Covid-19 - NHSE Funding Updates to GP Contract
With the advent of the Covid vaccination programme (CVP) and the rise in covid cases putting extreme pressure on the practices and the whole of the NHS, a further communication on 7th January 2021 detailed the measures put in place to free up general practices to deal with the workload capacity and to assist with the escalation of the CVP up to March 2021. It goes further to detail the plans for extended access arrangements to be re-purposed to support the CVP and it is not expected to introduce the new national standardised specification until April 2022. The BMA also has a webpage for funding and workload prioritisation.
We have created an overview of these changes (see below) and you can download a copy here.
1st October 2020
Further to the letter of 9th July (see below) NHSE published a further letter on 1st October detailing the revised updates to the GP Contact. The QOF guidance for 2020/21 was also published. The BMA created a helpful summary (see below) and full details can be seen on our GP contract webpage.
QOF 2020-21 COVID-19 adjustments
Practices should continue to prioritise care that is clinically necessary, relevant and possible. It should be delivered primarily by phone or virtually, or by face to face consultation (with appropriate PPE) where required.
Income-protected indicators (310 pts) – Other than areas outlined below, indicators will be subject to income protection. For these indicators, practices will be credited with points based on historical achievement (2018/19) but should nonetheless make efforts to deliver against these indicators as clinically appropriate. Practices will need to decide their approach to patient prioritisation and service delivery with their CCG during Oct-Nov 2020.
Quality improvement (74 pts) – These indicators have been simplified to focus upon a set of national actions in the agreed topic areas of learning disability and early cancer diagnosis. This in order to support and contribute to the delivery of these services, rather than wider QI activities. It will enable practices to learn from the experience of others within their PCN. Peer network support for delivery and sharing of best practice will need to continue to be provided by the PCN.
Immunisation and screening (58 pts) – The points allocated to flu vaccination and cervical screening are doubled in 2020/21. This is to highlight the priority placed on the delivery of these services and the renewed focus upon flu vaccination as part of NHS England’s COVID-19 plans.
It has been agreed that the points for these two domains will be weighted differently to the usual QOF processes, whilst the thresholds remain the same. Practices will accrue a higher number of points at the lower achievement threshold, with the remaining points being achieved in a linear manner between the upper and lower threshold.
Disease registers (81 pts) – Points associated with maintaining accurate disease registers in QOF will be conditional on the ongoing maintenance of registers and associated disease prevalence.
Prescribing named medications (44 pts) – Eight indicators optimising pharmacological management of patients with specific conditions and the prescribing of specified medications will remain conditional upon.
9th July 2020
NHSE published an update to the GP Contract on 9th July to inform practices on the second phase of re-starting services, that may have been suspended due to Covid-19. It is a comprehensive document and as such we have produced a summary that gives an overview on each area of the update and the current expectation of service levels and relevant dates along with income protection details.
Please click here to download a copy of the summary (shown below)