Inequalities in Primary Care Funding
One of the biggest issues facing ICBs regarding primary care, is the inequities in primary care funding. Many CCGs had discretionary funding schemes where they paid primary care to do “extra”.
I’ve heard of schemes worth £15-25/head of population. Now they have lumped CCGs together in some ICBs this is starting to look quite iniquitous.
Have these schemes ever been analysed to see if they deliver value? Are they paying at the same rate? Are they targeting the right practices/ patients.
Of course the whole funding issue is complicated and different practices get all sorts of different pots of money - for example is it right that some receive more rental reimbursement than others?