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Government announces global sum increase for April, as GPs strongly vote down imposed contract

by Sofia Lind
28 March 2024

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The new global sum figure for England’s GP practices has been calculated as £107.57 per registered patient, before Carr-Hill and London weighting, up from £104.73.

The rise, set out in the GMS Medical Services Statement of Financial Entitlements Directions 2024 released today, will come into effect on 1 April.

The global sum was last increased in October last year, when it went up from £102.28 to £104.73 per patient, in order to finance a 6% staff uplift.

As a whole for 2024/25, the Government is boosting GP funding by £259m, taking overall contract investment to £11,864m – a 2.23% increase. This incorporates a 2% pay increase for GPs and staff, which may change based on the independent pay review body recommendations.

Meanwhile, it’s been announced today that GPs have overwhelmingly voted not to accept the Government’s imposed contract changes due to come in next week.

In a referendum organised by the BMA, which closed yesterday, GP members were asked: ‘Do you accept the 2024/25 GMS contract for general practice from Government and NHS England?’

Out of 19,000 GPs and registrars who took part, 99.2% voted ‘no’.

It is not a formal trade union ballot but a ‘temperature check’ of the profession, which will inform future formal ballots on potential collective action by GPs in protest at the Government’s successive contract impositions, the BMA said.

GP Committee England (GPCE) chair Dr Katie Bramall-Stainer said: ‘Today’s overwhelming result signals the start of our fight back, and we will bring our patients with us.

‘GP teams across England have almost 1.4 million patient contacts a day. That’s a lot of conversations, and we all want the same thing: access to continuity of care with their family doctor in a local GP surgery that has the right balance of GPs, nurses, and other staff, and is well-resourced to meet their needs today, tomorrow and in the months and years ahead.

‘It’s what patients want, and it’s what GPs want too.’

She added: ‘When I qualified as a GP in 2008, general practice was “the jewel in the crown of the NHS”. Fast forward to 2024, we are witnessing a “constructive dismissal” of general practice across England where £1.4bn of Treasury funds for practice staff are forbidden to be spent on recruiting more GPs and practice nurses.

‘This is despite almost 2,000 fewer GPs, more than 1,300 lost practices and six million more patients in the past decade. In fact, we now have hundreds of GPs unemployed  – this is madness.

‘The unanimity of the vote in our referendum demonstrates the depth of feeling among the profession. In 20 years, I’ve never known GPs to be so frustrated, angry and upset. We are unable to offer our patients the care they want and need.’

GPC England is meeting today to discuss the referendum outcome and the profession’s next possible steps.

Earlier this month, the BMA set out an approximate timeline for next steps following the result of the referendum, which could include industrial action to coincide with the general election campaigning.

Versions of this story were first published by our sister title Pulse