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Cost-Benefit to NHS Average spend on appts GP practice £23 ARRS £35 Pharmacy First £48 UTC £85 Hubs £48 Virtual Beds £665 A&E £100-£300 £165pa for all patient care average 6 appts Problem is misinformation about the cost of GP appts even The King's Fund
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@TheKingsFund @wesstreeting Chooses ⚫ GP Unemployment ⚫ More Expensive Less Effective Use of Physician Associates , Nurses & Pharmacy First Instead ⚫ ➡️ Patients To A&E Incompetent ? @UKLabour Donors Agent ? @Keir_Starmer @patmcfaddenmp @Jeremy_Miles Via @GoodLawProject

@TheKingsFund I don’t know where you get £48 for Pharmacy First? Actually £15

@TheKingsFund What about the £1000 threshold payment? Currently for 20 consults a month. £48 is based on 30 consults Though the more you do the less you get. I say this. £650m was made available to provide 10-20m consults to reduce GP appts I am really happy for Pharmacies to be funded well

Hi @DrSteveTaylor, our number for the cost of appointments is based on PSSRU figures. We wanted to flag, the number is the unit cost to the health system per consultation (including costs of training staff for example), rather than the amount given to surgeries per appointment.

The figure is inaccurate because GP practices receive on average £165 per patient per year for all their services/including building costs/admin The average number of appt a patient receives is 6/7 There is no way the cost of an appt can be calculated at £58 Better needed please

@TheKingsFund these look like fixed costs divided by demand, so you don't save money by moving demand around, you just incur costs for that channel? Front end should be activity based, but with something to keep a lid on demand. Need longer term based on better than expected qalys (ie outcome

@TheKingsFund Interesting to see the cost breakdown of NHS appointments. The disparity between GP practice and A&E costs is striking. Thanks for sharing the data!

@TheKingsFund The question is who even accepted such deals at the very beginning??? Poor contract negotiation At the least a GP appointment should cost as much as a UTC appointment and we should start charging per appointment
