NHS Digital publishes NHS Payments to General Practice, England, 2019/20 report

Notes for editors

1. 1.         Global Sum Payments are a contribution towards the contractor’s costs in delivering essential and additional services, including staff costs. Global Sum allocates money in accordance with perceived need. Figures are calculated quarterly, paid on a monthly basis and may change from one quarter to the next according to patient turnover and demographics. Global Sum is the main payment to practices and is based upon each practice’s registered patient list which is adjusted according to the Carr-Hill Formula to take into consideration differences in the age and sex of the patients as well as any in nursing or residential care, additional patient need due to medical conditions, patient turnover and unavoidable costs based upon rurality and staff market forces for the area.

   2.         Primary Medical Services contracts are locally negotiated, but Balance of Primary Medical Services (PMS) expenditure payments are similar to Global Sum and Minimum Practice Income Guarantee (MPIG) in General Medical Services payments.

   3.         Total QOF Payments is comprised of Quality Aspiration Payments and Quality Achievement Payments. Aspiration Payments are a part payment in advance in respect of achievement under the Quality and Outcomes Framework.

   4.         Total Local Incentive Schemes (LIS) are comprised of GP Extended Hours Access (a locally-developed service to provide extended hours access) and Other LIS (locally-developed services designed to meet local health needs). LIS replaces the previous "Local Enhanced Services" and "National Enhanced Services".

   5.     Average payment per patient amounts are not representative of the amount of funding available to spend on direct patient care. Average payments per patient at GP practice, CCG, region or national level should be treated with caution as some patients may be double-counted – for example due to practice closure – while conversely no information relating to patient list size is known for 115 practices.

   6. Average payment per patient amounts should not be compared with those presented in previous editions of this publication due to a change in methodology in 2019, although revised figures at England level for 2016/17 and 2017/18 have been calculated and are presented in the accompanying web page at https://digital.nhs.uk/data-and-information/publications/statistical/nhs-payments-to-general-practice/england-2019-20.

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Last edited: 25 August 2020 4:50 pm