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GMS contract changes look increasingly positive

Now that the dust has settled around the 2014 GMS contract, I have been playing with the numbers to see how my clients are going to fare from next April; I seem to remember doing something similar in 2003. Some of these calculations can be found on GPonline's sister (subscription) website Medeconomics.


With most of the deductions being reinvested in core funding, it looks much more positive than I first feared. In fact, it seems most practices should not lose out.

I say ‘seems’ because we are yet to be told how the core funding and global sum will be reallocated to practices. This is an extension of the same issue dealing with the reallocation of resources following the withdrawal of the MPIG. We need to know urgently.

There are some peculiar potential outcomes: although the monies released back into core funding will not suffer the out-of-hours deduction, they will presumably be affected by the list weighting.

A low performing QOF practice will not suffer too much from losing the 341 QOF points but might do well with these sums allocated back into the global sum, especially if the practice list has high weighting. Potentially worst affected will be a high performing QOF practice with low weighting.

But, as I said, it looks better that I thought, though we really do need the allocation formula for the full picture.

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