Londonwide LMCs secures new assurance role for GP funding
Against a backdrop of enforced MPIG reductions and successive unworkable London Offers (see PMS Bulletin 9) we have been actively pushing the London NHS and Mayoral systems to support our policy to stabilise and sustain for long term general practice in London. Our Framework: Health and Wellbeing for London’s People has been fundamental to this approach.
In an ever-changing NHS landscape comprising of Clinical Commissioning Groups (CCGs) aligning across Sustainability and Transformation Plan (STP) footprints; financial imperatives; delegated commissioning; the government’s PMS Review; the stop-start complexities of implementing the government’s GP Forward View (GPFV); and practice closures; we have secured recognition from commissioners of the need to ensure fairness, stability and sustainability for all forms of general practice. The London NHS system now accepts and will promote the fact that London’s general practice is the cornerstone of the NHS, and must be stabilised and sustained for the long term.
Londonwide LMCs regionally, and LMCs locally, will play a key City-wide role in assurance of GP funds, primary care and the impact of London's system decisions at local, STP and pan-London levels. In practice this ‘triple lock’ means that:
- Local contracting decisions will be subject to a London single standard operating framework agreed between Londonwide LMCs and NHS England London. NHS England London that has agreed this approach with us and has made its implementation a key expectation of its CCGs and STPs. This should enable us to assure delegated CCG, STP and NHS England decisions through a transparent governance process in keeping with the purpose of the letter – to stabilise, sustain and transform for long term general practice in London.
- The PMS Review will be subject to the same assurance process outlined above (PMS Bulletin 10 outlines further details).
- As will the GPFV and other funding streams.
Through this mechanism we will assure that the core values and tenets of general practice within the Capital underpin decision-making across London’s NHS system – CCGs, STPs and NHS England London.
This approach will ensure that the PMS premium, GPFV, and other funds are invested in the fairest and best way to stabilise local practices and support longer term sustainability in the new STP-dominated environment.
Last updated : 14 Dec 2016The M Word issue 6 - Dr Michelle Drage's latest personal briefing for practices on NHS reforms (16 Dec 2011)
I have 3 updates for you: The Health and Social Care Bill, 1 year on GP Primary Medical...The M Word issue 5 - Dr Michelle Drage's latest personal briefing for practices on NHS reforms (10 Oct 2011)
Here's the latest update on what has and what has not been going on over the last few weeks, and what is likely to happen over the Autumn. I...The M Word issue 4 - Dr Drage's briefing on the NHS reforms (15 Jun 2011)
The Day After... The Politics The Real World Michelle’s 3 step guide (definitely not a toolkit) to QIPP and GRIP Dr Michelle Drage FRCGPCEO Londonwide...The M Word issue 3 - Dr Michelle Drage's briefing on NHS reforms (07 Jun 2011)
I thought I’d share three of my more serious thoughts to do with Providing General Practice and NOT commissioning (mostly!) The new transitional management landscape in London Our...GPC news June 2011 (01 Jun 2011)
Download latest edition of GPC news here.The M Word issue 2 - Dr Michelle Drage's personal briefing for practices on NHS reforms (14 Apr 2011)
In issue 1 I set out to make some sense of the language and jargon of the new NHS world and give you some not-so-subliminal messages about what we...The M Word issue 1 (10 Apr 2011)
Dr Michelle Drage's personal briefing for practices on NHS reforms. This is the first in my personal series of briefings which will provide commentary and updates on key issues facing...GPC news October 2009 (01 Oct 2009)
Download the latest edition of GPC news here.Guidance
We provide expert guidance for practices in our guidance section, as well as an archive of other materials you may find useful.
GP Support
Contact our GP Support team if you need help or advice.
The team provide professional and pastoral support to GPs and practice teams on a broad range of issues.