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Indemnity is a massive issue for all GPs and the announcement of an initial package from NHS England on the funding for this linked to GPFV came at the end of July. From April 2017 practices will be given a chunk of funding to cover the expected average annual increase in indemnity (for scheduled care) in 2016/17. A start. We know the money will be allocated to practices simply based on their list size. The challenge for us is to ensure this reaches locum and salaried GPs, and that more funding follows.
Salaried GPs should expect a fair share based on their sessions worked on a parity with partners. Locum colleagues might be considering raising their rates as a way of accessing the funding, but this doesn't feel like a workable solution – as such further thought is needed on the allocation of funding to these GPs. This short-term scheme also doesn't address the massive current cost but only future annual increases. Out of hours looks to get an extension of the winter indemnity scheme too, but we know how the huge fees affects doctors ability to work in urgent care.
If you are happy to share examples of your indemnity fees, and challenges, please send them to us as well as your LMC. Dr Krishan Aggarwal is the exec lead on indemnity and Dr Preeti Shukla is our committee lead - you can contact them via the main email. An online tool designed by a group of medics also offers the opportunity to share and compare information on fees.
We will continue to push on this. It's a small start but we know more is needed.
Zoe Norris is the chair of the GP sessional sub-committee
Follow her on Twitter @dr_zo
Read Krishan Aggarwal's blog answering your questions on indemnity
I work as a locum and much of my work is OOH and in the local UCC centre. The indemnity fee rates for all these sessions is staggering and as such I have had to start to cut back on how much I do. I no longer am able to train GPSTs as a result. This package from NHSE will not help me at all.
Great that the issue of where Sessional GPs fit into this is being considered. This is a time when the profession needs to remain united and playing partners and salaried docs off against locums is not the way forward as we risk losing sight of the bigger issue.
It would be good to see all practices paying indemnity fees for all their salaried GPs. There seems to be huge variation here, it would also mean that this money would go to to support all GPs and not leave salaried doctors individually trying to negotiate with their practices . Ideally though we should all have crown indemnity .
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