2004-05

Primary Medical Services Allocations to PCTs

Finance DirectorateResource Allocation

• PMS Team

• GMS Team

• Unified Allocation Team

2004-05 Primary Medical Services

• Friday 6 February PCTs notified of their Primary Medical Services allocation.

• Allocations will be made by 1 April 2004.

• No change between notification and actual allocation.

• Further funds to be allocated in addition to £4.3bn.

2004-05 Primary Medical Services Allocation

Resources

• PCT Primary Medical Services Allocation is £4.3bn in total.

• PCTs will control 78.5% of total NHS budget in 2004-05.

• 81% once in-year allocations from central budgets have been made.

2004-05 Primary Medical Services Allocations Breakdown - England

£m

Global Sum/MPIG (1) 1,805

Appraisal (1) 17

Premises (2) 329

IT (2) 64

Enhanced Services (1) 108

PCT Administered Funds (1) 89

Quality Preparation (2) 29

PMS (3) 1,817

Total 4,258

(1) GMS only (2) GMS and PMS (3) PMS only

2004-05 Primary Medical Services Allocations

Funding Streams Covered in Allocation:

• Global Sum and minimum practice income guarantee• Appraisal• Premises• IT• Enhanced Services (including PCT Enhanced Services Floor)• PCT Administered Funds• Quality Preparation Payments• Personal Medical Services

2004-05 PCT Primary Medical Services Allocations

Funding Streams Not Covered in Allocation:

• Quality and Outcomes Framework• Out of Hours• PA and Dispensing (different for PMS)• Recruitment and Retention• Sabbaticals• Premises Growth Funding• Pensions Contributions:

- 7% indexation

- increased cost of pension contributions

2004/05Process To Determine Allocations

Key Documents

• Guidance circulated in December 2003

- Delivering Investment in General Practice

- Sustaining Innovation through New PMS Arrangement

• HSC 2000/12 Unified Allocations - Primary Care Trust Revenue Resource Limits 2003/04, 2004/05 & 2005/06

• HSC 2004/003 - Primary Medical Services Allocations 2004/05

• Allocation Working Papers related to Primary Medical Services Allocation 2004/05

AWP(04-05)PCT

Title Date

05 Identifying practices in PMS pilots in theAttribution Data Set

6 October

06 Removal of GMSCL expenditure from PCTunified allocations

7 October

07 Calculation of global sum equivalent 22 October08 Premises, enhanced services and PCT

administered funds30 October

09 Premises, enhanced services and PCTadministered funds

11 November

10 Revised annex A and annex C for AWP(04-05)PCT07

13 November

11 Validating PCT new spend on practitionerpremises in 2004-05

14 November

List of AWPs (1)

AWP(04-05)PCT

Title Date

12 2003-04 PMS baseline allocation –determining 2004-05 allocation baseline

24 November

13 Validation of returns to AWP(04-05)PCT13 25 November14 Validation of GSEs 5 December15 Validated responses to AWP(04-05)PCT11 10 December16 PCT administered funds and golden hellos 12 December18 Rebasing unified allocations for GMSCL

expenditure28 January

19 Indicative 2004-05 global sum equivalents 28 January20 Confirmation of 2003-04 baselines 29 January23 Confirmation of 2003-04 baselines 4 February24 2004-05 primary medical services exposition

books6 February

26 2004-05 primary medical services allocations 6 February

List of AWPs (2)

Key Messages• Allocation to support delivery of General Medical Services and

Personal Medical Services.

• 2004-05 allocation is non-recurrent.

• At this stage the intention to make it recurrent and form part of unified allocations.

• PCTs will receive cash and resource limited allocations for commissioning Primary Care services.

• These funds will be allocated as part of the Primary Medical Services Allocation for April 2004.

• The resource limit adjustment is equal to the allocation.

• A negative resource limit adjustment will be actioned to recover GMS cash-limited funding for practice staff, premises and IT.

• Previous GMS non-discretionary arrangements will cease.

• PCTs will be expected to manage the Primary Medical Services allocation alongside unified allocations to meet key national and local service targets.

• PCTs will have a responsibility to live within their overall cash and resource limited allocation.

Summary

• One Funding Stream to PCTs to manage alongside other funding streams eg. Unified Allocation.

• Links in PCTs between, policy, implementation, funding and delivery - whole picture.

• Funding no longer held at the Centre.

• Roles, responsibilities and relationships.