Asset Details
Do you wish to reserve the book?
Primary care capitation payments in the UK. An observational study
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Primary care capitation payments in the UK. An observational study
Do you wish to request the book?
Primary care capitation payments in the UK. An observational study
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Primary care capitation payments in the UK. An observational study
2010
Overview
Background
In 2004 an allocation formula for primary care services was introduced in England and Wales so practices would receive equitable pay. Modifications were made to this formula to enable local health authorities to pay practices.
Similar pay formulae were introduced in Scotland and Northern Ireland, but these are unique to the country and therefore could not be included in this study.
Objective
To examine the extent to which the Global Sum, and modifications to the original formula, determine practice funding.
Methods
The allocation formula determines basic practice income, the Global Sum. We compared practice Global Sum entitlements using the original and the modified allocation formula calculations.
Practices receive an income supplement if Global Sum payments were below historic income in 2004. We examined current overall funding levels to estimate what the effect will be when the income supplements are removed.
Results
Virtually every Welsh and English practice (97%) received income supplements in 2004. Without the modifications to the formula only 72% of Welsh practices would have needed supplements. No appreciable change would have occurred in England.
The formula modifications increased the Global Sum for 99.5% of English practices, while it reduced entitlement for every Welsh practice.
In 2008 Welsh practices received approximately £6.15 (9%) less funding per patient per year than an identical English practice. This deficit will increase to 11.2% when the Minimum Practice Income Guarantee is abolished.
Conclusions
Identical practices in different UK countries do not receive equitable pay. The pay method disadvantages Wales where the population is older and has higher health needs.
Publisher
BioMed Central,BioMed Central Ltd,BMC
Subject
/ Aged
/ Capitated payment systems (Medical care)
/ Family Practice - statistics & numerical data
/ Fee-for-Service Plans - statistics & numerical data
/ Health Services Accessibility - economics
/ Health Services Needs and Demand
/ Humans
/ Medicine
/ Methods
/ Primary Health Care - organization & administration
/ Professional Practice Location
