How BBC England exposes the threat to GP surgeries of Labour’s National Insurance hike but BBC Scotland hides it and tries to blame Scottish Government instead

Professor John Robertson OBA

BBC England, quite clear about the major threat to GP surgeries, in their headline above, and:

GP practices could be pushed “over the edge” by a planned rise in the National Insurance (NI) rate for employers, a doctor has said. The government has said the NHS and the rest of the public sector would be shielded from the rise but that does not cover GP practices, many of which are run as small businesses. Dr Andrew Purbrick, who represents 300 GP practices across the south of England, said many would be forced to cut back on staffing or close.

https://www.bbc.co.uk/news/articles/cdrdem1mr16o

BBC Scotland, in sharp contrast with the vague headline above and only in the 10th paragraph this passing reference to the National Insurance hike which English GPs are most concerned about:

She says it now faces additional costs of between £35,000 and £50,000 each year due to a range of factors, including a hike in national insurance, the impact of NHS pay deals and rising charges from the health board.

https://www.bbc.co.uk/news/articles/c8rk8y8x58ko

The other factors?

BBC Scotland do not mention on NHS pay deals, this:

For 2024/25 the Scottish Government implemented the DDRB recommendation to uplift GP pay net of expenses by 6.5%. In total the Scottish Government uplifted the GP contract by £59.6 million. This also included a 5.5% uplift to practice staff expenses, and a 6% uplift to wider practice expenses.

BBC Scotland do not mention, on health boards charges, this:

Controversial service charges which were threatening GP surgeries across the NHS Lothian area have been put on pause.

nor what the charges are for:

facilities management charges, which include cleaning, utilities and essential services 

https://www.edinburghnews.scotsman.com/news/politics/six-month-pause-on-gp-surgery-charges-5031161

It’s not clear whether the health board charges have gone up higher than the 6% allocated, or not. Perhaps BBC Scotland’s researchers could have found out.

BBC Scotland’s short insert on this in BBC Breakfast, is careful not to mention the tax hike and implies that blame for this lies at the Scottish Government’s door.

What’s the wider picture in Scotland?

4 thoughts on “How BBC England exposes the threat to GP surgeries of Labour’s National Insurance hike but BBC Scotland hides it and tries to blame Scottish Government instead

  1. BBC Scotland is a thoroughly discredited broadcaster . It has taken on the role of a propaganda outlet with one objective – to undermine the Scottish Government ( but only while it is an SNP Government ).

    It would not be out of place in Trump’s USA , gas lighting people with its misinformation , omissions and , sometimes , its outright lies .

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    1. Agreed, its primary purpose is to miss-inform while there is a SNP government or the Independence movement continues to thrive.

      It wasn’t always like that, especially Radio Scotland that could in the past be trusted for a good coverage of news accurately given – that of course is what its purpose was supposed to be. Not now, its a plain propaganda outfit based in Glasgow, on behalf of another country.

      The best thing to do is to continue to spread the results of the hard graft and and research that Prof. John and others do on what they are up to. Plus never, ever, pay them a penny. If I really wanted to pay for home grown propaganda, I could just buy the Herald.

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  2. THE 2018 GENERAL MEDICAL SERVICES CONTRACT IN SCOTLAND between the Scottish Government and BMA states:

    “Key Points

    • A new practice income guarantee will operate to ensure practice income stability.
    • A new funding formula that better reflects GP workload will be introduced from 2018 with additional investment of £23 million.
    • A new minimum earnings expectation will be introduced from 2019. 

    From 1 April 2018:

    • To introduce a new funding formula to better address practice workload (details are provided below)
    • That new arrangements will include the correction factor (Minimum Practice Income Guarantee) and core standard payments (previously QOF payments) in a consolidated global sum. The funding associated with these elements of the 2004 GMS Contract will be subject to the new formula and would cease to exist as separate funding streams thereafter
    • To make these changes in a protected manner so that no practice will lose funding. To maintain funding stability the Scottish Government has committed investment of an additional £23 million to fund the practices that receive a greater formula share and protect all other practices
    • That seniority arrangements remain unchanged
    • That there will be no out of hours opt-out deduction under the new arrangements. Nationally, 6% will be deducted from the 201 7/18 Global Sum prior to applying the new funding formula. This will conclude the opt-out arrangements made under the 2004 GMS contract.

    From 1 April 2019:

    • The government will introduce a GP partner whole-time equivalent minimum earnings expectation.

    On current evidence around one-fifth of GP partners earn less than a whole-time equivalent income of £80,430 (inclusive of pension contribution), based on partner shares of total practice GP income. We agree that no GP should receive less than €80,430 (inclusive of pension contribution) for a whole-time post. This is a first step towards greater income security that will be further bolstered in the following years.”….https://www.gov.scot/binaries/content/documents/govscot/publications/advice-and-guidance/2017/11/2018-gms-contract-scotland/documents/00527530-pdf/00527530-pdf/govscot%3Adocument/00527530.pdf

    Therefore Scottish Government giving an EXTRA £23 million in funding to GP practices and paying GP’s £80,430 per year. 

    As of 2022/23 the sum of NHS Scotland payments made to 910 General Practices was £1,013.0 million. Payments have increased by £23.6 million (2.4%) when compared to 2021/22. £47.6 million was paid to NHS Board run practices.

    A 2021 update to this contract states that “ BMA’s Scottish GP Committee (SGPC) negotiated further expression of elements to the contract. The principles underpinning our approach to these discussions were:

    • to give contractual expression to the transfer of responsibility for services so that they can no longer default to GPs to deliver
    • to create a mechanism where GPs will, where necessary, temporarily continue to provide MoU services so that there is no gap in provision
    • to agree a payment mechanism to compensate GPs where it is necessary to temporarily continue to provide MoU services that should no longer be their job
    • to prevent erosion of services once they are in place
    • to restate both parties’ commitment to the direction of travel in the contract, including Earnings and Expenses Reform and increasing investment in general practice”…….2021 update to 2018 Scottish GMS contract

    Thus passing the buck to the SNP Government!!!

    Dr Annie Lomas being  the Medical Director of Lothian LMC……About Us – Lothian LMC  has past history with the media in their anti Scottish Government propaganda…….this from 2023….. Last single-handed GP practice in Edinburgh to close – Pulse Today

    Her Practice…..”Linden Medical Practice is a training practice and we have GP registrars that are training in practice. These are fully qualified doctors but are gaining their GP certification and membership.”….. Doctors – Linden Medical Practice

    As far as I am concerned it is not best practice for a GP to be part of the ongoing media propaganda assault on the Scottish Government, who are trying to mitigate Labour Westminster razor cuts to our NHS, especially not from a highly paid “ professional” who the public put their trust in as a Doctor.

    Some Professionals should leave the politics to the politicians, after all could you imagine the rubbish politician dame Baillie ( I’m going to denigrate the SNHS at every turn) moonlighting as a GP.

    JB

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  3. I doubt any here are surprised by continued gaslighting of the scottish public by BBC Scotland, least of all when it comes from Lisa Summers.

    I’d dispute your observation on the BBC Scotland headline being vague – The difference between the England reporting of ” many would be forced to cut back on staffing or close ” versus the Scotland reporting of ” Doctors say they cannot afford to recruit new GPs ” is stark, one on redundancy, the other on new hires.

    This is pretty much a la Dr Kennedy, ignore the UK shortage of doctors in preference to blaming it all on SG funding…

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