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Published 22 July 2019
NHS England and NHS Improvement (“NHSE/I”) have published the Digital-First Primary Care Policy: consultation on patient registration, funding and contracting rules. The document describes NHSE/I’s proposals to reform primary care contracting to enable digital-first providers to work better within the system, leading to fairer funding, ensuring patient choice and reducing health inequalities.
The current primary care contracting system did not envisage digital-first primary care (“DFPC”) – a key objective in the NHS Long Term Plan.
The consultation cites:
The consultation is divided into four chapters, each seeking views on a discrete solution. The document concludes that the current out-of-area registration rules need to change and in a way that maintains patient choice. The proposals range from (a) changing the allocations system to enable quarterly recalculation of CCG funding to reflect patient movements to (b) changes to new patient registration payment levels.
The two most significant proposals are:
The focus on creating a clear contracting framework for DFPC is likely to be broadly welcomed by both commissioners and providers. We consider that any solutions need to be mindful of:
We are currently speaking to key stake-holders from CCGs, GP practices and digital-first providers to gather views and discuss the key issues. Responses to the consultation close on 23 August 2019 and we will share our response in due course.
If you would like to discuss the consultation or the issues we have raised in this note, please contact:
London - Walbrook
+44 (0)20 7894 6411
+44 (0)191 404 4119
+44 (0)113 251 4785
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