This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

Gold, incentives and meh

Earning the maximum GMS income from typical family

There is no precise answer, as each family presents different opportunities. The following figures use 2002/3 GMS Red Book fees. Variable fees have not been included in the calculation.

The standard under-65s capitation fee of £19.50 per person applies to all four from registration. The older child and both parents qualify for a registration check fee of £8.60 each provided this is offered within 28 days of registration and done (normally) within three months of the same date.

The youngest child qualifies for a CHS fee of £14.10 provided the practice runs a CHS programme and the GPs involved are CHS approved. Assuming an up-to-date immunisation history, this child will also contribute to the child immunisation target. At higher targets each extra two-year-old earns an average of £32.50 per quarter until reaching age three or £130 over 12 months.

The mother should be eligible for a contraceptive claim of £18.10. This can be done at the registration check. She should also count towards the cervical cytology target at a rate of £7.40 assuming higher payments and a smear in the last 5.5 years. All four contribute £1.45 each to the health promotion payment.

Finally, we will assume the adults to be eligible for two standard vaccination fees at £6.80 each. The final total is £292.80, an average of £73 per patient. Not bad.

Rate this article 

Click to rate

  • 1 star out of 5
  • 2 stars out of 5
  • 3 stars out of 5
  • 4 stars out of 5
  • 5 stars out of 5

0 out of 5 stars

Have your say