General Practitioner (GP) income is made up of global sum payments for carrying out essential and additional services under the contract. Practices may also receive further payments for specific services including:<\/p>
<\/p>
<\/p>
<\/p>
- enhanced services \u2013 those that require an enhanced level of service provision above what is required under the core contract. The additional payment for diagnosing dementia falls within this category; and<\/p>
<\/p>
<\/p>
<\/p>
- the quality and outcomes framework (QOF) - a voluntary incentive scheme that provides payment to GP practices for how well they care for patients based on performance against a number of agreed indicators.<\/p>
<\/p>
<\/p>
<\/p>
Specifically on diagnosis, a number of QOF indicators are concerned with the establishment of disease registers. In order to receive payment GPs are required to ensure diagnosis levels consistent with those expected for their population for the following conditions:<\/p>
<\/p>
<\/p>
<\/p>
- atrial fibrillation;<\/p>
<\/p>
- coronary heart disease;<\/p>
<\/p>
- heart failure;<\/p>
<\/p>
- hypertension;<\/p>
<\/p>
- peripheral arterial disease;<\/p>
<\/p>
- stroke and trans-ischaemic attack;<\/p>
<\/p>
- diabetes mellitus;<\/p>
<\/p>
- hypothyroidism;<\/p>
<\/p>
- asthma;<\/p>
<\/p>
- chronic obstructive pulmonary disease;<\/p>
<\/p>
- dementia;<\/p>
<\/p>
- depression;<\/p>
<\/p>
- schizophrenia, bipolar affective disorder and other psychoses and other patients on lithium therapy;<\/p>
<\/p>
- cancer;<\/p>
<\/p>
- chronic kidney disease;<\/p>
<\/p>
- epilepsy;<\/p>
<\/p>
- osteoporosis;<\/p>
<\/p>
- rheumatoid arthritis; and<\/p>
<\/p>
- obesity.<\/p>
<\/p>
<\/strong><\/p> <\/p> <\/p> <\/p> Each year NHS Employers, on behalf of NHS England, negotiates the new GP contract with the General Practitioners Council of the British Medical Association. This includes discussion of changes to the Enhanced Services and QOF.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/2000", "label" : {"_value" : "Biography information for Earl Howe"}
}
, "answeringMemberPrinted" : {"_value" : "Earl Howe"}
, "dateOfAnswer" : {"_value" : "2014-11-05", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2014-11-05T12:10:48.5057659Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2014-10-27", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "General Practitioners: Pay"}
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, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
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], "questionText" : "To ask Her Majesty\u2019s Government, further to the announcement by NHS England that general practitioners are to be paid an additional £55 for diagnosing dementia in patients, what other complaints or illnesses diagnosed by general practitioners are already rewarded by payments additional to their salaries; and whether they will review the system of additional payments of this sort.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/950", "label" : {"_value" : "Biography information for Lord Stoddart of Swindon"}
}
, "tablingMemberPrinted" : [{"_value" : "Lord Stoddart of Swindon"}
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