city practice. This differential is not only massively costly for the tax payer (over double the cost) it is also incredibly destabilising for local practices – My practice has been severely affected by this when a locum, due to work for us, cancelled and went to work for Access Health who were paying considerably more. It is time for the politicians to wake up to the current primary care crisis and realise that ongoing financial constraint is causing practice failure that not only threatens patient safety but also massively increases the cost of the NHS. Primary care needs help now before it’s too late.

Posted date

17 Mar 2018

Posted time