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

Closes 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.

Give Us Your Views

Audiences

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

  • Any Interest