General Practice Finance General Practice Finance

What You Need to Know

What You Need to Know

Objectives

• To know how General pactice is financed• How can a doctor impact the bottom line • Some the terms that we need to know• Q and a

• general practice is a privately run business independently contracting with the government.

• You can be an employee or an employer• GMS contract 2004

• Type of contracts• GMS• PMS• APMS• PCTMS

• How general practices funded?• Global Sum ,using a funding formula which

has different variable• Like patients age, medical condition,

presence of patients in nursing care, deprivation.

Global Sum

U

Essential Services

• Treatment of acute and chronic condition• Provision of preventative healthcare

National Enhanced Services

• Anticoagulation monitoring

• enhance care of the homeless

• IUCD fitting • Minor injury services• specialise care for

patient with depression

• Specialised services for MS

• Specialised sexual health services

• Patient with alcohol misuse

• Drug misuse• Provision of near

patient testing

Quality & Outcome Framework(QoF)

• Third of practice income.• As 1000 point +50 bonus point

QoF

Hypertension QoF

•Register 9

•Smoking status 10

•Advice 10

•Blood pressure records in 9 months 20

•Percentage of patient with bp =<150/90 56

The Message

• The higher the score the higher the payment.

• Its part of good clinical care • Use template as reminder

•How to apply for DES.

Handover to Dave