The majority of the payments are provided by NHS Digital’s GP Payments system – National Health Applications and Infrastructure (NHAIS). These payments data were available for the first time in 2013/14; figures for earlier years are not available.
In 2015/16, figures relating to the payments made by NHS England and NHS Improvement’s Integrated Single Finance Environment (ISFE) for Local Enhanced Services (LES) – now called Local Incentive Schemes (LIS) - were included for the first time. Data capturing all ISFE ‘payables ledger’ payments has been included since 2016/17.
It is therefore important to consider the additional data included when making year-on-year comparisons, as payments made via ISFE are not available for earlier years.