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TPP QRISK2 - enhanced service

As you may be aware, GPC has repeatedly raised with NHS England the issue of reimbursement for practices for the additional workload placed upon them over the past year as a result of errors by external organisations contracted by NHS England.

One of these incidents is that of errors in the QRISK2 tool provided by TPP, which has resulted in miscalculations in patients’ cardiovascular risk scores. Since the error was discovered and resolved, GP practices have been carrying out any follow up needed with patients affected.

As a result of pressure from GPC, NHS England has now agreed a financial settlement with TPP and this will be used to reimburse practices for the associated workload they have had to undertake. A new enhanced service has been agreed which will allow GP practices to submit a claim through the Calculating Quality Reporting Service (CQRS). £6.50 is available per assessed patient, regardless of the manner in which they are assessed. On average, a practice using SystmOne will have up to 100 affected patients to review and can therefore, on average, expect to claim up to £650, which will be made in arrears.

NHS England regional teams are currently being informed of this agreement and will shortly be writing out to all practices.


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