Funding in primary care

Burch, Patrick

doi:10.1177/1755738018805186

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…The majority of funding for primary care is distributed through General or Personal Medical Services contracts, with additional payments paid for some specific extra activities. 9 The core of practice income is derived from the 'global sum', a weighted capitation payment. The average payment of £93.46 per registered patient per year is weighted for indicators of relative workload.…”

Section: Overview Of Primary Care Funding In Englandmentioning

confidence: 99%

Equity and the funding of Primary Care Networks

et al. 2021

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Section: Overview Of Primary Care Funding In Englandmentioning

confidence: 99%

Equity and the funding of Primary Care Networks

et al. 2021

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“…GPs argued that increasing capacity to deliver POC tests is dependent on securing additional funding to create the necessary infrastructure. Alternative time-limited funding arrangements may be needed to increase capacity for POC tests use, such as the Alternative Provider Medical Services (APMS) contract, to cover all associated costs until the pandemic has passed [62]. Workforce optimisation strategies to share resources between general practices across the ‘primary care network’ (PCN) could offset workload burden for individual practices [63].…”

Section: Discussionmentioning

confidence: 99%

Primary care and point-of-care testing during a pandemic: Clinician’s perspectives on integrating rapid testing for COVID-19 into the primary care pathway

Kierkegaard

Hicks

Yang

et al. 2021

Preprint

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Background: Real-world evidence to support the adoption of SARS-CoV-2 point-of-care (POC) tests in primary care is limited. As the first point of contact of the health system for most patients, POC testing can potentially support general practitioners (GPs) quickly identify infectious and non-infectious individuals to rapidly inform patient triaging, clinical management, and safely restore more in-person services. Objectives: To explore the potential role of SARS-CoV-2 point-of-care testing in primary care services. Design: A qualitative study using an inductive thematic analysis. Setting: 21 general practices located across three regions in England. Results: Three major themes were identified related to POC test implementation in primary care: (1) Insights into SARS-CoV-2 POC tests; (2) System and organisational factors; and (3) Practice-level service delivery strategies. Thematic subcategories included involvement in rapid testing, knowledge and perception of the current POC testing landscape, capacity for testing, economic concerns, resource necessities, perception of personal risk and safety, responsibility for administering the test, and targeted testing strategies. Conclusion: GPs knowledge of POC tests influences their degree of trust, uncertainty, and their perception of risk of POC test use. Concerns around funding, occupational exposure, and workload play a crucial role in GPs hesitation to provide POC testing services. These concerns could potentially be addressed with government funding, the use of targeted testing, and improved triaging strategies to limit testing to essential patient cohorts.

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“…Across England, primary care funding is based on the fulfilment of contractual obligations for the provision of various agreed services. 16 Core practice funding comes from the global sum (capitation) payment. This covers the provision of…”

Section: Primary Care Funding In Englandmentioning

confidence: 99%

Deprivation and primary care funding in Greater Manchester after devolution: a cross-sectional analysis

Lee¹,

Meacock²,

Kontopantelis³

et al. 2019

Br J Gen Pract

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BackgroundIn April 2016 Greater Manchester gained control of its health and social care budget, a devolution that aimed to reduce health inequities both within Greater Manchester and between Greater Manchester and the rest of the country.AimTo describe the relationship between practice location deprivation and primary care funding and care quality measurements in the first year of Greater Manchester devolution (2016/2017).Design and settingCross-sectional analysis of 472 general practices in Greater Manchester in England.MethodFinancial data for each general practice were linked to the area deprivation of the practice location, as measured by the 2015 Index of Multiple Deprivation. Practices were categorised into five quintiles relative to national deprivation. NHS Payments data and indicators of care quality were compared across social deprivation quintiles.ResultsPractices in areas of greater deprivation did not receive additional funding per registered patient. Practices in less deprived quintiles received higher National Enhanced Services payments from NHS England than practices in the most deprived quintile. A trend was observed towards funding to more deprived practices being supported by Local Enhanced Service payments from clinical commissioning groups, but these represent a small proportion of overall practice income. Practices in less deprived areas had better care quality measurements according to Quality and Outcomes Framework achievement and Care Quality Commission ratings.ConclusionFollowing devolution, primary care practices in Greater Manchester are still reliant on funding from national funding schemes, which poorly reflect its deprivation. The devolved administration’s ability to address health inequities at the primary care level seems uncertain.

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Funding in primary care

Cited by 4 publications

References 6 publications

Equity and the funding of Primary Care Networks

Equity and the funding of Primary Care Networks

Primary care and point-of-care testing during a pandemic: Clinician’s perspectives on integrating rapid testing for COVID-19 into the primary care pathway

Deprivation and primary care funding in Greater Manchester after devolution: a cross-sectional analysis

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