Ms. Roughton suggested that local commissioners could use existing powers to change the pace of pm cuts and the use of Section 96 funding to ease the burden on those most affected. Section 96 Money was the mechanism finally approved by NHS England following a campaign by family physicians and patients for the GCCs to support the practices hardest hit by mpig cuts, the parallel element of the PMS review of the national policy to make GP funding fair on contracts. THE lack of GCC reinvestment plans „undermines assurances about the ability of practices to safely manage funding losses if they cannot plan on the basis of the net impact of funding changes,“ he said. The London GCCs took responsibility and the CMLs in London have received assurance in the process which must now be completed by October of this year. The internal memo shows that almost half of the more than 600 PMS practices in London suffer losses of more than 10% of their revenues. Nearly 800 family physicians` offices suffered average losses of more than $50,000 per year as part of the national review of pm contracts, of which about 200 were at risk of not safely dealing with patient losses, as shown in an NHS England assessment obtained by GPonline. Richard Vautrey, Vice-President of the GPC, said: „With the long-standing and systemic underfunding of general practice, while at the same time the population and workload have increased rapidly, many practices are already at the point of financial cutting and losses of this magnitude could pose a significant risk of closure. The update of the progress of the national journal PMS, which began in 2014 and is expected to be completed by 2016, was sent by NHS National Director for Commissioning Development Rosamond Roughton to Chief Executive Executive Simon Stevens. Cutting activist pms and yorkshire GP Dr. Paul Wilding said the document was „absolutely burned.“ There was a „total failure of risk assessment and impact analysis at the beginning“ of the policy and „practices collapsed.“ The document also warns the Chief Executive officer of NHS England that PMS practices could terminate their contracts because they „are not willing to accept the revised contract resulting from the REVIEW of the PMS.“ At the time of the memo, two cQC procedures, which were still pending, had taken these drastic measures.
The internal memo shows the concerns of NHS England executives about the lack of GCC reinvestment plans for the financing of recycled PMS bonuses and the impact this would have on practices with heavy losses. A safeguard procedure identified „some 200 firms,“ which Commission chiefs believe „there are concerns (or lack there is confidence) about the ability of these firms to manage the transition to safe funding for their patients.“ The evaluation, which was heavily published by NHS England before being published seven months after a freedom of information request, was carried out before taking into account the effects of the increase in contracts in the current year. . GPonline estimates that at least 18 audits were suspended in September 2016 due to the lack of GCC reinvestment plans.