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

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