We expect general practice income to be protected, to ensure practices can continue to operate during this national emergency.
We also expect general practice to be provided with additional funding to meet all extra costs associated with care in the community during the COVID emergency, and that the funding will be flexible to adapt to the changes that are required.
We expect NHS England to release information about funding for general practice very soon.
GPC Wales is in continued dialogue with Welsh Government.
In Scotland, advance funding has been provided to practices in anticipation of additional costs and a revised SFE has been agreed for the duration of the outbreak.
Template reimbursement claim form
To assist practices in claiming additional costs during the COVID-19 emergency, the BMA, in conjunction with AISMA, has prepared a template reimbursement claim form.
This can be used to claim the costs from Easter weekend, and any other additional costs that might arise which are agreed to be reimbursable.
The form covers both staff and non-staff costs and provides costings based on the national agreed reimbursements for Easter weekend. These are able to be amended if a local arrangement was more favourable.
Guidance for completing the form is included.
QOF (quality and outcomes framework)
- Care that is clinically necessary, relevant and possible, should be delivered, primarily by telephone or digital consultation.
- Guaranteed income for 2019/20. Payments will be protected and made in-line with best of 2018/19 or 2019/20 achievements.
- NHS England has committed that QOF income for practices for 2020/21 will be protected and information will be provided as soon as possible.
Funding in Wales
It has been agreed between Welsh Government and GPC Wales that elements of the Welsh GMS contract will be relaxed during the pandemic.
We are in continued discussion with Welsh Government around practice funding during COVID-19, including other non-contractual expenses incurred.
Reporting requirements, including post-payment verification and QAIF reporting, have been delayed until 30 September.
However, reporting is required for practices to receive payment against the Access QAIF noting that health boards should take a ‘high trust and pragmatic approach’ with regards to achievement. An electronic reporting template has been made available to make this process easier.
Funding in Scotland
BMA Scotland has secured agreement from the Scottish Government that no practice should be left out of pocket as a result of responding to the COVID emergency.
A revised SFE (statement of financial entitlements) has been negotiated for the duration of the current pandemic, including this provision and setting out additional financial support that practices should expect.
Practices have been issued a share of £20million as an advance on the costs that will be reimbursed under the revised SFE. Further advances can be accessed by practices from their health board if required. Spending using these funds should be recorded using the template provided to practices and a reconciliation will take place in July.