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Publication, Part of

GP Earnings and Expenses Estimates, 2020/21

4. Northern Ireland

COVID-19

Arrangements in place between April 2020 and March 2021

Elements of the GMS contract were frozen with income guaranteed at the outset of the pandemic, for example the suspension of Quality Outcomes Framework (QoF) activity and downturn of enhanced services. The value of a QoF point was increased in line with prevalence.

Practices were required to fully engage and commit to the Covid Centres to help manage the crisis. This included 32 hours additional cover above core hours that was paid to practices to provide this.

With the introduction of the Coronavirus Act, the procedures regarding the payment of sickness benefit were adjusted so that those GPs who were engaged in Covid related work could claim from their first day of illness rather than from the fourth week.   

The commissioning priorities were engagement in the flu vaccination programme and participation in local Covid response.

GPs played a major role in the Covid vaccination programme in Northern Ireland. Payment was made through the Northern Ireland Local Enhanced Service (NILES). GP practices vaccinated clinical at-risk groups as directed by the Chief Medical Officer. The NI LES COVID-19 Vaccination Enhanced Service was £12.58 per dose, and additional support money was provided in recognition of the challenges of social distancing, staff training, data collection and possible indemnity costs. Further additional support money was made available to recognise challenges relating to vaccine supply on the basis that practices use VMS (additional £100 per 1000 patients per round of vaccinations). The rollout to other groups was at Trust operated Mass Vaccination Centres.

GPs in Northern Ireland also delivered the flu vaccination programme. £1m additional funding to support the flu vaccination programme was made available in 2020/21.

It is likely that the increase in expenses for Salaried GPs in Northern Ireland is explained by the fact there is no state backed indemnity insurance in Northern Ireland.


Contractor GPs

Table 4.1: GMS contractor GPs - mean earnings, expenses and income before tax by dispensing status, Northern Ireland, 2019/20 and 2020/21

      Mean    
Dispensing Status Year Report
Population
Gross Earnings Total Expenses Income Before Tax Income Before Tax Change1 Expenses to
Earnings Ratio
All GPs 2019/20 1,150 £228,000 £128,400 £99,600   56.3%
2020/21 1,150 £246,800 £134,800 £112,000 SIG 54.6%
Change 0 +8.2% +5.0% +12.5%   -1.7 Percentage Points
Dispensing GPs 2019/20 c c c c   c
2020/21 c c c c   c
Change z z z z   z
Non-dispensing GPs 2019/20 1,100 £227,800 £128,200 £99,600   56.3%
2020/21 1,100 £245,600 £133,900 £111,700 SIG 54.5%
Change 0 +7.8% +4.4% +12.1%   -1.8 Percentage Points
Source: NHS Digital

Notes:

1. Statistical significance relates only to the fact of a year-on-year change in income before tax. See 'Statistical significance explained'.

2. Further expenses breakdowns are published in the Excel Time Series, available under Resources on the Overview page.

3. Results for dispensing GPs are suppressed due to low sample numbers.

Statistical Significance Explained

Year-on-year differences between income before tax estimates have been tested for statistical significance at a 95 per cent confidence level. An increase or decrease in estimates that is statistically significant is likely to be a genuine change, rather than resulting from chance, and means that users can have greater confidence that any apparent differences are applicable to the entire population in question.

Statistical significance in this report relates only to the fact of an increase or decrease in average income before tax and does not consider the size of the change; in some cases, apparently large changes may not be statistically significant and vice versa.

Average gross earnings, total expenses and median income before tax figures have not been tested, as standard errors were not available. Throughout the rest of the report, results and comparisons have not been tested for statistical significance unless otherwise stated.

Standard errors to support the statistical significance of the income before tax results are available in the CSV files which supplement this report. In the accompanying interactive report, margins of error, which are calculated from the standard errors, are presented. The margin of error shows the maximum expected difference between the true average income before tax and the estimate presented, with a confidence level of 95 per cent.

Notes on the tables in this chapter

1. Further explanatory notes can be found under GPs included and how to interpret the results

2. Report population figures are by headcount

3. In expenses breakdown tables, values in parentheses represent percentage of total expenses

4.  c = confidential - results suppressed due to low sample numbers

5.  z = not applicable

Median gross earnings, total expenses and income before tax

Table 4.2: GMS contractor GPs - median earnings, expenses and income before tax, Northern Ireland, 2019/20 and 2020/21

      Median
Contract Type Year Report
Population
Gross Earnings Total Expenses Income Before Tax
GMS 2019/20 1,150 £215,800 £117,100 £97,000
2020/21 1,150 £234,700 £121,300 £108,600
Change 0 +8.8% +3.6% +12.0%
Source: NHS Digital

Note:

1. The median figures are all lower than the mean figures in Table 4.1 which indicates that there is a relatively small number of contractor GPs with high earnings increasing the mean figures.

 

Breakdown of expenses for contractor GPs

Table 4.3: GMS contractor GPs - breakdown of mean expenses by dispensing status, Northern Ireland, 2020/21

Dispensing Status Report
Population
Total
Expenses
Office and
General
Business
Premises Employee Car and
Travel
Interest Other Net Capital
Allowances
All GPs 1,150 £134,800 £22,300 £15,600 £80,000 £1,100 £800 £13,700 £1,200
(100%) (16.5%) (11.6%) (59.4%) (0.8%) (0.6%) (10.2%) (0.9%)
Dispensing GPs c c c c c c c c c
c c c c c c c c
Non-Dispensing GPs 1,100 £133,900 £22,400 £15,500 £79,500 £1,100 £800 £13,400 £1,200
(100%) (16.7%) (11.6%) (59.4%) (0.8%) (0.6%) (10%) (0.9%)
Source: NHS Digital

Notes:

1. Results for dispensing GPs are suppressed due to small sample sizes and so comparisons between dispensers and non-dispensers are not possible.

2. Further expenses breakdowns are published in the Excel Time Series, available under Resources on the Overview page.


Salaried GPs

Table 4.4: GMS salaried GPs - mean earnings, expenses and income before tax, Northern Ireland, 2019/20 and 2020/21

      Mean  
Contract Type Year Report
Population
Gross Earnings Total Expenses Income Before Tax Income Before Tax Change1
GMS 2019/20 200 £63,000 £6,500 £56,500  
2020/21 200 £69,400 £8,100 £61,300 NOT SIG
Change 0 +10.1% +24.2% +8.5%  
Source: NHS Digital

Note:

1.Statistical significance relates only to the fact of a year-on-year change in income before tax. See 'Statistical significance explained'.

 

Median gross earnings, total expenses and income before tax

Table 4.5: GMS Salaried GPs - median earnings, expenses and income before tax, Northern Ireland, 2019/20 and 2020/21

      Median
Contract Type Year Report
Population
Gross Earnings Total Expenses Income Before Tax
GMS 2019/20 200 £60,000 £5,600 £54,400
2020/21 200 £63,000 £5,900 £56,100
Change 0 +5.0% +6.2% +3.1%
Source: NHS Digital

Note:

1. The median figures are all lower than the mean figures in Table 4.4, indicating that a small number of salaried GPs on high earnings are increasing the mean estimates.


Combined GPs (Contractor and Salaried)

Table 4.6: GMS combined GPs - mean earnings, expenses and income before tax, Northern Ireland, 2019/20 and 2020/21

      Mean  
Contract Type Year Report
Population
Gross Earnings Total Expenses Income Before Tax Income Before Tax Change1
GMS 2019/20 1,300 £205,000 £111,400 £93,600  
2020/21 1,350 £220,700 £116,200 £104,500 SIG
Change 50 +7.7% +4.3% +11.7%  
Source: NHS Digital

Notes:

1.Statistical significance relates only to the fact of a year-on-year change in income before tax. See 'Statistical significance explained'.

2. Perhaps because contractor GPs account for the majority of the Northern Ireland GP report population, the year-on-year changes in earnings and expenses estimates for contractor and salaried GPs combined are similar to those of contractor GPs alone.

 

Table 4.7: GMS Combined GPs - median income before tax, Northern Ireland, 2019/20 and 2020/21

      Median
Contract Type Year Report
Population
Income Before Tax
GMS 2019/20 1,300 £91,000
2020/21 1,350 £101,400
Change 50 +11.5%
Source: NHS Digital

Note: 

1. As was the case for contractor and salaried GPs separately, the median income before tax estimates are lower than the mean for both years for combined GPs in Northern Ireland.



Last edited: 1 September 2022 9:19 am