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GPs go forth

How does your practice funding compare?

Look at how much you and other practices are funded

Number of practices 4,480 3,190 289 7,959
All payments £4,186,936,974 £3,590,588,507 £212,798,679 £7,990,324,160
Payments minus deductions
£3,774,341,183 £3,197,064,145 £202,805,557 £7,174,210,886
Registered patients 30,550,499 24,961,933 1,121,550 56,633,982
Weighted patients 30,710,328 24,807,974 1,107,547 56,625,849
Mean payments per practice
£934,584 £1,125,576 £736,328 £1,003,936
Median payments per practice
£831,000 £991,912 £595,986 £881,146
Mean payments per registered patient
£137.05 £143.84 £189.74 £141.09

Click here to see the full breakdown by GP practice

Source: NHS Payments to General Practice, England, 2014-15, Health and Social Care Information Centre



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Readers' comments (28)

  • T Roscoe

    It includes seniority and premises payments, thses vary widely between practices and can be 10% of total income. This makes the whole thing of no use

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  • Una Coales. Retired NHS GP.

    This whole thing is very useful. Over 8000 practices listed and the top 4 earners received up to £5 million in one year, after expenses. Of the top 4, 3 received £0 for seniority and paid out £300k-£600k for the premise. Still a long way to accounting how on earth one NHS surgery should receive £4-5 million of NHS funds in one year!

    And that is not an aberrant as one only has to scroll down the list and see hundreds if not a 1000 practices receiving millions in one year. Seniority payments seem to max out at £150k.

    Also noticed a BMA GPC member's practice received over a million pounds. While towards the bottom of the list, many 100s struggle with receiving £500k or less.

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  • Una Coales. Retired NHS GP.

    While some struggle at £136/pt/year, a NHS surgery on the list receives £1,741/pt/year and no it is not in the Hebrides but Birmingham! In fact it takes home £4 million in one year. And no it is NOT a dispensing surgery.

    In fact the one surgery receiving £5 million is also not a dispensing surgery but seems to have over 52,000 pts on their books in one premise that costs £512k...

    In the States, the government posts all physicians and surgeons by name and state and the amount of medicaid/medicare they charge and receive and it makes one wonder how one surgeon can see $300k worth of medicare patients in consultations alone, not including the operation! In America, they then do RAC attacks, ie random audits of high earners to verify billing and numbers of patients etc.

    I think locums and salaried GPs would find this excel spreadsheet fascinating bedtime reading...

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  • Una Coales. Retired NHS GP.

    Sadly I have found a surgery I locumed for and see why it closed its doors. For 6,400 pts, the practice received only £80k after expenses or £15/pt/year.

    The list also contains surgeries who closed their doors last year, a surprising number of them! Almost looks like a hit list. Cut off funds drastically so a practice cannot function safely or renovate, then let the premise become dilapidated, then it fails CQC, and then it closes it doors.

    Meanwhile high earning practices with past LMC or current LMC chairs may thrive by growing their patient list sizes by the tens of 1000s to increase their practice income to the millions and cover with salaried and locum GPs. Just a thought.

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  • And what about those practices that only receives between £50-£75 per patient per annum. It is diabolical when the services provided are somewhat equal if not better. Where is the justification in that? No wonder practices are closing down. If those practices were increased to at least £100 per patient they will do well infact if they receive £136 per patients there will be good morale in practices and services could improve greatly.

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  • sadly England only as usual.

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  • look at line 194, an APMS practice which closed on 31.3.13 - i.e. *before* the start of the year covered by these figures.
    0 patients, global sum £63282, QOF £946, local enhanced services £65301, total (no deductions) £129,528.
    Who got paid - and what for?

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  • Not all practices are the same, but what urgently needs looking at is the disparity between the high and lows.

    We should all be funded at a minimum level and the APMS/private type run conglomerate type practices, funded well above the level of the average need to be rooted out and stopped.

    How any NHS managers can not be fired after approving this dogs dinner of inequitable funding beggars belief.

    Fair treatment for all, make the figures accurate though as we are funded at around 70 per patient without the add ons, and still fall far below the 136 mark, even with full QOF points etc.

    This figure is a joke when you look at levels of funding vs the demand and increased expectation the politicians are fuelling, with 8 to 8 7 days opening, with 48hr targets.

    The new Prime Ministers Challenge fund is just adding to inequalities in the system.

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  • I have recently resigned as a partner in a practice which will not survive for long. The Carr Hill formula ensured that the practice was only funded for ¾ of the patients. The funding across the country is not equitable and by no means reflects the quality of the service provided.

    There should at least be a minimum figure per patient per practice to ensure that a practice is viable that takes into account local issues and costs.

    As it stands the only way to survive is to form large practices and make significant economies of scale. Patient care and continuity has to take a back seat

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  • The funding of Primary Care has been a fudge since the inception of the NHS! Sequential organisations have failed to ever manage the GP contract and so there is no consistency nor quality checking of the delivery of services. Practices have been left to devise their own provision based on what has historically worked and what they can afford to provide. How practices can be funded so wildly differently £1700 down to just 8p per patient and yet meant to be providing the same care is mind boggling!
    Until the 35000 GP's stand shoulder to shoulder and demand a basic equitable funding per patient with MFF for regional variation as applies to hospital tariff's it will always be divide and rule. There is no core contract of what is, and more importantly, what isn't delivered. We need to standardise the provision of primary care raising everyone up to the best and not settling for anything less. Doctors should be allowed to be salaried if they wish and accept a differential payment to those that are willing to take on the responsibility and risk of running a practice or federation of practices.
    The politics of envy has ravaged primary care to the extent that it is no longer a good career choice for any intelligent person who wants to earn a comparable living to their peers. As private providers to the NHS and as small businesses it is vital that the ability to grow and innovate and improve services is encouraged. Those that are doing well should be praised not vilified and those that aren’t should be supported to improve rather than wither and close.

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