What does the DDRB pay uplift announcement mean?
An additional £61.5m will be put into global sum, for the extra 1% for GP and staff pay (backdated to 1 April 2018). This will see the value of global sum increase further to £88.96 (backdated to 1 April 2018).
Have you only agreed a 1% pay and expenses uplift?
No, we have not agreed a 1% uplift this year. We have agreed an interim minimum of 1% uplift for pay and CPI uplift for expenses whilst we wait the outcome of the DDRB process.
Once the DDRB recommendation and subsequent government decision around pay and expenses for GPs is known this should be added to the interim payment. The BMA's submission to the DDRB asks for RPI + 2% for all pay and expense for GPs (RPI at Jan 2018 was 4%).
What is the new global sum price per weighted patient?
Taking into account the pay uplift, expenses uplift, recycling of MPIG and seniority funding agreed in previous years, and other funding put into the contract, will see Global Sum rise from £85.35 to £87.92 per weighted patient.
Are there changes for QOF?
While there are no clinical or threshold changes to QOF for 2018/19, as the QOF system remains under review, due to changes in population, the value of a QOF point will increase from £171.20 to £179.26 (4.7% in total).
Are there any changes to the Vaccination and Immunisation programmes funding?
Item of service payments for all V&I programmes delivered via the SFE will be uplifted from £9.80 to £10.06. There are also minor clinical changes to some programmes, details of which can be found in the full letter.
What is changing for reimbursements for covering maternity, parental, adoption leave and sickness absence?
We have agreed an uplift to the reimbursement schemes for parental and sickness cover.
The uplifts will be as follows:
|First two weeks of parental leave cover / ceiling amount for sickness leave cover
|Subsequent weeks of parental leave cover
In addition, practices will now be able to claim for reimbursement for a cover provided via a fixed term salaried contract, as well as via locums and existing partners or employees of the practice.
 Increase to £10.06: Hepatitis B at-risk (new-born babies), HPV completing dose, Meningococcal ACWY freshers, Meningococcal B, Meningococcal completing dose, MMR, Rotavirus, Shingles routine, Shingles catch-up.
Remaining as previously: Pneumococcal (PCV – remaining at £15.02), Childhood seasonal influenza, Pertussis, Seasonal influenza and pneumococcal polysaccharide.