{"id":1310,"date":"2024-11-01T16:54:39","date_gmt":"2024-11-01T16:54:39","guid":{"rendered":"https:\/\/dauk.org\/fears-over-impact-of-national-insurance-rise-on-general-practice\/"},"modified":"2024-11-01T16:54:39","modified_gmt":"2024-11-01T16:54:39","slug":"fears-over-impact-of-national-insurance-rise-on-general-practice","status":"publish","type":"post","link":"https:\/\/dauk.org\/fears-over-impact-of-national-insurance-rise-on-general-practice\/","title":{"rendered":"Fears over impact of National Insurance rise on general practices"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">DAUK&#8217;s GP committee has warned the employer National Insurance rise announced in the Budget could put huge financial pressure on already struggling general practices.\r\n\r\nDAUK <a href=\"https:\/\/dauk.org\/news-2024-10-30-budget-2024-nhs-funding-boost-welcomed-but-concerns-over-impact-of-national-insurance-rise-on-general-practice\/\">welcomed the announcement of an extra \u00a322.6 billion<\/a> for the NHS in the Budget. However, we also expressed concern at the potential impact on general practice of an employer National Insurance rise.\r\n\r\nNow Dr Steve Taylor, DAUK GP spokesperson, says a rise could make many practices unviable.\r\n\r\nHe said: \u201cDAUK shares the concern across the GP community the Budget will potentially put huge extra costs onto GP practices.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">National Insurance rise<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWith employer National Insurance contributions rising together with the rise in staff costs, which have not been adequately funded, it could mean practices really struggle to keep their head above water.\r\n\r\n\u201cThere is no way that Labour will meet it\u2019s manifesto commitment to \u2018bring back the family doctor\u2019 unless it funds GP practices properly to recruit, retain, and grow capacity, particularly GPs, many of whom are underemployed or unemployed.\r\n\r\n\u201cGeneral practice has been delivering five million more appointments a month which puts the extra 40,000 a week promised in context.\r\n\r\n\u201cPatients want and need to see doctors.\u201d<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">General practice<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Now DAUK is supporting GPCE calls for GPs and patients to write to their MPs to express concern at the potential impact National Insurance rises will have on practices.\r\n\r\nGPCE has produced a letter template for people to copy and paste and send to their MP. The letter is reproduced below.\r\n\r\nYou can support the work of DAUK by <a href=\"https:\/\/dauk.org\/membership\/\" target=\"_blank\" rel=\"noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/dauk.org\/membership\/&amp;source=gmail&amp;ust=1731415023791000&amp;usg=AOvVaw1NdNBfmx47vYt9SkxK1ICn\">becoming a member<\/a> or <a href=\"https:\/\/www.gofundme.com\/f\/support-the-work-of-the-doctors-association-uk-dauk\" target=\"_blank\" rel=\"noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.gofundme.com\/f\/support-the-work-of-the-doctors-association-uk-dauk&amp;source=gmail&amp;ust=1731415023791000&amp;usg=AOvVaw1brWX4FquA7UtVB8OikJxQ\">donating to our Go Fund Me<\/a>.\r\n\r\nFind your MP\u2019s email at: <a href=\"https:\/\/members.parliament.uk\/members\/Commons\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/members.parliament.uk\/members\/Commons<\/a>\r\n\r\n&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">GPCE letter template<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dear &lt;insert MP&gt;\r\n\r\nI am writing to flag a profound concern around NHS GP Practices and the Autumn Statement announcements on Employers\u2019 NICs.\r\n\r\nWe have lost over 1000 NHS GP practices in the past decade. If Darren Jones\u2019 comments on BBC QT are correct, we shall see many more hand back their contracts overnight.\r\n\r\nNHS GP Practices are excluded from employer support for small businesses &#8211; and previous Conservative governments have offered full recovery for NICs rises.\r\n\r\nGPs are very clearly defined in the past 25 years of law as &#8220;public authorities&#8221;. The assertion by Darren Jones above flies in the face of various legislation, including:\r\n\r\n&#8211; Freedom of Information Act\r\n\r\n&#8211; The Equalities Act\r\n\r\n&#8211; GDPR\r\n\r\n&#8211; IR35\r\n\r\nPresumably Treasury do not intend to amend hundreds of pieces of major legislation in order to claim an extra 1.2%?\r\n\r\nSuch poorly thought through comments are sending us into a tailspin. This needs absolute clarity as soon as possible.\r\n\r\nLikewise, the methodology for recent uplifts is out of date and has failed to deliver. Any repeat of a Global Sum % uplift will not work with the NICs change proposed, because of the \u2018fixed per employee\u2019 element. The Association of Specialist Medical Accountants has flagged this concern too.\r\n\r\nTreasury and DHSC need to take immediate steps to correct Mr Jones\u2019 comments and assure the profession that they have no intention of threatening the viability of thousands of NHS GP Practices, lest Labour kills the family doctor.\r\n\r\nYours\r\n\r\n&lt;Insert name&gt;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DAUK&#8217;s GP committee has warned the employer National Insurance rise announced in the Budget could put huge financial pressure on already struggling general practices. DAUK&hellip;<\/p>\n","protected":false},"author":1,"featured_media":1490,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65,59,58],"tags":[689,38,22,61,23,42],"class_list":["post-1310","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dauk-news","category-general-practice","category-the-nhs","tag-budget","tag-dauk","tag-dr-steve-taylor","tag-general-practice","tag-gp-crisis","tag-the-doctors-association-uk"],"_links":{"self":[{"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/posts\/1310","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/comments?post=1310"}],"version-history":[{"count":0,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/posts\/1310\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/media\/1490"}],"wp:attachment":[{"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/media?parent=1310"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/categories?post=1310"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dauk.org\/wp-json\/wp\/v2\/tags?post=1310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}