Reforming GP contracts by implementing a review of the quality outcomes framework, minimum practice income guarantee, the senior factor payments and the dispensing doctors’ fees could help bring the cost of GPs down to a more affordable level.
The OECD’s Health at a Glance 2013 report revealed that UK general practitioners are paid 3.4 times the average wage, while those in Belgium are paid just 2.3 times average earnings. By bringing English GP pay into line with Belgium’s, whose healthcare system is highly regarded, over £1 billion could be saved.
It is anticipated that any review could not achieve the full saving in the first year but would be achieved through gradual reform until 2020–21.
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