Talking General Practice

GP recruitment scheme faces axe, contract negotiations update, NHS planning guidance

Feb 7, 2025
The discussion centers around the uncertain future of the Targeted Enhanced Recruitment Scheme aimed at bolstering GP numbers in underserved areas. Fears of potential cuts loom as contract negotiations continue. The importance of NHS England's planning guidance for 2025/26 is highlighted, focusing on patient access and chronic care. Good news arrives from Wales, where GPs celebrate a successful contract negotiation resulting in increased funding and better pay. The tension surrounding the funding landscape raises questions about the future of general practice.
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INSIGHT

Uneven GP Distribution

  • England has an average of 2,260 patients per GP, exceeding the recommended 1,800.
  • Some areas have almost 3,000 patients per GP, disproportionately affecting deprived communities.
INSIGHT

TERS Explained

  • The Targeted Enhanced Recruitment Scheme (TERS) offers £20,000 incentives for GP trainees in under-doctored areas.
  • The goal is to retain these GPs after training, potentially improving healthcare access in these areas.
INSIGHT

Unfair Funding Formula

  • The Carr Hill formula, used to allocate GP funding, doesn't adequately account for socioeconomic deprivation.
  • Practices in poorer areas receive less funding, employ fewer GPs, and often have lower patient satisfaction.
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