I was curious about the wider impact so I raised a FOI request. Bear in mind her and other practices were working harder and harder to keep services going as demand post pandemic grew . The response confirmed £419724 of funding clawbacks locally

Now let’s be clear. The ICB have not acted illegally here. It’s within their right to do this. But it is only on our area - not across the ICS. A postcode lottery and a funding lottery. Practices weren’t working less hard - they hadn’t cut costs - but their funding got cut

The impact - well instantly partners running practices have less resource. Imagine a hospital consultant having their pay cut even though their hours weren’t - it wouldn’t happen. So why are we doing this to general practice ?

Eventually that leads to more practices being vulnerable to closure or being replaced by a poorer patient service. The responses by the ICS in this article ignore totally the fact they cut £419k of funding from Morecambe bay practices

I appreciate system finances are under pressure. But it shouldn’t be for local GPs to prop them up with having to fund them out of the partners pay - which is what this is. If you do this more walk away. If nothing is done then more of this will happen which is why I highlight it

I don’t want another Central Lakes locally (or Bowness or Millom or Barrow or Askam ). Smaller practices get hit hardest which impacts our rural healthcare. If we do nothing then the likes of Coniston , Haverthwaite and others will be at risk. Commissioners need to take notice

Ultimately it needs a massive shift in funding & culture in commissioning. I believe that actually some of the funding exists - but just in the wrong places at the moment. If we do nothing then services worsen and we lose the many good people who provided continuity of care.

@medicaccountant When I was an assistant PM, I attended our local PM meetings. We had to submit quarterly reports for our Quality Contract monitoring, often for target that's were confusing and we didn't understand. At one meeting, some of the targets were queried and we asked for help.

@medicaccountant Thanks Andy. I’m now totally funded ( 5 sessions a week) via one of T&Gs LES schemes - even though at a commissioning level I’m making significant savings, I have a nagging worry that the LES might get pulled or my funding reduced as you’ve shown at your wife’s practice.