Investment in general practice for the 2018 to 2019 financial year to the 2022 to 2023 financial year
The data includes overall spending as well as statistics for patient groups, and in general, total spend has increased.
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Key facts
In 2022 i 2023 there was an increase of £22.3 million compared to the 2020 i 2021 figures.
Table 2a: summary of reported investment in general practice 2018 to 2019 to 2022 to 2023, Wales
| 2018 to 2019 | 2019 to 2020 | 2020 to 2021 | 2021 to 2022 | 2022 to 2023 | |
|---|---|---|---|---|---|
| Global sum or Minimum Practice Income Guarantee (MPIG) | £295,599,000 | £300,022,000 | £308,864,000 | £322,512,000 | £352,792,000 |
| Quality | £42,337,000 | £50,224,000 | £47,631,000 | £44,076,000 | £31,357,000 |
| Direct enhanced services, (General Medical Services (GMS)) | £32,300,000 | £31,305,000 | £30,126,000 | £33,239,000 | £29,483,000 |
| National enhanced services, (General Medical Services (GMS)) | £5,288,000 | £6,732,000 | £3,333,000 | £4,219,000 | £4,595,000 |
| Local enhanced services, (General Medical Services (GMS)) | £13,265,000 | £14,836,000 | £23,069,000 | £17,837,000 | £13,034,000 |
| Total enhanced services | £50,853,000 | £52,874,000 | £56,528,000 | £55,295,000 | £47,112,000 |
| Premises | £42,384,000 | £42,440,000 | £42,218,000 | £41,655,000 | £41,390,000 |
| Primary Care Organisation (PCO) administered funds | £20,112,000 | £23,336,000 | £26,578,000 | £30,665,000 | £35,836,000 |
| Out of Hours (OOH) (including OOH development fund) | £37,537,000 | £38,705,000 | £40,323,000 | £37,148,000 | £37,986,000 |
| IT (including centrally funded information management and technology) | £16,899,000 | £14,987,000 | £14,000,000 | £15,024,000 | £16,248,000 |
| Total other payments | £116,932,000 | £119,468,000 | £123,119,000 | £124,492,000 | £131,460,000 |
| Subtotal | £505,721,000 | £522,588,000 | £536,142,000 | £546,375,000 | £562,721,000 |
| Country specific investment: national primary care fund: direct practice payments | £5,796,000 | £5,155,000 | £4,858,000 | £4,858,000 | £4,858,000 |
| Country specific investment: national primary care fund: investment on behalf of GP practices | £20,685,000 | £22,014,000 | £22,412,000 | £22,412,000 | £22,412,000 |
| Total country specific investment | £26,481,000 | £27,169,000 | £27,270,000 | £27,270,000 | £27,270,000 |
| Total net of dispensing | £532,202,000 | £549,757,000 | £563,412,000 | £573,645,000 | £589,991,000 |
| Cost of dispensing fees (including Dispensary Services Quality Scheme (DSQS))[1] | £12,785,000 | £12,024,000 | £14,289,000 | £11,906,000 | £14,841,000 |
| Total investment excluding reimbursement of drugs[2] | £544,987,000 | £561,781,000 | £577,701,000 | £585,551,000 | £604,832,000 |
| Reimbursement of dispensed drugs (including VAT allowance and discounts) | £38,307,000 | £40,196,000 | £39,461,000 | £42,232,000 | £45,251,000 |
| Total spend[3] | £583,294,000 | £601,977,000 | £617,162,000 | £627,783,000 | £650,083,000 |
Note
Negative figures can arise when previous year-end accruals are higher than the actual expenditure that then subsequently arises in the following financial year, which would explain any apparently negative expenditure.
National primary care fund expenditure: prior to 2017 to 2018, was only added as a footnote. Since COVID-19, rules were relaxed on submission of a return to Welsh Government for this fund, so no change to figures.
Table 2b: reported investment in general practice 2022 to 2023, Wales
| £ Outturn | |
|---|---|
| Global sum | 350,472,000 |
| MPIG correction factor | 2,321,000 |
| Total global sum and MPIG | 352,793,000 |
| Quality aspiration payments | 7,574,000 |
| Quality achievement payments | 15,150,000 |
| Quality Assurance Improvement Framework (QAIF) | 996,000 |
| QAIF (in hours access) | 7,637,000 |
| Total quality | 31,357,000 |
| Direct enhanced services | 29,483,000 |
| National enhanced services | 4,595,000 |
| Local enhanced services | 13,034,000 |
| Total enhanced services | 47,112,000 |
| Premises | 41,389,000 |
| PCO administered funds | 35,836,000 |
| Out of hours | 37,986,000 |
| Information Management and Technology (IM and T) | 16,248,000 |
| Total other payments | 131,459,000 |
| Subtotal | 562,721,000 |
| £ Outturn | |
|---|---|
| National primary care fund: direct practice payments | 4,858,000 |
| National primary care fund: investment on behalf of GP practices | 22,412,000 |
| Total country specific investment | 27,270,000 |
| £ Outturn | |
|---|---|
| Total net of dispensing | 589,991,000 |
| Dispensary Services Quality Scheme (DSQS) | 500,000 |
| Cost of dispensing fees[1] | 14,341,000 |
| Total of all dispensing fees | 14,841,000 |
| £ Outturn | |
|---|---|
| Total investment excluding reimbursement of drugs[2] | 604,832,000 |
| Reimbursement of dispensed drugs (including VAT allowance and discounts) | 45,251,000 |
| Total spend | 650,083,000 |
Note
Negative figures can arise when previous year-end accruals are higher than the actual expenditure that then subsequently arises in the following financial year, which would explain any apparently negative expenditure.
National primary care fund expenditure: prior to 2017 to 2018 was only added as a footnote. Since COVID-19, rules were relaxed on submission of a return to Welsh Government for this fund so no change to figures.
Table 2c: supplementary information 2022 to 2023, Wales
| Direct enhanced services | £ Outturn |
|---|---|
| Asylum seekers and refugees | 539,000 |
| Bank holiday | 119,000 |
| Care of diabetes | 3,033,000 |
| Care homes | 4,151,000 |
| Childhood vaccination and immunisation scheme | 4,235,000 |
| Extended opening times | -64,000 |
| Homeless | 77,000 |
| Influenza and pneumococcal immunisations scheme | 9,477,000 |
| Learning disabilities | 354,000 |
| Mental health | -61,000 |
| Minor surgery fees | 3,236,000 |
| Services for violent patients | 132,000 |
| Oral anticoagulation with Warfarin | 4,077,000 |
| Gender identity | 178,000 |
| Total direct enhanced services | 29,483,000 |
| £ Outturn | |
|---|---|
| Seniority | 4,432,000 |
| Doctors retainer scheme payments | 429,000 |
| Locum allowances: adoptive, paternity and maternity | 2,038,000 |
| Locum allowances: sickness | 1,097,000 |
| Locum allowances: suspended doctors | 0 |
| Locum allowances: other locum payments | 0 |
| Appraiser costs | 0 |
| Recruitment and retention (including 'golden hello') | 0 |
| Primary care development scheme | 1,916,000 |
| Partnership premium | 5,741,000 |
| Designated area allowance | 0 |
| Initial practice allowance | 0 |
| Assistant's allowance | 0 |
| Associate allowance | 0 |
| Access payments (new for 2021 to 2022) | 3,428,000 |
| Other | 16,755,000 |
| Total PCO administered funds | 35,836,000 |
| £ Outturn | |
|---|---|
| GP support costs | 109,000 |
| Managed practice costs - managed practices | 15,353,000 |
| Managed practice costs - managing practices | 0 |
| Primary care initiatives | 721,000 |
| GP practice training | 47,000 |
| Other approved PCO administered costs | 524,000 |
| Total other payments | 16,754,000 |
Note
Negative figures can arise when previous year-end accruals are higher than the actual expenditure that then subsequently arises in the following financial year, which would explain any apparently negative expenditure.
Footnotes
[1] For items dispensed or personally administered by dispensing doctors and prescribing doctor practices.
[2] Total investment excluding reimbursement of drugs is the total including the cost of dispensing fees but not including reimbursement of the cost of drugs.
[3] For 2017 to 2018 and 2018 to 2019, total spend includes costs for one Alternative Provider Medical Services (APMS) contract.