BMA Cymru calls for capitation-based dispensing pay

BMA Cymru has proposed a capitation-based system for dispensing patients and removal of the clawback in recommendations to the Welsh Assembly.

Responding to the Senedd Cymru Health and Social Care Committee inquiry, The future of general practice in Wales, BMA Cymru has called on the Welsh Government to build on existing commitments for reforms to the dispensing doctor system.

In its response, co-produced by the DDA, BMA Cymru calls for:

removal of dispensing fee system
reimbursement for loss-making drugs
a new dispensing IT fund, including distinct non-GMS funding for electronic prescribing, which would also allow practices access to technological innovations such as ATMs, robotic tools.

Describing dispensing practice as playing a vital role in rural general practice, the BMA highlights challenges including loss-making reimbursement, outdated clawback rates, and the minima real terms uplift to the dispensing fee since 2012.

The BMA also states that EPS implementation costs should not be taken from the core GMS budget.

Recently, the Senedd published a report into the inquiry’s engagement findings, highlighting rural recruitment and digital connectivity challenges and shortcomings in the Carr-Hill formula.

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