BMA NHS England 6 February 2020
- GPC England has negotiated an update to the GP contract 2020/21 - 2023/24. This contract will build on the Primary Care Networks created in 2019 (with additional funding and additional workforce), expand recruitment and retention initiatives for GPs (supported with additional funding), thus reducing workload, while retaining GP and partnership autonomy and ensuring GPs have a leadership role at the centre of primary care. The changes will significantly increase funding into the contract (both core and PCN)
· major enhancements to the additional roles reimbursement scheme to help secure the target of 26,000 additional staff, including an expansion of roles
· 100 percent reimbursement for the additional roles backed by a bottom up planning process and clinical commissioning group support
· a raft of measures to aid GP training recruitment and retention to help deliver the target of 6000 extra doctors working in primary care, including a new to partnership payment, fellowships in general practice for GP trainees and newly qualified nurses and more
· a renewed focus on improving access including a GP access improvement programme which will seek to cut the longest waits for routine appointments and improve patient satisfaction
· further reforms to asthma, chronic obstructive pulmonary disease (COPD) and heart failure Quality and Outcomes Framework (QOF) domains, and a new indicator to support diabetes prevention
· an overhaul of vaccination and immunisation payments to increase vaccination coverage
· a new universal post-natal check at 6-8 weeks for new mothers
· introduction of revised structured medications review, care homes (and corresponding requirements for providers of community services will be included in the NHS Standard Contract to be published soon) and early cancer diagnosis national service specifications, with an additional care home payment of £120 per bed
· introduction of the new Investment and Impact Fund in 2020/21 with incentives in year one to increase uptake of learning disability health checks, seasonal flu jabs, social prescribing referrals, and improve specific aspects of prescribing.
