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Independents' Day

More practices could be set for MPIG support due to potential miscalculations

A number of GP practices could be eligible for financial support for MPIG withdrawal after NHS England managers agreed to meet with GPs to review the methodology that has been used to estimate practices’ annual funding loss.

Pulse understands that NHS England chief executive Simon Stevens met with members of the Jubilee Street practice in Tower Hamlets on Wednesday morning after they raised concerns that the extent of practice’s funding losses was incorrectly calculated.

In September, NHS England agreed to grant a funding reprieve to the 15 practices most acutely affected by the withdrawal of the minimum practice income guarantee payment, all of whom are set to lose more than £3 per patient, which it calculated through its own formula.

But Jubilee Street have collated and attempted to calculate the losses of practices in Tower Hamlets with their own methodology, and they believe that as much as 75% of a practice’s lost income could be neglected by the NHS England method.

Jubilee Street practice manager Virginia Patania told Pulse: ‘We had a meeting with Simon Stevens yesterday morning, which lasted several hours and potentially leads to some quite significant outcomes.’

She added: ‘There is a commitment from them to meet with us, and review the numbers again with us, based on the numbers we presented to them.’

Ms Patania said that she couldn’t disclose details, but explained that they believe the calculation used by NHS England neglects the cumulative impact of practices’ year-on-year losses by only calculating the annual loss based on an average of losses in year seven – the final year of MPIG withdrawal.

She told Pulse: ‘NHS England’s methodology doesn’t reflect our actual losses; I’m not sure why this is the case, or why they chose to do it in a very different way. But it definitely is in our disfavour by about 75%, it knocks out about three quarters of the losses using their methodology, rather than ours.’

In June patients and doctors from GP surgeries across Tower Hamlets and the GPC marched through London to protest the impact MPIG withdrawals would have on local primary care services.

NHS England were approached for comment but had not responded at time of publication

Readers' comments (5)

  • Don't hold your breath Virginia. A v senior twerp from NHS England was summonsed to a meeting with our patient participation group (we stand to lose £20 per patient so our PPG is understandably up in arms) where it was promised that NHSE would work with the practice to alleviate as far as possible the effect of this devastating funding cut. Nine months on & the practice has not heard from NHSE since.

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  • Circle gave up their Contracts as no longer viable. I cannot understand GPC that hey let practices go to the wall, considering that GPs are still working 12- 14 hour days and seeing 40+ patients in these practices.
    I do not think this current Contract is viable anymore and it has not been for some 4+ years.We have had huge workload increase and pay and pension cuts.
    Note, for example, that judges still pay 3% for their pensions like MPs who have also got a 11% payrise.
    The GPC makes mugs of us all. There is not one single GP I have met in the last few years who think GPC is doing its job.
    Many feel that the GPC is the DOH, they are so close and fall so meekly.
    Like Circle, it is time to leave the NHS. Please ballot for mass resignation.

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  • To get your hands on any of that money is harder than an elephant getting through the eye of a needle. If you read the last one requirements (already earn less than the average GP, no complaints, unachievable yadda yadda) why the hell would you even bother. We need a lot more surgeries folding before anyone takes notice. Good luck to you all.

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  • If all practices did what Jubilee Street have done and can show that they are losing more than they had been led to believe it would add to the argument that General Practice, across the board, is underfunded. Don't start from the point that it is impossible to get the money out of them. Start from the point that you want to work out if there is any discrepancy. I believe that Tower Hamlets is the canary in the mine/ tip of the iceberg or whatever analogy you wish to use!

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  • I think Jubilee St also had a patient who brought a very helpful legal challenge through Leigh Day solicitors- the same ones who brought the action in the Lewisham Hospital case if I am correct. Maybe the anonymous practice manager in the first comment should get in touch with them too? Seriously. It's possibly the only language they understand.

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