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GP practices to assess ‘viability’ of offering childhood jabs amid funding squeeze

GP practices to assess ‘viability’ of offering childhood jabs amid funding squeeze

GP practices in Somerset have been told to assess the ‘viability’ of offering childhood immunisations for future years.

Stricter targets have meant that a number of GP practices will lose tens of thousands in income from child immunisations, Pulse has revealed, with one practice set to lose £66,000.

In an update to practices on Friday last week, Somerset LMC said practices not receiving any QOF income for childhood jabs should reconsider offering the service next year.

Somerset LMC chairman and GP Dr Karen Slyvester said she ‘advises practices to look in detail at their projected achievement under this QOF domain for 2021/22, as some practices may find that they have provided the service optimally in the past year, but may not receive any of the QOF income associated with the domain. 

‘Practices in this situation will need to consider the viability of providing this service in future years.’

GPs previously received the full incentive payment if they managed to give jabs to 90% of children.

The threshold increased to 95% in April 2021, but it is only hitting practices now that the financial year has ended and QOF payments are being awarded.

Fylde and Wyre CCG chair Dr Adam Janjua told Pulse: ‘If you’re asking me as a business person… the whole year starts again in April, so why should I work really hard for 10 months, and then realise maybe in February that we’re never going to achieve these targets because we have 10 anti-vax families that will never come in? 

‘What’s the point? Why should I put my staff through that? Why should I spend money on my nurses doing that when they could be doing other stuff that we will actually be able to get money for?’

Dr Janjua said that while childhood immunisations form part of GP’s core work, ‘the money that childhood immunisations are worth is not much for our practice’. 

He said: ‘I think it’s about £5,000 pounds. But there have been times when we’ve had a locum nurse come in, because our nurse was off sick, to make sure that the immunisations ran as planned. But why would you do that? Why would you get extra staff at an extra cost to yourself to provide a service for which you don’t get any recognition at the end? 

‘I’m not saying that I’m going to do this in my practice, but I’ve seen a lot of GPs with the rationale of, “Why even bother, let’s not do it next year”.’

Recent childhood vaccination figures prompted UK public health officials to call on parents to ensure children have had their MMR vaccines – as uptake fell to the lowest level for a decade.

And the health secretary has proposed a ‘national vaccination service’ to relieve GPs of doing immunisations.

Meanwhile, RCGP chair Professor Martin Marshall said the QOF system for GP payments should be scrapped altogether, as the current system ‘doesn’t make sense whatsoever’.


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Please note, only GPs are permitted to add comments to articles

neo 99 13 April, 2022 7:08 pm

Unfortunately as a core service (having now been moved from an additional service to an essential service) , you cannot opt out of childhood immunisations without resigning your gms contract. Once more, agreed by the GPC without any idea of the consequences. Even a back of an envelop calculation would have told them that bringing childhood imms into the qof at the same time as moving it into essential services was going to be a loss. Incredibly stupid.

David Jarvis 14 April, 2022 2:31 pm

Whilst core service if they set the target at 95% all or nothing for being paid you mays a well miss by 90% as 2% because financially it is the same hit for a massively different amount of effort. An unacheivable target it completely pointless. I can remember discussing this when being offered incentives to hit prescribing targets. The effort was no worth it so no targets were hit.
If they see it as that improtant pay per kid jabbed.