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Average GP practice receives £136 per patient annually - less than a Sky TV subscription

The total funding given to each individual practice has been published for the first time by the Government today, revealing that the average practice received funding worth £136 per registered patient in 2013/14.

But this amount conceals massive variation between practices and illustrates that annual funding for unlimited access to GP practices is less than an annual Sky TV subscription, which costs £238 per year.

The Health and Social Care Information Centre today revealed that 13% of the total funding came from QOF, while 8% came from premises payments and 8% came from enhanced services.

The publishing of individual practice funding was included in the 2014/15 contract at the behest of the Government in order to improve transparency.

The GPC, which has reluctantly agreed to the publication, has warned it will not be useful or informative to patients. Opponents have also argued that it is a breach of GPs’ privacy.

Proponents of the publication, agreed in principle under the 2014/15 GMS contract, have argued that publishing individual pay would be helpful for GPs to prove a decline in net income after pension contributions and medical indemnity cover.

Practices will be required to publish these figures on their website by April 2016 under the new GP contract deal.

But NHS England said that this was an ‘interim solution’ before NHS England pushes ahead with ‘publishing individual GP net earnings in 2016/17’.

The first publication of these figures revealed that APMS practices received £192.85 per patient, compared with £140.52 for PMS practices and £131.45 for GMS practices.

One APMS practice - the Accrington Victoria Health Access Centre in Lancashire - received £2,002 per patient.

It also shows huge variation between different areas, with practices in Greater Manchester receiving £110.60 per average weighted patient, compared with £166.05 in East Anglia.

However, according to the figures, some practices received as little as £25 over the year, calling into question the usefullness of the figures.

Dr Chaand Nagpaul, chair of the GPC, said: ‘These figures demonstrate that GP services are delivering comprehensive care for a whole year at a cost of £136 per person. This funds unlimited access to GP appointments - now more than 6 visits per year on average - as well as home visits and care for housebound vulnerable patients, immunisation programmes, cervical screening, chronic disease management and many other services.

‘However, GP services are finding it increasingly difficult to make this funding stretch to meet the demands that are now being placed on them. Many GP practices are struggling to cope with the growing needs of their aging populations on shrinking resources that is made worse by staff shortages and the wider transfer of more unresourced work from hospitals into the community.  Politicians and NHS managers now need to focus their energy on ensuring overstretched and underfunded GP services get the resources they need to deliver enough appointments and services to their patients.’

On the regional differences, Dr Richard West, chair of the Dispensing Doctors’ Association, said: ‘It’s important to understand that the variation in weighted payments between urban and rural areas is because many rural practices are also receiving reimbursement for the costs of the drugs they are permitted to dispense to their patients. It is not because rural practices receive better funding to provide primary medical services.’

What £136 a year can’t get you

- A Sky subscription on the Original (cheapest) bundle: £17.20 per month = £206.40 per year.

- The rise in the price of a train season ticket from Guildford to London (not the ticket - just the rise in the cost of the ticket) = £144 this year.

- A 4G phone subscription with a free phone: cheapest one available with a free phone is £12.50 per month = £150 per year.

- A 51g Mars bar every day: 60p x 365 days = £219 per year.

- A subscription to the Observer every week = £150.80 per year.

An average bottle of wine every two weeks = £208.52 per year.

A trip to the cinema every fortnight = £169.78 per year.

A haircut every month = £179.40 per year. 

Read here how much each practice gets funded


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Readers' comments (57)

  • Our data is wrong. I haven't looked at actual amounts but we claim neither extended hours nor "facilitating timely diagnosis....dementia" yet it states we are paid for both.

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  • Just registered my puppy at the vet.
    Routine care ( worming treatment and jabs) £20 per month ie £240 a year.
    Any actual consultations or illness extra.

    Insurance £600 per year with £100 excess.

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  • i see all the comments about pet insurance - i see the comments about they have miscalculated dispensing practices - i actually ignored the APMS practices when looking at the list - i know they offer "different" care.

    What no one has explained or commented on here - is why does my practice get roughly £115 per pt and there's a lot of practices getting £200 £300 or more per pt. I seriously doubt they are giving a better service or better access or better care.

    sounds to me like they are either having an easy life- or make a hell of a lot more money than i do.

    lets have a debate about equalising it - not pet insurance.

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  • 3.36 the one with higher values per patient are dispensing,this is not about profit this is about turnover.

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  • My local curry house does an all you can eat buffet on Sundays for £12.95 thats £673.40 a year if you go every Sunday. And we do all you can eat medicine for £136- want a naan with that- we're all naanas!

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  • For me - the real question is why isnt this the lead story on the BBC news - you can bet if it showed we made £1000 per pt each it would be- no the story - GPs are good value and on average get paid less than £10 per pt seen isnt newsworthy? why arent our leaders pushing the media? hold a news conference

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  • @3:42pm
    dont be so patronising - i can read a spreadsheet. they arent all dispensing by any means. there are plenty of practices GMS.PMS non dispensing with double or more the income we get - keep explaining that?

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  • Interesting; the Practice next door in the same building and a similar size gets 33% more per patient. They are PMS we are GMS. Just wait for co-commissioning to fragment the National contract. Every man for themselves and will the last GP to leave please put out the lights.

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  • I haven't see my GP for 7 years - so roughly £1000 over the period for nothing!! The report is not helpful, should be based on Consultation nos NOT no of Patients

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  • 5.41pm you obviously don't understand what average means.

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