Notes for editors
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 needs due to medical conditions, patient turnover and unavoidable costs based upon rurality and staff market forces for the area.
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.
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.
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 108 practices.
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.
PCN Participation payments, which relate to all practices taking up membership of a PCN, are included in all tables, averages and totals. Total payments and average payments per patient figures have been calculated both including and excluding payments to six categories which relate only to Primary Care Network (PCN) lead organisations - PCN Leadership, PCN Support, PCN Workforce, PCN Care Home Premium, PCN Extended Hours Access and PCN Impact and Investment Fund. Payments to these categories are provided as a total in Table 2 and have not been included in Table 3 but are presented at PCN and CCG level in Table 4.
The pandemic affected the way General Practice operated in 2020/21 and placed additional responsibilities on GP practices for which they received additional payments. The report also includes two additional categories for COVID-19 related payments, COVID-19 Support and Expansion and COVID-19 Immunisation. COVID-19 support, and expansion payments covered the additional costs incurred by General Practice due to COVID-19, for example, additional staff costs to cover sick leave, additional care home visits and personal protective equipment. COVID-19 immunisation payments covered the additional costs incurred to support the co-ordination and delivery of the COVID-19 vaccination programme.
Last edited: 23 November 2021 4:03 pm