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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.

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