The below Parliamentary question was asked by Barry Sheerman on 2016-04-08.
To ask the Secretary of State for Health, what representations he has received from (a) university health centres and (b) other GP surgeries with atypical patient profiles on funding formula changes.
Alistair Burt
Approximately 55% of general practitioner (GP) practices operate under General Medical Service (GMS) contract arrangements. Typically, at least half of the money that a GMS practice receives is in the form of the ‘global sum’, derived through the Carr-Hill Formula.
The formula, as agreed with the British Medical Association (BMA) before the introduction of the 2004 GP contract, is used to allocate the global sum and related payments on the basis of the practice population, weighted for factors that influence relative needs and costs.
There are indications that the formula does not work as effectively in areas with demographically atypical populations, such as new towns or areas with high student populations. NHS England is working with the BMA’s General Practitioners Committee, NHS Employers, the Department and academic partners on the review to develop a formula that better reflects the factors that drive workload, such as age or deprivation. As part of this work, the effect of any changes on practice funding in specific areas such as Huddersfield and Kirklees will be considered. It is intended that the review of the Carr-Hill formula will inform the 2017-18 GP contract.
A search of the Department’s Ministerial correspondence database has identified one item of correspondence received since 1 May 2015 from university health centres. There has also been a Ministerial meeting related to areas with demographically atypical populations, in this case new towns. It was not possible to identify correspondence received from GP surgeries with atypical patient profiles. This represents correspondence received by the Department’s ministerial correspondence unit only.
