No new GP practice premises improvements will be funded before April 2014 and a freeze on development may continue beyond that time, GP leaders have warned.
GPs in England will have to publish details of their NHS income by 2015 under a deal agreed in this year’s GMS contract talks.
In times of austerity capital investments have always been threatened. If the idea is to make primary care take over more and more of the hospital activities, such as ultrasounds, then investment will have to come some time..
It seems reasonable to publish a calculation of GPs profits after expenses have been deducted from income, and before distribution to the partners. What will be important is to define exactly how these accounts should be presented, so that comparisons are meaningful. Ratios of the cost of non-clinical overhead to the cost of all staff might be a useful start. Aneurin Bevan boasted of 3% overhead for the whole NHS in 1952 when he published “In place of fear”, and I expect GP premises figures are still of that order. Hospitals on the other hand are hiding their non-clinical overhead – I cannot get replies! I suspect of the order of 35%!