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"}
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, "questionFirstAnswered" : [{"_value" : "2014-11-05T12:10:48.5057659Z", "_datatype" : "dateTime"}
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, "answeringDeptShortName" : {"_value" : "Health"}
, "answeringDeptSortName" : {"_value" : "Health"}
, "date" : {"_value" : "2014-10-27", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "General Practitioners: Pay"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "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"}
], "uin" : "HL2465"}
, {"_about" : "http://data.parliament.uk/resources/100040", "AnsweringBody" : [{"_value" : "Foreign and Commonwealth Office"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/100040/answer", "answerText" : {"_value" : " The Government is committed to reforming the EU to the benefit of all Member States, to make it more competitive, democratically accountable and fair for those inside and outside the Eurozone. Political parties have set out their position on the question of the appropriate exercise of competence in the EU. The Government\u2019s policy is clear: we need an EU where decisions are taken at the right level, with issues best left to member states decided at the national level. We have already shown that such reform is possible: cutting the EU budget; ending the UK\u2019s bailout obligations; cutting red tape in line with Business Taskforce recommendations; ensuring our fish stocks are managed regionally rather than centrally, agreeing three major Trade Agreements and launching trade talks with the US.<\/p> Support for EU reform is growing: this summer, the President-elect of the European Commission committed to explore improving the interaction between the Commission and national parliaments, which he recognised have a key role to play in enforcing the principle of subsidiarity; to completing the internal market in products and services; to creating the right regulatory environment and promoting a climate of entrepreneurship and job creation; and to working for a deal that \u201caccepts the specificities of the UK in the EU, while allowing the Eurozone to integrate further.\u201d The European Council also recognised the need for reform. It concluded in June that there was a need to protect the right to free movement from \u201cmisuse or fraudulent claims\u201d and that \u201cthe concept of ever closer union allows for different paths of integration.\u201d<\/p> The Government\u2019s proposals for EU reform will continue to respect the UK\u2019s obligations under the existing Treaties.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3474", "label" : {"_value" : "Biography information for Baroness Anelay of St Johns"}
}
, "answeringMemberPrinted" : {"_value" : "Baroness Anelay of St Johns"}
, "dateOfAnswer" : {"_value" : "2014-11-03", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "HL2247"}
, {"_value" : "HL2249"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2014-11-03T15:07:42.7651578Z", "_datatype" : "dateTime"}
]}
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, "answeringDeptShortName" : {"_value" : "Foreign and Commonwealth Office"}
, "answeringDeptSortName" : {"_value" : "Foreign and Commonwealth Office"}
, "date" : {"_value" : "2014-10-21", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "European Union"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
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], "questionText" : "To ask Her Majesty\u2019s Government what steps they are taking to ensure that when they wish to repatriate powers from the European Union they can do so without contravening European law.", "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"}
], "uin" : "HL2246"}
, {"_about" : "http://data.parliament.uk/resources/100041", "AnsweringBody" : [{"_value" : "Foreign and Commonwealth Office"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/100041/answer", "answerText" : {"_value" : " The Government is committed to reforming the EU to the benefit of all Member States, to make it more competitive, democratically accountable and fair for those inside and outside the Eurozone. Political parties have set out their position on the question of the appropriate exercise of competence in the EU. The Government\u2019s policy is clear: we need an EU where decisions are taken at the right level, with issues best left to member states decided at the national level. We have already shown that such reform is possible: cutting the EU budget; ending the UK\u2019s bailout obligations; cutting red tape in line with Business Taskforce recommendations; ensuring our fish stocks are managed regionally rather than centrally, agreeing three major Trade Agreements and launching trade talks with the US.<\/p> Support for EU reform is growing: this summer, the President-elect of the European Commission committed to explore improving the interaction between the Commission and national parliaments, which he recognised have a key role to play in enforcing the principle of subsidiarity; to completing the internal market in products and services; to creating the right regulatory environment and promoting a climate of entrepreneurship and job creation; and to working for a deal that \u201caccepts the specificities of the UK in the EU, while allowing the Eurozone to integrate further.\u201d The European Council also recognised the need for reform. It concluded in June that there was a need to protect the right to free movement from \u201cmisuse or fraudulent claims\u201d and that \u201cthe concept of ever closer union allows for different paths of integration.\u201d<\/p> The Government\u2019s proposals for EU reform will continue to respect the UK\u2019s obligations under the existing Treaties.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3474", "label" : {"_value" : "Biography information for Baroness Anelay of St Johns"}
}
, "answeringMemberPrinted" : {"_value" : "Baroness Anelay of St Johns"}
, "dateOfAnswer" : {"_value" : "2014-11-03", "_datatype" : "dateTime"}
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, {"_value" : "HL2249"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2014-11-03T15:07:43.5838293Z", "_datatype" : "dateTime"}
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, "answeringDeptShortName" : {"_value" : "Foreign and Commonwealth Office"}
, "answeringDeptSortName" : {"_value" : "Foreign and Commonwealth Office"}
, "date" : {"_value" : "2014-10-21", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "European Union"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
}
], "questionText" : "To ask Her Majesty\u2019s Government whether they plan to repatriate powers from the European Union; and if so, which powers.", "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"}
], "uin" : "HL2247"}
, {"_about" : "http://data.parliament.uk/resources/100042", "AnsweringBody" : [{"_value" : "HM Treasury"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/100042/answer", "answerText" : {"_value" : " The UK has been consistently clear: at a time when governments across the EU are taking difficult decisions to manage their deficits, the European Commission should not be asking Governments across the EU for more money.<\/p> <\/p> The UK strongly believes in limiting the size of the EU budget and will continue to press for necessary restraint and discipline in order to get the best deal for British taxpayers.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4262", "label" : {"_value" : "Biography information for Lord Deighton"}
}
, "answeringMemberPrinted" : {"_value" : "Lord Deighton"}
, "dateOfAnswer" : {"_value" : "2014-11-04", "_datatype" : "dateTime"}
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, "date" : {"_value" : "2014-10-21", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "EU Budget"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
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], "questionText" : "To ask Her Majesty\u2019s Government whether they will make representations within the European Union that any spending increases will be met through countervailing spending cuts and not by increasing the financial contributions of member states.", "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"}
], "uin" : "HL2248"}
, {"_about" : "http://data.parliament.uk/resources/100043", "AnsweringBody" : [{"_value" : "Foreign and Commonwealth Office"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/100043/answer", "answerText" : {"_value" : " The Government is committed to reforming the EU to the benefit of all Member States, to make it more competitive, democratically accountable and fair for those inside and outside the Eurozone. Political parties have set out their position on the question of the appropriate exercise of competence in the EU. The Government\u2019s policy is clear: we need an EU where decisions are taken at the right level, with issues best left to member states decided at the national level. We have already shown that such reform is possible: cutting the EU budget; ending the UK\u2019s bailout obligations; cutting red tape in line with Business Taskforce recommendations; ensuring our fish stocks are managed regionally rather than centrally, agreeing three major Trade Agreements and launching trade talks with the US.<\/p> Support for EU reform is growing: this summer, the President-elect of the European Commission committed to explore improving the interaction between the Commission and national parliaments, which he recognised have a key role to play in enforcing the principle of subsidiarity; to completing the internal market in products and services; to creating the right regulatory environment and promoting a climate of entrepreneurship and job creation; and to working for a deal that \u201caccepts the specificities of the UK in the EU, while allowing the Eurozone to integrate further.\u201d The European Council also recognised the need for reform. It concluded in June that there was a need to protect the right to free movement from \u201cmisuse or fraudulent claims\u201d and that \u201cthe concept of ever closer union allows for different paths of integration.\u201d<\/p> The Government\u2019s proposals for EU reform will continue to respect the UK\u2019s obligations under the existing Treaties.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/3474", "label" : {"_value" : "Biography information for Baroness Anelay of St Johns"}
}
, "answeringMemberPrinted" : {"_value" : "Baroness Anelay of St Johns"}
, "dateOfAnswer" : {"_value" : "2014-11-03", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "HL2246"}
, {"_value" : "HL2247"}
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, "answeringDeptShortName" : {"_value" : "Foreign and Commonwealth Office"}
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, "date" : {"_value" : "2014-10-21", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "European Union"}
, "houseId" : {"_value" : "2"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"}
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], "questionText" : "To ask Her Majesty\u2019s Government whether, in the light of recent comments by Mr José Manuel Barroso, they will publish details of what powers they consider can be repatriated from the European Union to the United Kingdom which would not be illegal under the existing treaties.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/950", "label" : {"_value" : "Biography information for Lord Stoddart of Swindon"}
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, "tablingMemberPrinted" : [{"_value" : "Lord Stoddart of Swindon"}
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