Skip to main content

Publication, Part of

NHS Payments to General Practice, England 2021/22

Current Chapter

NHS Payments to General Practice, England 2021/22

GP Contract Type Issue

It was identified that some of the contract types recorded against GP practices were incorrect. This has now been investigated and the following files have been updated to correct the issue.

  • NHS Payments to General Practice, England, 2021/22: Annex 1 Tables and Charts
  • NHS Payments to General Practice, England, 2021/22: Practice Level CSV

The tables in Annex 1 affected by the change are Tables 1a and 2

8 February 2023 11:32 AM


NHS Payments to General Practice, England 2021/22 provides information on NHS payments to individual providers of general practice services in England. Figures are given for the main payment categories - which include Global Sum, Balance of PMS expenditure, Quality Outcomes Framework (QOF) and Local Incentive Schemes.

It is not a record of the amount of money available for direct patient care, nor the total invested in patient care through general practice. Instead, it constitutes the majority of actual monies paid to practices for all activities and costs during the 2021/22 financial year.

Payments relating to Primary Care Networks (PCNs) are included covering seven categories PCN Participation, PCN Leadership, PCN Support, PCN Workforce, PCN Care Home Premium, PCN Extended Hours Access and PCN Investment and Impact Fund.

The pandemic affected the way General Practice operated in 2020/21 and 2021/22 and placed additional responsibilities on GP practices for which they received additional payments. The report for 2021/22 includes three additional categories for COVID-19 related payments, COVID-19 Support and Expansion, COVID-19 Immunisation and Long Covid.

£4,140.8 million

for Global Sum

£1,612.2 million

for Balance of PMS Expenditure

£814.1 million

for premises payments

£788.6 million

for the Quality and Outcomes Framework

Nationally the NHS paid on average £163.65 per registered patient

Average payments per patient at CCG, region or national level should be treated with caution as some patients may be double-counted – for example due to practice closure. Conversely no information relating to patient list size is known for 188 practices.


Average payment per patient amounts should not be compared with those presented prior to the 2018/19 edition of this publication due to a change in methodology in 2018/19. Revised amounts at England level for 2016/17 and 2017/18 have been calculated and are presented in the Executive Summary.


Please refer to the Patient List Size in the Data Quality section for more detail.

Last edited: 20 February 2023 9:12 am