http://news.bbc.co.uk/hi/english/health/newsid_1842000/1842236.stm

 

Tuesday, 26 February, 2002, 14:23 GMT

'Scrap GP vaccine payments'

GPs are paid for meeting vacciation targets

Pressure is mounting for the abolition of the scheme under which GPs receive extra payments if they immunise a high proportion of their patients.

Currently, family doctors receive extra money if they give sufficient numbers of children particular vaccines.

These include the combined vaccine for diphtheria, tentanus and polio and the controversial combined jab for measles, mumps and rubella.

Immunisation target payments pollute the doctor-patient relationship

Dr Evan Harris

However, opponents say that it is wrong that doctors stand to profit from convincing parents to allow their children to have the jab.

Currently, GPs are paid a standard amount once 70% take-up of the MMR vaccine is achieved and higher payments once take-up tops 90%.

Speaking in a House of Commons Adjournment Debate on Tuesday, Dr Evan Harris, the Liberal Democrat health spokesman, added his voice to calls for the abolition of the current scheme.

He said: "Immunisation target payments are a conspiracy theorist's paradise and they pollute the doctor-patient relationship.

"How can we expect parents to believe they are getting the best independent advice from their GP, when the spectre of financial incentives hangs over the consultation?"

Dr Harris also criticised GPs who suspend patients from their lists in order to achieve immunisation targets.

"It is totally unacceptable and wholly unethical for practices to strike families off their list for refusing to accept immunisation, or to suspend children temporarily from their lists in order to claim the immunisation target payment.

"The GMC and primary care trusts must re-issue urgent guidance and clamp down on any such practices."

Doctors' move

The British Medical Association's GP Committee has written to the Department of Health calling for a "moratorium" on immunisation target payments.

If agreed, family doctors would continue to encourage the take up of MMR and other vaccines but would not be financially penalised if parents - possibly influenced by adverse publicity - decided against immunisation.

Leeds GP Dr Robert Addlestone, said that doctors were being pressured into recommending MMR by the prospect of financial penalties.

Although he thought MMR was safe, he said parents should be able to choose whether their child had the jab.

He said: "I think it's just morally and ethically wrong that the target payments should be tied up with having to persuade parents to have the MMR vaccine.

"Patients should not be affected by our financing. GPs shouldn't be thinking about finance when talking to parents about this."

ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE.  THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.