Recent documents linked to the government’s 10-year health plan have revealed thinking behind a review of the Carr-Hill funding formula. While the formula itself is widely accepted as outdated, the proposals being explored go far beyond a technical recalibration.

They point towards a future in which funding is more conditional, more targeted, and more closely linked to outcomes, patient experience, and workforce participation.

For GP Partners, this marks a significant shift – one that will influence not just finances, but leadership, structure, and staffing decisions across practices.

Matthew sits down with David Clark, Executive Partner in the Southwest to discuss his thoughts on this.

00:09 Introductions

00:48 Why is reform in general practice inevitable

04:18 Are the current models in Primary Care outdated?

07:32 Looking at the Carr Hill formular

13:12 The potential impact on Practice funding

17:52 How can changes be applied to both large and small practices?

21:04 How can practices mitigate risk?

24:20 How do you find the headspace to consider your approach

28:32 How different approaches to change may look

31:42 How important is it to have someone business oriented in the practice?

37:25 How can you future proof your practice?

44:10 Potential issues with the same format for all practices

47:32 Final thoughts on how to protect yourself and mitigate risk