London GP clinic sees big jump in patient registrations after Babylon app launchBMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j5908 (Published 21 December 2017) Cite this as: BMJ 2017;359:j5908
All rapid responses
The comments in this article seem contradictory, if only healthy patients register at the practice, why would they try to 1) contact the practice and 2) try to obtain a face to face consultation with the previous GP?
If GP at hand is a GMS practice, then the Allocation Formula should afford the practice the income appropriate to the patient profile, based on the weighting of the age, gender, deprivation. It should also provide the full range of services patients are entitled to, the new regulations on out-of-area registrations are open to any practice, it just means home visits become the responsibility of the NHS and patients can opt to travel further for face-to-face consultations. This is the price for the promise of fast online consultations. Additionally, patients are free to register at any other practice that will accept them, so they are free to register at a practice not offering the online consultation service.
In my opinion GP at hand has been successful in attracting the most demanding patients for the lowest capitation fees. Good luck to them, they are going to need it.
Funding inequalities exist, between different contracting methods, PMS and APMS providers generally receive in excess of GMS practices for providing the same services. (1) Those persisting inequalities and the ongoing MPIG correction factor unfairness between GMS contractors should be the focus of the NHS (2).
(1) Morgan ,Beerstecher, Primary care funding, contract status, and outcomes: an observational study. Br J Gen Pract 2006; 56 (532): 825-829 http://bjgp.org/content/56/532/825
(2) Rhys, Beerstecher, Morgan Primary care capitation payments in the UK. An observational study BMC Health Services Research201010:156 https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-10...
Competing interests: No competing interests