GP Payments 2018/19

URL: https://www.opendata.nhs.scot/dataset/11c09588-61d6-4d45-be68-0a98fd061003/resource/0dc48fd0-6321-42ed-a335-ab3d195682ec/download/gppayments2018-19.csv

Payments to General Practices in NHSScotland, at Practice level, for the financial year 2018/19.

Practices can open, close, merge with other practices, change their name, or change their PracticeType (e.g. from GMS to 2C) over the course of time. Note the following changes in 2018/19:

A81012, G43581, N30078, S71449 - Practice resulted from merger occurring during 2018/19, income represents the total of that for the merged and predecessor practices.

A80895, G43415, G43345, N30773, N30805, S70959, S70037, S70643 - Practice closed during course of 2018/19. The payment figures for this practice will not be comparable to those for the other practices.

N30275, V25012, L63279, Y18381 - Practice lost patients to other practice in 2018/19.

N30294, V25972, L63724, Y18396 - Practice gained patients from other practice in 2018/19.

A80626, C84523, T11931 - GMS practice changed to non-payment.

C87240, G43557 - 2C practice changed to GMS.

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Data Dictionary

Column Type Label Description
FinancialYear text The date of the financial year (ccyy/yy e.g. 2019/20)
HB text Health board 2019 Code of GP Practice

Health board labels

PracticeCode numeric Five digit numeric GP Practice Code

GP Practice labels

PracticeType text GP practice contract type. GMS (17J): This type of contract is defined under Section 17J of the 1978 Act. The contract was nationally negotiated with some local flexibility for GPs to 'opt out' of certain services or 'opt in' to the provision of other services. 17C: Formerly known as 'Personal Medical Services' or PMS agreements, these are locally negotiated agreements which are more flexible in accordance with local circumstances. Whilst the majority of 17C practices are paid through the Practitioner Services payment system, the payments are not all broken down by the various GMS categories, and can vary by NHS Board in the way they are broken down. For this publication we have included the Global Sum amount for all practices including those that do not record this in the payment system at the practice level. 2C: 'Health Board Primary Medical Services' contracts, where the NHS Board can, in certain circumstances, make arrangements with either a NHS organisation or a non-NHS organisation for the provision of NHS services. Often, these Section 2C practices are run by the Boards themselves and only a total figure for payments is available. However, as the Global Sum is calculated for all practices we have included the Global Sum figure for these practices.
PracticeListSize numeric The number of patients registered with the GP practice. The Practice List size is at the start of the financial year.
PracticeListSizeQF text Qualifier for PracticeListSize

Qualifier information

GlobalSum numeric Global Sum Payments are a contribution towards the contractor’s costs in delivering essential and additional services, including its staff costs. The total Global Sum amount for Scotland is distributed amongst practices on a weighted capitation basis using the Scottish Allocation Formula. This formula allocates resources to GP practices on the basis of the practice workload and needs of their patients, taking into consideration the relative costs of service delivery.
CorrectionFactor text Prior to 2018/19, a payment adjustment initially linked to the minimum practice income guarantee made as part of the 2004 contract in the Primary Medical Services (Scotland) Act 2004. This correction factor was agreed to ensure that no practice was disadvantaged as a result of the introduction of the contract.
CorrectionFactorQF text Qualifier for CorrectionFactor

Qualifier information

IncomeAndExpensesGuarantee text Since 2018/19, the Income and Expenses Guarantee is a payment based on the historic revenue of a practice under the General Medical Services Statement of Financial Entitlements 2017/18 for its Analogous Global Sum (AGS), and is essentially designed to protect those income levels.
IncomeAndExpensesGuaranteeQF text Qualifer for IncomeAndExpensesQuarantee

Qualifier information

DirectEnhancedServices text (DES) Services that Health Boards must ensure are provided for patients within their area. These can include services such as flu immunisations, childhood immunisations and minor surgery. Health Boards are legally obliged to commission all DESs. Individual practices, however, do not have to agree to undertake this work.
DirectEnhancedServicesQF text Qualifier for DirectEnhancedServices

Qualifier information

NationalEnhancedServices text (NES) Services which Health Boards may seek to commission within their area, include anti-coagulant monitoring, intra partum care, minor injuries, IUCD fitting, drug and alcohol misuse.
NationalEnhancedServicesQF text Qualifier for NationalEnhancedServices

Qualifier information

LocalEnhancedServices text (LES) Services which are commissioned by Health Boards and are locally negotiated. They are intended to be services provided in response to specific local needs or innovations that are being piloted, such as methadone administration as part of drugs misuse services.
LocalEnhancedServicesQF text Qualifier for LocalEnhancedServices

Qualifier information

QualityAndOutcomesFramework text Prior to 2016/17, payments to practices under the Quality and Outcomes Framework, consisting of a previous year's balancing payment and a current year's aspiration payment. In 2016/17 the Quality & Outcomes Framework (QOF) was decommissioned, with all points retired and funding transferred to practice core funding. From 2016/17, QOF data was no longer extracted for payment purposes and these payments are associated with Transitional Quality Arrangements.
QualityAndOutcomesFrameworkQF text Qualifier for QualityAndOutcomesFramework

Qualifier information

QualityTransitionalArrangements text In 2016/17, the Quality & Outcomes Framework (QOF) was decommissioned and Transitional Quality Arrangements (TQA) were introduced during 2016/17. These involve GP practices grouping together to form locally agreed clusters of practices.
QualityTransitionalArrangementsQF text Qualifier for QualityTransitionalArrangements

Qualifier information

QualityPayments text In 2017/18, funding was provided for quality leads sessions in the new Transitional Quality Arrangements.
QualityPaymentsQF text Qualifier for QualityPayments

Qualifier information

TotalQualityArrangements text The new GMS contract came into effect from the 1st April 2018, these payments are associated with Transitional Quality Arrangements.
TotalQualityArrangementsQF text Qualifier for TotalQualityArrangements

Qualifier information

Premises text Payments to practices who provide their own premises.
PremisesQF text Qualifier for Premises

Qualifier information

Seniority text Payments to a contractor in respect of individual GPs to reward experience, based on years of Reckonable Service
SeniorityQF text Qualifier for Seniority

Qualifier information

OtherPayments text Items not covered by the other types of payments.
OtherPaymentsQF text Qualifier for OtherPayments

Qualifier information

OptedOutServices text A reduction in global sum where the practice does not provide additional services, such as Child Health Surveillance.
OptedOutServicesQF text Qualifier for OptedOutServices

Qualifier information

17CPayments text Where possible, the same breakdown of income as shown for GMS practices is given for Section 17C practices; where not possible only the total income is listed.
17CPaymentsQF text Qualifier for 17CPayments

Qualifier information

2CPayments text Balance of the costs to the NHS Boards of providing services through 2C practices. This has been provided by the NHS Boards and is not recorded on the General Practice Payment System.
2CPaymentsQF text Qualifier for 2CPayments

Qualifier information

TotalPayments numeric The total of the above, which is the total of payments for Primary Medical Services to each contractor, before deductions for pension contributions and levy payments.
DispensingDoctorPayments text This payment is for reimbursement of drugs and fees paid to practices that are required to provide dispensing services for their patients. It is included here to facilitate reconciliation of total payments to those practices.
DispensingDoctorPaymentsQF text Qualifier for DispensingDoctorPayments

Qualifier information

Additional Information

Field Value
Data last updated January 20, 2021
Metadata last updated January 14, 2021
Created January 14, 2021
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