Most out of hours GP services are now delivered by social enterprise companies which are being “hobbled” by long term underfunding, according to a representative body.
A review of the terms and conditions of the controversial junior doctors’ contract, which led to nationwide strike action will start in August, HSJ understands.
NHS organisations are understood to be developing contingency plans in case a company providing services to around 90 clinical commissioning groups runs into further financial trouble.
Some NHS staff will see a permanent reduction in their out of hours pay rates as part of the new Agenda for Change deal agreed between unions and NHS Employers.
NHS Employers chief executive Danny Mortimer has said he is confident NHS trusts will implement reforms to prevent automatic pay rises following a deal on the Agenda for Change contract.
An out of hospital care provider has been bought by a private limited company.
A distressed health economy is redesigning its urgent care services with commissioners releasing a £125m contract to bring urgent out of hospital services together.
Care UK has pulled out of a contract to provide NHS 111 and out of hours services across several clinical commissioning group areas six weeks after it was awarded, putting the intended launch date of the service at risk.
Sixteen West Midlands clinical commissioning groups are set to mobilise a new integrated NHS 111, GP out of hours and urgent care service across a population of 4.6 million after awarding a set of contracts worth up to £172m.
Six south west London clinical commissioning groups have awarded an integrated urgent care contract - combining NHS 111 and out of hours services across several boroughs - to South London Doctors Urgent Care (SLDUC).
An out of hours provider has been forced to end provision of services across the East Midlands after it announced it intends to file for administration.
Out of hours services costs could face a significant hike as off-payroll payments to GPs come under scrutiny from the government.
A company which provides out of hours care across England has said it is considering setting up a network of “pop up” urgent care centres.
Jeremy Hunt has said there are “too many choices” in urgent care, leading to confusion among patients who as a result are not always able to access medical help when they need it.
The government would step in to save GP out of hours services “on the verge of collapsing” if nearby providers running extended hours services made them financially unsustainable, a health minister has told MPs.
The government’s flagship policy for extending primary care access is pushing up the cost of GP shifts and destabilising existing out of hours services, several sector leaders have warned.
NHS England is looking at how to bring down financial barriers deterring GPs from taking on out of hours work, participating in new care models and expanding primary care, HSJ has learned.
NHS Employers has accused the British Medical Association junior doctors committee of ‘a staggering lack of understanding’ over the proposals to change medical contracts.
Findings from HSJ’s summer 2015 CCG barometer, carried out with Capsticks, which focus on commissioners’ approach to financial problems, and preferred solutions for unsustainable providers.
The British Medical Association has set out its main concerns over the proposed changes to medical contracts being sought by the government and NHS Employers.