Nursing in Practice March/April 2019 (issue 107) - Page 22

22 GP CONTRACT More nurses working in general practice The contract commits to increase funding to the core practice contract by a total £978m by 2023/24, which the BMA says will help increase the number of practice nurses. Guaranteed placements in primary care for undergraduate nurses The contract references Health Education England’s work to ensure there are more opportunities available in general practice for student nurses. There will also be apprenticeships opening in these settings, to make primary care nursing more accessible to a wider range of candidates. If it all bears fruit, primary care networks will see an increase in the number of trainee practice nurses taking on workload. How the new GP contract will affect practice nurses Indemnity costs Changes to QOF Practice nurses have traditionally seen their insurance costs covered by the practice. The new agreement will see all NHS GP service providers, including out-of-hours providers, have their indemnity costs covered by NHS England. It means practices will no longer have to cover practice nurse insurance payments. This will, in theory, increase the money available to fund a rise in staff pay for 2019/20, including that of practice nurses. The British Medical Association’s General Practice Committee recommends that practice nurse pay should rise by at least 2%. The QOF changes proposed by NICE last year will come into effect from April 2019. There will be: new indicators for glucose targets in frail patients with type 2 diabetes; a reintroduced HYP003 code that requires patients under 79 with hypertension to be controlled to 140/90mmHg; indicators for age- appropriate cervical screening advice; a requirement to offer pulmonary rehabilitation to patients with COPD; and weight management indicators for patients with schizophrenia or other psychoses. Exception reporting will be amended to offer fi ve choices of reason for removing a patient from an indicator. March/April 2019