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Understanding Financing in General Practice: Key Insights for Healthcare Professionals

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This guide explores how general practice is financed, emphasizing a doctor's impact on profitability, essential terminology, and the intricacies of various contracts including GMS, PMS, and APMS. It explains the funding mechanisms such as Global Sum, which vary based on patient demographics and conditions. Additionally, the guide covers National Enhanced Services and the Quality & Outcome Framework (QoF), crucial for practice income. By understanding these components, healthcare providers can optimize their financial performance and enhance patient care.

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Understanding Financing in General Practice: Key Insights for Healthcare Professionals

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Presentation Transcript

  1. General Practice Finance What You Need to Know

  2. 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

  3. general practice is a privately run business independently contracting with the government. • You can be an employee or an employer • GMS contract 2004

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

  5. 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.

  6. Global Sum U

  7. Essential Services • Treatment of acute and chronic condition • Provision of preventative healthcare

  8. National Enhanced Services • Specialised services for MS • Specialised sexual health services • Patient with alcohol misuse • Drug misuse • Provision of near patient testing • Anticoagulation monitoring • enhance care of the homeless • IUCD fitting • Minor injury services • specialise care for patient with depression

  9. Quality & Outcome Framework(QoF) • Third of practice income. • As 1000 point +50 bonus point

  10. QoF

  11. Hypertension QoF • Register 9 • Smoking status 10 • Advice 10 • Blood pressure records in 9 months 20 • Percentage of patient with bp =<150/90 56

  12. The Message • The higher the score the higher the payment. • Its part of good clinical care • Use template as reminder

  13. How to apply for DES. Handover to Dave

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