GP Payments 2023/24
Payments to General Practices in NHSScotland, at Practice level, for the financial year 2023/24.
Practices can open, close, merge with other practices, change their name, or change their contract type (e.g. from GMS to 2C) over the course of time. A comprehensive list of all these changes for 2023/24 can be found in the Glossary & Metadata document.
Data Dictionary
| Column | Type | Label | Description |
|---|---|---|---|
| FinancialYear | text | The date of the financial year (ccyy/yy e.g. 2020/21) | |
| HB | text | Health Board 2019 Code of GP Practice | |
| PracticeCode | numeric | Five digit numeric GP Practice Code | |
| 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 | text | 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 | |
| GlobalSum | numeric | Global Sum Payments are a contribution towards the contractor’s costs in delivering essential and additional services, including its staff costs. The Scottish Workload Formula (SWF) is a population-based formula at GP practice level with a series of ‘weightings’ to reflect the relative demand of GMS patients. It is used to allocate the Global Sum between practices. | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| Professionalism | text | Payments associated with Transitional Quality Arrangements (payments which relate to cluster quality work) and Protected Time (payments which support professional time activities in General Practices). | |
| ProfessionalismQF | text | Qualifier for Professionalism | |
| Premises | text | Payments to practices who provide their own premises. | |
| PremisesQF | text | Qualifier for Premises | |
| Seniority | text | Payments to practices in respect of individual GPs to reward experience, based on years of Reckonable Service. | |
| SeniorityQF | text | Qualifier for Seniority | |
| OtherPayments | text | Includes, for example, items listed in Part 4 of the GMS Statement of Financial Entitlements such as Payments for Specific Purposes (e.g. Golden Hellos), NHS Education for Scotland Training Grants and Miscellaneous Health Board Administered Funds, such as Collaborative fees and Hospitals & Community Health (HCH) Practice Staff. It also includes other Family Health Service and HCH costs such as some Out of Hours work that is contracted to a practice, and cover for community hospital beds. | |
| OtherPaymentsQF | text | Qualifier for OtherPayments | |
| OptedOutServices | text | In 2023/24 this is an insignificant amount and is a result of the introduction of the 2018 GMS Contract in Scotland which removed Out of Hours funding from the Global Sum. There are now a small number of deductions applied to practices which opt out of the remaining additional services under the contract. | |
| OptedOutServicesQF | text | Qualifier for OptedOutServices | |
| 17CPayments | text | Balance of payments to 17C practices. 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 | |
| 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 | |
| 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. | |
| DispensingDoctorPaymentsQF | text | Qualifier for DispensingDoctorPayments |
Additional Information
| Field | Value |
|---|---|
| Data last updated | November 26, 2024 |
| Metadata last updated | November 26, 2024 |
| Created | November 26, 2024 |
| Format | text/csv |
| License | UK Open Government Licence (OGL) |
| created | 5 months ago |
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| last modified | 5 months ago |
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