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GP contract 2019/20
Primary care networks
Practices to form primary care networks through a new network DES (directed enhanced service), building on the core contract.
- A state-backed indemnity scheme to cover clinical negligence for all GPs and staff working in NHS GP providers, both in and out of hours.
- Run by NHS Resolution, there is no direct cost to practices or GPs, and means GPs no longer pay spiralling subscriptions.
In 2019 the GP contract increased by 1.4%, in addition to the funding through networks. This included:
- 2% uplift for GP and staff pay and expenses
- uplift for practices to establish and develop networks
- uplift due to population increase
- adjustment for state-backed indemnity scheme
- increase to value of some vaccinations and immunisations, including influenza, to bring them all up to the same level of £10.06
- £20m recurrent for costs associated with SARs
- £30m for practices to make appointments available to NHS 111
GPs whose NHS earnings are over £150,000 required to make this public
new funding formula so the rurality index only applies to patients who live within the practice boundary
new funding formula so that the London adjustment applies to patients who are actually resident in London
- A QOF (quality outcomes framework) point increased from £179.26 to £187.74.
IT, digital and access
- A programme to digitise paper records, creating complete electronic patient records.
- A digital solution to SARs developed in the next three years, where patients can access their data rather than making a request.
- Practices required to offer one appointment per 3,000 patients, per day, for NHS 111 to book registered patients into following triage.
- Practices must not use fax machines.
- HPV vaccination catch-up for girls will be extended to those aged 25.
- HPV vaccination starts for boys.
- MMR catch-up for 10- to 11-year-olds.
- FP10 will be redesigned (including to take account of GDPR) and a new requirement introduced to annotate scripts, eg ‘SH’ where patients are legally entitled to free prescription for sexual health.
- Practices required to provide an email address and mobile number (for exceptional circumstances) to receive MHRA alerts.
- £2m invested for issues related to Capita recurring, until it is no longer necessary.
- Provisions for GP cover for shared parental leave, in line with cover for maternity/paternity/adoption leave, will be added to the SFE.
- Practices to no longer advertise or host private GP providers with the same core GP provisions that are free on the NHS.
GP contract 2018/19
- An additional £61.5m put into global sum, for the extra 1% for GP and staff pay.
- Global sum rise from £85.35 to £87.92 per weighted patient.
- QOF point increase from £171.20 to £179.26.
- Item of service payments for all V&I programmes delivered via the SFE uplifted from £9.80 to £10.06.
- Uplift to the reimbursement schemes for parental and sickness cover.
- An extra £30m indemnity payment, bringing the total up to £60m - £1.017 per patient.
Premises cost directions
- Rent reviews not leading to varying lease terms.
- Rent reviews not requiring contractors to undertake their own valuation.
- Board reimbursing rent.
- Formalised arrangements for third party use of premises.
- Contractual rights to reclaim overpayments.
- PCD funding for anyone providing general medical services.
- Improvement grants permitted to purchase land to build an extension to existing premises.
- Explicit options if an owner-occupier is in receipt of a grant and hands back core contract during the abatement period.
- Explicit options if a leaseholder is in receipt of a grant and hands back core contract during the abatement period.
- A requirement for all GP practices to use the e-Referral system by October 2018.
GP contract 2015/16
- Seniority payments phased out.
- 1% pay increase.
- Increase in global sum from £73.56 to £75.77.
- QOF point value increasing from £156.92 to £160.15.
- Learning disabilities enhanced service extended.
- Extended hours enhanced service extended.
- Avoiding unplanned admissions enhanced service discontinued.
- Changes to vaccinations service specifications.
- Patient participation enhanced service discontinued.
- Alcohol enhanced service discontinued.
- Requirement to include the NHS number in all NHS correspondence.
- Requirement to enable automated uploads to the summary care record.
- Requirement to use GP2GP record transfer for all registrations.
- Requirement to offer online booking of prescriptions and appointments.
- Prepare for online record access.
- Requirement to have named GPs.
- Publication of GP net earnings.
- Practices entitled to reimbursement of the cost of GP cover for maternity, paternity or adoption leave of £1,131.74 for the first two weeks and £1,734.18 thereafter.
- Armed forces personnel within a cohort to be registered with a GP practice for longer than three months and up to a maximum of two years.
GP contract 2014/15
- Requirement for all patients over 75 to have a named GP.
- IT related changes became part of the of GP contract, including electronic appointment booking, requesting online repeat prescriptions and access to summary information on the patient record.
- Choice of GP practice scheme extended.
- Friends and family test became a requirement.
- Practices had to report on the quality requirements for out of hours services.