Steve Taylor Profile picture
Jul 15 7 tweets 3 min read Read on X
GP Core funding is just £107.57/patient/year
@BMA_GP
@DAUK_GP has until now been using the average total figure £165 which includes premises payments, prescribing income & payments for QOF, which are not part of the core contract
Either way it’s not enough
digital.nhs.uk/data-and-infor…
Image
There are huge variations in the income receive per practice with even the average £165 hiding differences in dispensing practices vs non-dispensing

So focusing on £107.57 core GP funding reflects more closely what practices get to employ the staff to provide care for patients Image
The payments received from NHSE are increasingly linked to targeted or non-recurring payments, rather than core contract, making budgeting harder for practices

They’re used to provide all the services provided by a GP practice

An example of an average practice using £165 income Image
A focus on core funding has shown a significant drop in payments as highlighted by the BMA

£660m since 2018

In reality this is a loss of GPs/Nurses/Staff to provide care for patients

Can’t see a GP then blame NHS England Image
There has been an even bigger drop in payments since 2016 if compared to inflation (CPI) ~ £2billion

Average payments for everything have gone from £152 to £165

If this has been matched to inflation this would be over £200 - a 20% cut Image
@DAUK_GP understand why the @BMA_GP has focused on core GP contract payments

But there is a much bigger issue when looking at all payments to General Practice

Either way @wesstreeting @SKinnock @NHSEngland need to fund practices better or lose them
@DAUK_GP @BMA_GP @wesstreeting @SKinnock @NHSEngland @threadreaderapp unroll

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More from @DrSteveTaylor

Jun 16
Richard Meddings - Chair of NHS England ‘Doctors are over-qualified’
Asked if it should be possible to train a doctor in less than 7 years
‘I would have thought so. Or you go to physician associates – so you change the skill levels’

NHS England Board has Post Office Board ‘vibe’ Image
Sajid Javid made Richard Meddings the chair of NHS England 2022
‘brings to the role a wealth of experience’, including ‘years of management in the financial services industry’, giving him a mandate to ‘change and reform’ the health service

Credit Suisse🫣
tribunemag.co.uk/2023/03/the-nh…
Read 4 tweets
May 13
NHS vs Private providers

With less than 15% of NHS work done by Private providers, the ‘easy’ stuff, they aren’t going to be the solution to backlogs

Govt/Labour have continued to listen to their leaders

There are solutions which require listening to those who understand Image
Just 24,000 a month self pay compared to 1.4million using the NHS Hospitals
The reality is that the independent sector is benefiting from NHS waiting lists so will continue to be vocal in creating solutions
Read 5 tweets
Apr 21
Whopping Whippet stories from the Tories and Victoria Atkins

A thread of mistruths
GP appointments
50m extra but not with an actual GP (Doctor)
Read 9 tweets
Apr 3
GP Partnerships - Time for a salaried service?
I keep hearing politicians say that GPs don’t want to be Partners & want to to be Salaried

Well that’s a self fulfilling prophecy since they are the ones deciding funding
Remove the funding for a business & who would want to do it Image
So wants behind this assumption

Firstly there has been a fall in GP Partners & rise in Salaried GPs
The headcount numbers look overwhelming Image
But if you strip away the numbers to Full-Time equivalent GPs
The picture gets less clear in terms of a movement to salaried GPs from Partners Image
Read 8 tweets
Apr 3
GP Practices are closing, financially unviable, younger GPs leaving
some unemployed
Yet @NHSEngland @VictoriaAtkins @andrealeadsom are failing to fund GP Practices with a cut of 2% this year
20% £/patient real terms cut in funding since 2016
This is not News it needs repeating
Read 4 tweets
Mar 9
Is General Practice FOR SALE?
Private firms ‘lobby’ Lords & MPs as Govt courts the private sector in the future of the NHS
Lords Farmer & Bethell, Centene, Virgin Care, Operose, HCRG, Twenty20
Operating a model of Primary Care aimed at profitability
bylinetimes.com/2021/10/25/lor…
Panorama gathered evidence that PAs were not being properly supervised at the Operose practice. The PAs told the undercover reporter they saw all sorts of patients, sometimes without any clinical supervision. The practice treated them as equivalent to GPs

bbc.co.uk/news/health-61…
An investigation by the BBC’s Panorama programme found that Operose Health was using physician associates to undertake appointments because they are cheaper to employ than GPs.

theguardian.com/society/2022/j…
Read 7 tweets

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