NHS Payments to General Practice, England 2016/17 presents NHS payments to individual providers of general practice services in England. Figures are given for the main payment categories which include Global Sum1, the Minimum Practice Income Guarantee (MPIG), Balance of PMS expenditure, Quality Outcomes Framework (QOF) and Enhanced Services.
These payments are not a record of the amount of money available for direct patient care. Instead, they constitute the majority of actual monies paid to practices by the NHS during the 2016/17 financial year. These payments are intended to cover all costs associated with the delivery of primary care medical services and include funding for premises costs, dispensing and other activities. The payments are a subset of the total invested in Primary Medical Care, as some funding - such as payments for clinical waste or some information technology services - does not reach individual GP practices but is centrally managed.
The data used for this report cover the period from 1 April 2016 to 31 March 2017 and include GP practices, and providers of general practice services, that received payments through the NHS Digital GP Payments system - National Health Applications and Infrastructure Services (NHAIS) - and NHS England's Integrated Single Finance Environment (ISFE) which captured all CCG and regional local team payments made directly to practices.
In 2016/17, all payments captured in ISFE - which amount to a net total of £806.2 million2 - are included in the report. For the 2015/16 report, only payments made by CCGs for Local Enhanced Service (LES) and captured in ISFE could be included in the published data; the 2013/14 and 2014/15 publications included data from NHAIS alone3.
The report is cash-based per provider of general practices service and presents all payments made directly to practices by the NHS, including invoices paid by NHS England and CCGs. However, any other direct payments, such as Local Authority Public Health Grants, are not included.
1. Global sum makes up the bulk of payments to practices, and allocates funding in accordance with the Carr-Hill formula. This formula takes into consideration, along with other practice characteristics, individual patients' age, gender and health conditions and calculates a "weighted" count of patients according to need. This means that two practices with the same number of patients may have very different weighted patient numbers due to widely varying patient characteristics and health conditions, and as a result, these practices which may seem to be similar in terms of list size, could receive very different levels of funding.
2. Please note that data on all payments made, by Clinical Commissioning Groups and NHS England Regional Teams, via the Integrated Single Finance Environment are not available for years prior to 2016/17, therefore comparisons between years should be made with caution.
3. Data for years prior to 2013/14 are not available.