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Publications and statistics on General Practice include information on GP earnings and expenses; total money spent on General Practice; workforce and workload; how well GPs perform against the Quality and Outcomes Framework and satisfaction levels of patients in terms of access to GP services.

Publications

Antibacterial Primary Care Prescribing Indicators
Department: ISD Scotland (part of NHS National Services Scotland)
Annual report summarising antibacterial use in primary care in Scotland.
Attribution dataset GP registered populations
Department: Health and Social Care Information Centre
Provides information about populations registered with GP practices at strategic health authority (SHA) and primary care organisation (PCO) level in five year age bands by gender, for England and Wales.
Child Healthy Weight Interventions Statistics
Department: ISD Scotland (part of NHS National Services Scotland)
Annual update of the number of child healthy weight interventions undertaken by NHS boards. This data is used to monitor HEAT Targets.
GP Access Survey
Department: Scottish Government
Detailed analysis from the GP Access Survey for Scotland, NHS Board and GP Practice.
GP Access Survey for Wales
Department: Welsh Government
The GP Access Survey was developed to collect information on elements of patient access to GP services and choice of hospital services.
GP Earnings and Expenses
Department: Health and Social Care Information Centre
The report presents results of the GP Earnings and Expenses Enquiry. It provides a detailed study of the earnings and expenses in the UK and has been agreed by the Technical Steering Committee.
GP National Patient Survey
Department: NHS England
The GPPS collects information on patient access to and satisfaction with GP with services.
GP National Patient Survey
Department: Health
The GPPS collects information on patient access to and satisfaction with GP with services.
GP Patient Experience Survey - National Report
Department: Scottish Government
National results from the GP survey including questions about people’s experiences of making an appointment, visiting the GP surgery, seeing staff and being prescribed medicines.
GP Practice Vacancies
Department: Health and Social Care Information Centre
Presents data directly from GP practices and produces estimated 3-month vacancy figures at national level for GPs, practice nurses/nurse practitioners and other practice staff.
GP Practice level Outcome Indicators, England
Department: Health and Social Care Information Centre
A range of indicators on performance of GP practices
GP workforce and practice population statistics
Department: ISD Scotland (part of NHS National Services Scotland)
Figures on general medical practitioners (GPs), including age, gender and contract type; and on general practice populations.
General Medical Practitioners in Wales
Department: Welsh Government
This Release presents a summary of the latest statistics on General Medical Practitioners in Wales
General Practice Patient Survey
Department: Welsh Government
This Statistical Release presents information on the results in the Welsh GP Patient Survey.
Immunisation Statistics
Department: ISD Scotland (part of NHS National Services Scotland)
Immunisation Statistics
Investment in General Practice
Department: Health and Social Care Information Centre
The report presents the financial investment in General Practice. It has been agreed by the Technical Steering Committee.
Investment in General Practice: England, Wales, Northern Ireland and Scotland
Department: Health and Social Care Information Centre
The report presents the financial investment in General Practice by the four countries of the UK. It has been agreed by the Technical Steering Committee.
National Primary Care Workforce Planning Survey
Department: ISD Scotland (part of NHS National Services Scotland)
Results from a survey of general practices in Scotland, designed to support workforce planning for primary care.
Northern Ireland GMS Quality and Outcomes Framework Prevalence Bulletin
Department: Health, Social Service and Public Safety (Northern Ireland)
The prevalence bulletin contains bar charts of overall prevalence in Northern Ireland for the 20 Quality & Outcomes Framework registers which count patients with specific conditions or diseases. The report also contains frequency distribution charts for each register.
Northern Ireland General Practice Patient Survey
Department: Health, Social Service and Public Safety (Northern Ireland)
This survey was developed in collaboration with the four UK Health departments, BMA General Practitioners Committee (GPC) and NHS Employers organisation. The results of the survey will be used to determine the level of payment the Health and Social Services Board will make to GP practices for meeting agreed standards on improving patient access to care and consultations with healthcare professionals.
Northern Ireland Quality and Outcomes Framework Achievement Publication
Department: Health, Social Service and Public Safety (Northern Ireland)
Full publication of points and pounds achieved from the Quality and Outcomes Framework by GP practice.
Practice-based Commissioning: GP Practice Survey
Department: Health
Covers a sample of practices from each primary care trust and aims to get feedback from practices on their perception of the support offered by their PCT.
Prescriptions by General Medical Practitioners in Wales
Department: Welsh Government
Presents data on GP prescribing in Wales.
Quality & Outcomes Framework (QOF) of the new GMS Contract
Department: ISD Scotland (part of NHS National Services Scotland)
The Quality & Outcomes Framework (QOF) is a major part of the new General Medical Services (GMS) contract, introduced in April 2004. The QOF measures GP practice achievements against a range of evidence-based indicators, with points and payments awarded to practices according to their level of achievement.
Quality and Outcomes Framework
Department: ISD Scotland (part of NHS National Services Scotland)
Quality and Outcomes Framework
Quality and Outcomes Framework, Achievement data
Department: Health and Social Care Information Centre
Results of GP practices' achievement against the QOF.
Quality and Outcomes Framework, Achievement, prevalence and exceptions data
Department: Health and Social Care Information Centre
Achievement information is based on practice level achievement againsts primary care indicators. Prevalence figures are based on numbers of patients on GP clinical registers for specific conditions. Exceptions data presents information on numbers of patients with specific clinical conditions who are not included in QOF indicator data used to measure achievement. There are a number of criteria to determine exception reported patients. All data are presented at GP practice, PCT, SHA and England
Quality and Outcomes Framework, Exception data
Department: Health and Social Care Information Centre
Exception reporting for indicators with the 'clinical domain' of the QOF.
Scottish Antimicrobial Prescribing Group (SAPG) Report on Antimicrobial Resistance and Use in Humans
Department: ISD Scotland (part of NHS National Services Scotland)
Annual report summarising antimicrobial use and resistance in humans in Scotland
Trends in consultation rates in General Practice
Department: Health and Social Care Information Centre
Describes the population and practices contributing to the analysis in terms of geographical location, list size and overall age-sex structure.

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Overview

There is a range of statistics and publications on different aspects of General Practice.

GP workforce census

The GP census is collected each year and records numbers and details of GPs in England along with information on their practices, staff, patients and the services they provide. More detail on this can be found in the Workforce, Finance and Performance topic.

GP practice vacancies

This is an annual survey. Its purpose is to collect and supply data on GP recruitment in England and Wales and to provide information on practice nurse and practice staff vacancies in GP practices.

GP workload

This provides an overview of the entire workload and skill-mix of general practices in the UK. This was a one-off publication relating to the 2006/07 financial year.

GP patient survey

The GP patient survey relates to GP practices in England and was developed to collect information to reward GP practices according to performance on elements of patient access to GP services and choice of hospital services.

Quality and Outcomes Framework (QOF)

The QOF is a voluntary annual reward and incentive programme for GP surgeries which is part of GP contracts. Results of GP practices' achievements are published each year.

GP earnings and expenses

The Earnings and Expenses Enquiry provides a detailed study of the earnings and expenses of contractor and salaried GPs in the UK.

Investment in General Practice

This report details the annual financial investment in General Practice in the UK.

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Technical Data

The following publications can be found on the Information Centre website.

GP workforce census

More detail on this can be found in the Workforce, Finance and Performance topic. This publication can be found on the Information Centre website.

GP practice vacancies

The GP Practice Vacancies Survey collects data directly from GP practices in England and Wales and produces estimated three-month vacancy and total vacancy figures at national level for different staff types.

The survey samples 2,000 randomly selected GP practices in England stratified by Strategic Health Authority (SHA), and 200 practices in Wales, stratified by Welsh Government Office Region. Practices were asked to fill in a questionnaire and the report relates to the data provided by respondents. Due to the sample sizes comparisons at SHA level have not been published.

GP workload

The last GP workload survey was undertaken in 2006, and considered the workload of GPs. Staff in a representative sample of 329 practices completed diary sheets for one week in September or December 2006. As the survey was targeted at work in the practice it excludes work done elsewhere as well as any work identified as out-of-hours not relating to the practice contract.

GP patient survey

The survey measures practices’ performance against the standards set out in the Directed Enhanced Services known as the ‘Improved Access Scheme’ and ‘Choice and Booking’. These one-year agreements were applied in 2006/07 and repeated for 2007/08. Fieldwork took place from January to March 2008. For the Access part of the survey, questionnaire forms were mailed directly to a sample of patients from each practice. For the Choice part of the survey, GP practices were asked to give a questionnaire form to every adult patient who was referred to secondary care for a condition where the Choice policy applies. Completed questionnaires were returned directly by patients.

Quality and Outcomes Framework (QOF)

The QOF has four domains (clinical, organisational, patient care experience and additional services). Each domain consists of a set of achievement measures, called indicators, against which practices score points according to their level of achievement. The QOF was introduced on 1 April 2004. Participation rates are very high.

GP earnings and expenses

Earnings and expenses information are based on a sample from HM Revenue and Customs’ (HMRC) tax self-assessment database. All analyses are carried out on anonymised data; only aggregate non-disclosive information is published.

All UK NHS GPs for whom information are available, and who have an accounting year ending in the final quarter are included in the sample. The results relate to NHS and private work, for both full and part time GPs.

Investment in General Practice

The report details the investment in General Practice, and draws on information obtained from country level financial monitoring reports. It contains some financial flows that do not reach the GP, but contribute towards Primary Medical Care investment. For the period 2003/04 to 2005/06, the figures are a measure against the Gross Investment Guarantee (GIG). The GIG no longer exists and recorded levels of investment from 2006/07 is measured using total spend. While the measures used in 2003/04 to 2005/06 and the measure used in 2006/07 onwards are very similar, it is not possible to draw exact comparisons between the figures.

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Glossary

  • Alternative Provider Medical Services (APMS)

    Primary medical services commissioned from non-GMS or non-PMS providers, for example from the voluntary sector, commercial sector, other NHS trusts or other PCTs.

  • Contractor GP

    Previously referred to as a principal GP, a contractor GP is a practitioner who has entered into a contract with a Primary Care Organisation (PCO) either as an individual or part of a practice to provide primary care services. This may be as a single-hander, or as part of a partnership. A contractor GP may employ salaried GPs.

  • Expenses

    These refer to the GPs’ outgoings, and relate to business costs, for example premises, employees, and interest on business loans. These are also known as allowable expenses.

  • General Medical Services (GMS)

    A GMS practice is one that has a standard, nationally negotiated contract. Within this, there is some local flexibility for GPs to 'opt out' of certain services or 'opt in' to the provision of other services.

  • Gross Earnings (previously Gross Turnover)

    Gross earnings refer to the total amount of a GP’s self-employed income i.e. before deductions or expenses from all sources or self employment income are subtracted.

  • Income before tax

    Income before tax is the difference between gross earnings and expenses. It can be considered as the ‘profit’ element of gross earnings for contractor GPs relates to pay before tax deductions.

  • New GMS contract (nGMS)

    The new General Medical Service contract was designed to improve the way that Primary Medical Care services (GMS, PMS, APMS and PCTMS) were funded and to allow practices greater flexibility to determine the range of services they wish to provide, including through opting out of additional services and out-of-hours care.

  • Personal Medical Services (PMS)

    The PMS contract was introduced in 1998 in England and Scotland (as in the Section 17c agreement) as a local alternative to the national GMS contract. PMS contracts are voluntary, locally-negotiated contracts between PCOs and the PMS Provider, enabling, for example, flexible provision of services in accordance with specific local circumstances.

  • Primary Care

    Primary care includes medical, dental, ophthalmic and pharmaceutical services, and also NHS Direct and NHS walk-in centres. In the UK, all these services are managed at a local level by Primary Care Organisations (for example, Primary Care Trusts in England). They are responsible for ensuring that the Primary Care services available meet the needs of the patients.

  • Primary Care Trust Medical Services (PCTMS)

    Primary medical services provided directly by the PCT, for example through directly employing a salaried GP.

  • QMAS

    The Quality Management Analysis System (QMAS) is a national system developed by NHS Connecting for Health. QMAS uses data from general practices to calculate individual practices’ QOF achievement.

  • Salaried GP

    A salaried GP is employed by the contractor GP(s) of a practice; they may also be employed by the Primary Care Organisation (PCO). The cost of employing a salaried GP could form part of the employee expenses of contractor GPs. If the salaried GP is employed directly by a PCO then the ‘employer’ GP's tax return will not have incurred the expense.

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Contact Details

For statistical enquiries about this topic, please contact:

Jane Winter

Email: enquiries@ic.nhs.uk

Telephone: +44 (0) 845 300 6016

The NHS Information Centre 1 Trevelyan Square, Boar Lane Leeds LS1 6AE

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