GMC FOI re MAPs regulation

MAPs

Request, dated 26 October 2023:

In your news article “More information on PAs and AAs” [link], “Our work to introduce regulation of PAs and AAs is wholly funded by direct grant from the DHSC and closely managed to ensure no cross-subsidisation from doctor fees.”

Could you please provide me with the following information:

  • How much exactly has the GMC received over each of the last three years, and how much is the GMC due to receive over the next three years (broken down by year) from DHSC to introduce regulation of PAs and AAs?

  • A copy of the terms of engagement (or similar) for this piece of work, indicating details of key deliverables / associated KPIs

  • A copy of the latest minutes for the committee that is immediately responsible for undertaking this piece of work

Many thanks &c

Response, dated 5 December 2023:

Thank you for your email of 26 October asking for information relating to the regulation of AAs and PAs. I’ve considered your request under the Freedom of Information Act 2000 (FOIA). I’m sorry for the delay in providing this response and any inconvenience caused.

  • How much exactly has the GMC received over each of the last three years, and how much is the GMC due to receive over the next three years (broken down by year) from DHSC to introduce regulation of PAs and AAs?

The GMC agreed to take on regulation of PAs and AAs on the condition that no additional costs would fall on doctor registrants. We invoice the DHSC for all costs arising from our work on PAs and AAs and will continue to do so until these are covered by PA and AA registration fees. Please see the below table for details of these transactions:

Account(T) Period Amount Supplier Invoice Number Invoice Date Payment Date Phase
Other Miscellaneous Sales 202001 -220,399.00 Department of Health and Social Care 90001825 16/01/2020 31/01/2020 Scoping
Other Miscellaneous Sales 202002 -97,119.00 Department of Health and Social Care 90001838 24/02/2020 09/03/2020 Scoping
Other Miscellaneous Sales 202003 -83,680.00 Department of Health and Social Care 90001844 16/03/2020 02/04/2020 Scoping
Other Miscellaneous Sales 202004 -47,198.00 Department of Health and Social Care 90001851 09/04/2020 23/04/2020 Scoping
Other Miscellaneous Sales 202007 -291,900.50 Department of Health and Social Care 90001882 16/07/2020 01/09/2020 Implementation
Other Miscellaneous Sales 202010 -462,680.50 Department of Health and Social Care 90001901 16/10/2020 21/10/2020 Implementation
Other Miscellaneous Sales 202101 -594,899.08 Department of Health and Social Care 90001925 14/01/2021 29/01/2021 Implementation
Other Miscellaneous Sales 202104 -644,413.00 Department of Health and Social Care 90001964 13/04/2021 28/04/2021 Implementation
Other Miscellaneous Sales 202107 -634,705.00 Department of Health and Social Care 90001982 09/07/2021 14/07/2021 Implementation
Other Miscellaneous Sales 202110 -605,999.00 Department of Health and Social Care 90001998 14/10/2021 20/10/2021 Implementation
Other Miscellaneous Sales 202201 -719,992.10 Department of Health and Social Care 90002020 13/01/2022 19/01/2022 Implementation
Other Miscellaneous Sales 202204 -734,334.06 Department of Health and Social Care 90002046 21/04/2022 27/04/2022 Implementation
Other Miscellaneous Sales 202207 -291,900.50 Department of Health and Social Care 90002065 21/07/2022 12/08/2022 Implementation
Other Miscellaneous Sales 202210 -599,562.06 Department of Health and Social Care 90002081 25/10/2022 08/11/2022 Implementation
Other Miscellaneous Sales 202301 -880,649.77 Department of Health and Social Care 90002094 31/01/2023 07/02/2023 Implementation
Other Miscellaneous Sales 202304 -509,594.89 Department of Health and Social Care 90002110 14/04/2023 20/04/2023 Implementation
Other Miscellaneous Sales 202307 -329,937.34 Department of Health and Social Care 90002124 20/07/2023 27/07/2023 Implementation
Other Miscellaneous Sales 202310 -324,620.06 Department of Health and Social Care 90002137 12/10/2023 24/10/2023 Implementation
Total -8,073,583.86

You can see these figures under the heading ‘restricted funds’ in our published annual accounts for 2020, 2021 and 2022, accessible on the GMC website.

We invoice the DHSC on a quarterly basis for our actual costs (primarily staff time) incurred in the previous quarter and regularly update our forecasts for future costs. Our current estimate is that we’ll require an additional £2.2 million in funding from the DHSC over the next two years, on top of the £8.1 million already invoiced to date. However, we may ask the DHSC for more, or less, than this depending on the amount of work needed and the date when regulation starts.

  • A copy of the terms of engagement (or similar) for this piece of work, indicating details of key deliverables / associated KPIs

Please find attached a copy of the Memorandum of Understanding on the implementation of physician associates and anaesthesia associates with the Department of Health and Social Care.

  • A copy of the latest minutes for the committee that is immediately responsible for undertaking this piece of work

Please find attached the latest minutes from the MAPs programme board.

I hope you find this information useful. If you have any queries about this, or need anything further, please contact me on the details below.

Yours sincerely &c

Attachments:

DHSC-GMC MoU

MAPs Programme Board Meeting 08 Oct 2023

Follow-up:

A response was sent to the GMC to clarify some matters above: see the associated follow-up and response here.