Reformed IIF payment format could start from 2022/23

Final week GPonline reported that well being leaders had been contemplating altering the best way IIF funding is distributed to networks, delivering a part of it upfront in month-to-month funds as a substitute of all on the finish of the monetary 12 months – just like the best way QOF funds work.

Senior GPs have backed this concept, highlighting that a mixture of upfront and end-of-year funds would permit networks to recruit workers to start work on the symptoms earlier.

NHS England has confirmed that the change won’t be carried out within the present monetary 12 months, however didn’t rule out an overhaul in 2022/23.

Funding and Impression Fund

It comes as well being leaders confirmed final month that many of the indicators this 12 months will assist preparatory work in the direction of the PCN service necessities or the introduction of full efficiency indicators in 2022/23.

Practices obtain the majority of QOF funding annually upfront through a month-to-month ‘aspiration’ fee, with the steadiness paid via an ‘achievement’ fee after the tip of every monetary 12 months.

PCNs, nonetheless, are at present paid for efficiency in opposition to IIF targets solely via ‘achievement’ funds – the majority of which come after the tip of every monetary 12 months. The change would imply that networks obtain funding up-front – permitting them to usher in the workers they want earlier.

The IIF will probably be price £150m to PCNs for 2021/22 and £225m for 2022/23, which means IIF work is price round £120,000 per common PCN within the present monetary 12 months and round £180,000 subsequent 12 months. A QOF-style aspiration-achievement break up may see greater than two-thirds of this paid upfront all through every monetary 12 months.

PCN workforce

Senior scientific advisor to the NHS Confederation Dr Graham Jackson has argued that networks must be paid IIF funding month-to-month to assist work on targets within the framework. He stated: ‘This can be a actually large funding for PCNs. It is not going to be as straightforward as ticking just a few bins and getting the cash – it is basically a brand new QOF for PCNs.

‘It is a shift in that course – and PCNs must be interested by constructing this into their baseline as an revenue, the identical approach that QOF is now baseline revenue for practices.

‘Nevertheless, what it wants – and one thing which we’ve got already had a dialog with NHS England about – is that the IIF must be paid aspirationally, like QOF is paid aspirationally, so that you receives a commission each month and you then obtain a top-up on the finish of the 12 months. This could permit folks to start out spending the cash on workforce to ship this IIF.’

Final month NHS England introduced that PCN service necessities will probably be step by step phased in over the subsequent 18 months – with simply two starting from October this 12 months. The BMA this week accused the federal government of being disingenuous over indicators setting out targets for on-line GP consultations.

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