NHS inspectors are pushing through massive increases in fees to practices and NHS trusts, it has been announced.

The Care Quality Commission made its announcement 12 months after running a consultation on the proposals.

It will mean costs for a medium size GP practice reach nearly £5,000 – increasing by £1,953 to £4,526. The fee is just £300 less than originally proposed while practice fees have increased more than six times over two years.

NHS Trusts will see their fees increase by about half – reaching more than £202,000 a year.

The fee increases reflect the controversy about NHS finances – as the CQC has had its budgets cut so the Department of Health can channel more money directly to NHS providers of services.

Practices have been promised they may be able to recover their additional costs – although this will eat into extra funds being put aside for primary care.

Only dental practices have seen a reduction in fees.

The NHS Providers organisation warned the increases would divert “scarce resources away from front-line care.”

Amber Davenport, from the organisation, said: “When the CQC started its consultation, we warned that the proposals meant that some trusts could see their fees hiked by 50% – for some this represents an increase of £100,000. Despite clear concerns raised by the sector throughout the consultation period, this is the scenario we are now seeing.”

She added: “The cost rises will also have a significant impact on social care providers. These stresses will have a knock-on effect on NHS services already struggling to absorb the fee rises from the previous two years.

“The government and national bodies must consider how best to support trusts to pay for these increases.”

The commission said its fees represented some 0.16% of spending in health and social care. It has a budget of more than £200 million.

Chief executive David Behan said: “The public are entitled to health and care which is safe, effective, high-quality and compassionate.

“All providers of health and care must be registered in order to provide services. CQC provides the public with independent assurance that services are operating in their interests. The fee paid by providers is the charge for being registered with CQC.”