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Latest NHS Payments to General Practice figures published

The NHS Payments to General Practice, England, 2018/19 report has been published today by NHS Digital.
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The NHS Payments to General Practice, England, 2018/19 report has been published today by NHS Digital.

The report details NHS payments to general practice services providers in England over the past financial year, captured by the National Health Applications and Infrastructure Services (NHAIS) and NHS England’s Integrated Single Finance Environment (ISFE).

Included in the report is a breakdown of payments made through the Global Sum1, Balance of Primary Medical Services (PMS) expenditure2, Quality Outcomes Framework (QOF)3 and Local Incentive Schemes4, and an estimate of how much the total of the payments covered by the report equates to per registered patient in England5

Payments to 7,279 general practice service providers in England are covered by the figures.

The data is reported at individual practice, Clinical Commissioning Group, regional and national level.5


Read the full report

NHS Payments to General Practice - England, 2018/19

Notes to editors

  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.
  2. Primary Medical Services contracts are locally negotiated, but are similar to Global Sum and Minimum Practice Income Guarantee (MPIG) in General Medical Services.
  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) is 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 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 – while conversely no information relating to patient list size is known for 121 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, though revised amounts at England level for 2016/17 and 2017/18 have been calculated and are presented in the accompanying web page at


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Last edited: 20 September 2019 7:40 am