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There has been a noticeable increase in the demand from AQP’s for access to IG services and access to N3 etc.

There is a big problem though – where the AQP was previously GP/consultant created a lot of what they needed could be obtained via the old PCT or from indirect support from the GP Practice that could indirectly support the AQP.

This is now changing.

Basically since 2013 the NHS is no longer indirectly subsiding certain types of AQP and is now basically saying that if you want the business you show that you are running a business.

That means that more direct costs are being identified and those types of AQP’s are struggling to understand what they need.

A suggestion that was made to GRG was that we should offer a free 1 hour consultation to GP Practices and AQP’s to try and drum up business.

The problem with that is that there are so many out there that we would never make any money  and it also defeats the object.

IG is now almost 15 years old.

The Data Protection Act is 18 years old.

If you are a running a business that provides a service to the NHS you should know that certain things are required.

Also, in the same way that an AQP needs to make money so do the people who provide services to them.

Rates linked to the provision of those services have been baselining over the last couple of years – that means there is competition but at the same time you need to think outside the box to get more and pay less.

The other thing to think about is that is someone has been subsidising you as a business that may mean an unfair commercial advantage and that is something that the Competition and Marketing Authority is looking at – just look at private practice and PHIN.

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