MPIG Minimum Practice Income Guarantee (aka Correction factor)
What is the MPIG? � Difference in funding between pre-2003 and 2004 contracts. � Egton Surgery MPIG = £70 000pa � Danby Surgery MPIG = £60 000pa � Total MPIG for Esk Valley practices (inc Sleights, Sandsend and Staithes) = £182 00pa � From April 2014, this will start to disappear.
MPIG changes � Govt will remove 1/7 th of the MPIG from each surgery every year for next 7 years. � So in 7 years time Egton and Danby surgeries will have £130 000 pa less than at present. � This represent ¼- 1/3 of our NHS income � This is likely to result in huge cuts to primary care services.
How MPIG changes might affect local services? � Largest expense of any organisation is staff � Doctor numbers will need to be reduced � Services will be reduced- e.g. we currently provide services such as audiometry, acupunture, minor surgery but time pressures may cause these to be reduced � Patients may need to travel further to access care
Effects of MPIG reduction � Patients will need to wait longer to access care � Home visiting will occur less frequently � If there are not radical changes, e.g. practice mergers, practice viability is threatened. � Radical changes will affect accessibility and availability of services � Centralisation of services is more likely.
Services provided in Egton and Danby surgeries � GP consultations � Physiotherapy � Nurse consultations � Chiropody � Phlebotomy � Midwifery � ECGs � Audiometry � Chronic disease management � Palliative care meetings � Acute disease management � Chronic disease management meetings � Drug use counselling � Minor surgery � Dispensing � Joint and soft tissue injections � Local delivery of medications to patients � Counselling � Teaching � CCG participation � Health visiting � Botton Village � Home visiting � RAF Fylingdales � Hospital input
The future � Uncertain � Medical services will diminish slowly cf. hospital situation � Succession will become an issue in Egton and Danby
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