Further guidance issued on implementing funding changes arising from PMS contract reviews
May 23 2016
Local commissioners are being advised they must ensure that clinical commissioning groups publish proposals for reinvesting funding potentially released from Personal Medical Services (PMS) reviews. In addition, they are not to release any funding from “PMS practices facing reductions until reinvestment proposals have been confirmed.”
NHS England has issued the guidance saying that local commissioners have not be communicating the process appropriately, with PMS practices having concerns.
The PMS contract review was instigated in 2014, to ensure that any additional investment in general practice services, whether deployed through PMS or through other contractual routes:
- reflected joint strategic plans for primary care that have been agreed with the relevant CCG;
- secured services or outcomes beyond what is expected of core general practice;
- helped reduce health inequalities;
- offered equality of opportunity for GP practices in each locality;
- supported fairer distribution of funding at a locality level.
Guidance now issued by NHS England advises local commissioners that “any funding changes are managed in a way that does not risk destabilising general practice.” Any additional funding is to be reinvested in general practice, within the CCG area, unless CCGs agree otherwise.
“We have been clear on the need to ensure PMS practices can plan for the net impact of these funding changes by ensuring any funding reductions can be set against local proposals for reinvestment. However this communication of new earning opportunities is not happening universally in all areas and PMS practices in those instances will understandably be concerned,” said NHS England.
“We are therefore requesting that all local commissioners ensure these reinvestment proposals are confirmed locally to PMS practices before any actual reductions to funding are made to PMS practices who are facing reductions in funding.”
Commissioners are asked to make confirmation of reinvestment plans for 2016-17 an immediate priority and ideally set out 2017-18 plans, too. NHS England has said that it will be monitoring progress on any outstanding reviews.