Have your say on digital-first primary care and its implications for general practice payments

Closed 31 Aug 2018

Opened 4 Jul 2018

Overview

Digital systems will be integral to a modern, efficient and responsive health service. Well-designed digital tools are already helping to provide care and services that are convenient for patients, efficient for the NHS and which get people the right care for them as quickly as possible.

However, we face a challenge to ensure that the way we commission, contract and pay for care keeps up with the opportunities digital innovation offers - ensuring that new technology is safely integrated into health and care pathways, whilst not unfairly destabilising existing services.

With fair payments in mind, NHS England has reviewed the implications of digital models and is seeking your views.

Our analysis concludes that there are a number of ways in which the payments for general practice may need to be updated to account for the emergence of digital-first innovative primary care providers, related to:

  • The rurality index payment;
  • The London adjustment; and
  • A reduction in the payment to practices for patients who live outside of the practice catchment area.

We are also seeking wider views about how general practice payment models can best support innovation.

It is important to recognise that this is a first step, informed by the evidence available. As our understanding of new delivery models evolves and matures further action may be necessary.

Further information about the proposals are available in the document we have published to support this public engagement.

The outcome of this engagement will inform GP contract negotiations for 2019 - 2020 between NHS England and the General Practitioners Committee of the British Medical Association.

Audiences

  • Academic/professional institutions
  • Advocacy or support organisations
  • All interested stakeholders
  • All NHS England Staff
  • All NHS Staff
  • All P&I staff
  • All TCO staff
  • Allied health professionals
  • Area Team directors
  • Art therapists
  • Care Quality Commission
  • Care-givers
  • Carers
  • Charities
  • Childcare providers
  • Chiropodists/podiatrists
  • Clinical Nurse Specialist
  • Clinical psychologists
  • Clinical Reference Groups (CRGs)
  • Clinicians
  • Commissioners
  • Communications
  • Community groups
  • Community healthcare trusts
  • Deaneries
  • Dental surgeons
  • Dentists
  • Department of Health
  • DH third sector strategic partners
  • Diagnostic radiographers
  • Dietitians
  • Directors of public health
  • Doctors
  • Drama therapists
  • Employee representatives
  • Employer representatives
  • Event attendees
  • Foundation trusts
  • General Practice Nurses
  • GP Practices
  • GP Practices
  • GPs
  • Health and Social Care Information Centre
  • Health and Wellbeing boards
  • Health care assistants
  • Health Education England
  • Health Protection Agency
  • Health visitors
  • Healthcare scientists
  • Healthwatch (national and local)
  • Higher education institutions
  • Independent sector nental health providers
  • Informatics professionals
  • Information professionals
  • Information providers
  • Internal staff only
  • Local authorities
  • Local Government Association
  • Managers
  • Mental health trusts
  • Midwives
  • Monitor
  • Music therapists
  • National directors
  • National Institute for Health and Care Excellence
  • Neonatal and maternity staff
  • New Care Models
  • NHS England Partnership Organisations
  • NHS Trust Development Authority
  • Nurses
  • Occupation therapists
  • Oncologists
  • Ophthalmic practitioners
  • Organisational Change and Programme Delivery Team
  • Orthopists
  • Orthotists
  • Paediatric neuropsychologists
  • Paramedics
  • Patient groups
  • Patients
  • Patients and the public
  • Pharmaceutical Industry
  • Pharmacists
  • Physiotherapists
  • Policy leads
  • Practice managers
  • Primary care
  • Prosthesists
  • Quality Surveillance Groups
  • Radiologists
  • Receptionists
  • Referrers to PET CT
  • Regional directors
  • Regulatory bodies
  • Responsible officers
  • Retailers
  • Royal Colleges
  • Service providers
  • Service users
  • Social care providers
  • Speech and language therapists
  • Staff and organisations across the health system
  • Strategic clinical networks (SCNs)
  • Suppliers
  • Therapeutic radiographers
  • Trade unions
  • Tribunal service
  • Voluntary groups
  • West Midlands DCO staff

Interests

  • Any Interest