GP Contracts (Hansard, 5 June 1990)

40. Mr. Faye
To ask the Secretary of State for Health whether he has received any representations claiming that patients are being removed from doctors' lists as a result of the new general practitioners' contract.

Expenditure by FPCs (England): 1979–80–1990–91 Practice Staff and Premises

In Cash At 1990–91 Prices¹

£million £million

Year Staff Premises Total Staff Premises Total

1979–80² 50.927 20.408 71.335 108.704 43.561 152.265

1980–81 65.063 26.696 91.759 117.354 48.152 165.506

1981–82 78.769 32.319 111.088 129.410 53.097 182.507

1982–83 89.480 39.141 128.621 137.101 59.972 197.073

1983–84 102.721 47.489 150.210 150.373 69.519 219.892

1984–85 114.632 54.481 169.113 159.866 75.979 235.845

1985–86 134.028 67.030 201.058 177.399 88.721 266.120

1986–87 143.838 74.535 218.373 184.127 95.412 279.539

1987–88 166.798 83.726 250.524 202.660 101.727 304.387

1988–89 200.508 96.396 296.904 227.416 109.332 336.748

1989–90³ 242.099 121.940 364.039 257.835 129.866 387.701

1990–91⁴ 261–072 165.032 426.104 261.072 165.032 426.104

Total 1,649.935 829.193 2,479.128 2,113.317 1,040.370 3,153.687

¹ Delated using GDP Deflator.

² Figures for 1979–80 to 1988–89 are taken from Summarised Accounts (England), and show direct reimbursement of 70 per cent, of the cost of practice staff, direct reimbursement of rent and rates and improvement grants. The rest of the cost of practice staff is reimbursed indirectly through GPs' fees and allowances.

³ 1989–90 figures are on a similar basis but show provisional out-turn.

⁴ 1990–91 figures are preliminary allocations for cash limited expenditure on direct reimbursement of practice staff costs, cost rents and improvement grants and estimated non cash limited expenditure on other rent and rates.

578W

§ Mr. Kenneth Clarke
I have received a number of such representations and I have had the facts investigated wherever possible. None of these cases has proved to result from the GPs' new contract and some well-reported complaints have proved to be quite inaccurate. As I have repeatedly said, it is dishonest and unprofessional for GPs to suggest that the Government's new contract justifies the removal of any patient from a practice list.

§ 43. Mr. Brandon-Bravo
To ask the Secretary of State for Health what assessment he has made of the effect of the new general practitioners' contract on the family doctor service.

§ 49. Mr. Kennedy
To ask the Secretary of State for Health if he will make a statement on the operation of the new general practitioner contracts.

§ 69. Mr Charles Wardle
To ask the Secretary of State for Health what assessment he has made of the effect on service to patients of the new general practitioners' contract.

§ Mrs. Virginia Bottomley
I refer my hon. Friends and the hon. Member to the reply my right hon. and learned Friend the Secretary of State gave the hon. Member for Cunninghame, South (Mr. Lambie) on I May at columns517–18.

Expenditure by FPCs (England): 1979–80–1990–91 Practice Staff and Premises
	In Cash	At 1990–91 Prices¹
	£million	£million
Year	Staff	Premises	Total	Staff	Premises	Total
1979–80²	50.927	20.408	71.335	108.704	43.561	152.265
1980–81	65.063	26.696	91.759	117.354	48.152	165.506
1981–82	78.769	32.319	111.088	129.410	53.097	182.507
1982–83	89.480	39.141	128.621	137.101	59.972	197.073
1983–84	102.721	47.489	150.210	150.373	69.519	219.892
1984–85	114.632	54.481	169.113	159.866	75.979	235.845
1985–86	134.028	67.030	201.058	177.399	88.721	266.120
1986–87	143.838	74.535	218.373	184.127	95.412	279.539
1987–88	166.798	83.726	250.524	202.660	101.727	304.387
1988–89	200.508	96.396	296.904	227.416	109.332	336.748
1989–90³	242.099	121.940	364.039	257.835	129.866	387.701
1990–91⁴	261–072	165.032	426.104	261.072	165.032	426.104
Total	1,649.935	829.193	2,479.128	2,113.317	1,040.370	3,153.687
¹ Delated using GDP Deflator.
² Figures for 1979–80 to 1988–89 are taken from Summarised Accounts (England), and show direct reimbursement of 70 per cent, of the cost of practice staff, direct reimbursement of rent and rates and improvement grants. The rest of the cost of practice staff is reimbursed indirectly through GPs' fees and allowances.
³ 1989–90 figures are on a similar basis but show provisional out-turn.
⁴ 1990–91 figures are preliminary allocations for cash limited expenditure on direct reimbursement of practice staff costs, cost rents and improvement grants and estimated non cash limited expenditure on other rent and rates.