Request a Quote

Request a Quote

Please complete the form below, we’d love to hear from you!

The Global Sum - An outdated calculation?

It is common knowledge that the global sum for 2014/15 paid to each practice in England is £75.56 per weighted patient.  However, there are many practices who suffer due to their weighted list size being considerably less than their raw list size.  In the past they have been protected by the Minimum Practice Income Guarantee (MPIG), but from April 2014, over the next seven years, this funding is being withdrawn.

Sadly, there is little a practice can do to change the weighting of each patient.  The calculation is based on what is known as the “Carr-Hill formula” and has been in place for over ten years.  The formula is based on numerous factors such as gender, age, postcode and rurality.  Accordingly, women are given a higher weighting than men, the older the patient the higher the weighting, and home postcode of the patient provides a complete lottery.  Given this scenario, one can imagine the problem facing, for example university practices.

Inappropriately and perhaps surprisingly, the NHS have hitherto shown no interest in reviewing the calculation.  But populations have changed considerably over the last ten years which must surely affect the weightings.  Whilst nothing has been formally announced
there has been “talk” of reviewing the formula as early as April 2015.  Given the obvious flaws in the current formula, such a review cannot come soon enough. One final thought – is it more difficult and time consuming to treat an 85 year old woman than a student suffering from depression during their first move away from home?

Keith Taylor FCA

Keith Taylor FCA

Director of Medical Services

Next Event / Workshop

PULSE Live London 2020

Pulse LIVE London 2020 will be taking place on 24-25 March 2020 at Olympia London. Our specialists will be there to add...

  • BW Medical Accountants have a good working knowledge of General Practice and are keenly aware of the challenges Practices face within the changing environment of the NHS.  Benfield Park have been very impressed by the way BW Medical continue to deliver the range of services they provide from Accounts to Tax and NHS Pension advice. 

    We have found Practice consultation and engagement from BW Medical specifically helpful to shape the future of the Practice.

    Senior Partner
    Benfield Park Medical Group, Newcastle
  • We had no hesitation in moving to BW Medical Accountants.  For any business your accountant is integral, and for us one of the most important factors to this relationship is to have a personal and trusting approach, which BW have undoubtedly achieved. 

    The service we receive and the interest they show in our practice assures us that they have a genuine interest in us and commitment to us.  More importantly they are always helpful and polite to answer even the dumbest of questions!  They give us confidence and reassurance knowing that they are always very up-to-date with all the numerous changes within general practice and we would have no hesitation in recommending them to other practices seeking a professional and personal accountancy service.

    Jackie Rotherham, Practice Manager
    The James Street Family Practice, Lincolnshire
  • We changed to BW Medical Accountants and I would say we have just had the most transparent and understandable end of year meeting and the best planning advice I have ever had in 16 years of practice.

    GP Partner
    Cumbria

Newsletter Signup

Loading...