§ Mr. Ralph Howellasked the Secretary of State for Social Services, pursuant to his reply to the hon. Member for Norfolk, North on 14 May, Official Report, columns 65–66, about fees and allowances paid to general practitioners, if he will give details of payments for each fee and allowance listed, and the total amount paid in the last full year for which figures are available.
§ Mr. Kenneth ClarkeThe rates in payment at 1 January 1984, and the total amount paid in 1982–83—the last full year for which figures are available— for the fees and allowances listed in my earlier reply, are as follows: 509W
510W 511W
Rates at 1 January 1984 £ Amounts paid 1982–83 England £ 1. Basic practice allowance: a. Full rate 6,030pa 129,471,535 b. First 100 Patients 1,215pa c. Each Patient above 100 to 999 5.35pa d. Leave payment l,206pa 2. Additions to basic practice allowance in respect of: i. Practice in a designated area Type 1 l,880pa 2,487,352 Type2 2,865pa 75,332 ii. Practice as a Member of a Group 1,055pa 17,197,876 iii. Seniority First Payment 1,450pa Second Payment 2,475pa 39,646,189 Third Payment 3,920pa iv. Vocational Training 1,450pa 5,679,451 v. Employment of an Assistant (Full time) or 2,825pa" 298,946 where the principal (or in a partnership all principals) receive an addition as the practice is in a designated area 3,950pa, 3. Payments for out of hours responsibilities: i. Supplementary practice allowance a. Full rate l,190pa 25,502,809 b. First 100 patients 236pa c. Each patient above 100 to 999 1.06pa ii. A Supplementary Capitation fee for each patient in excess of 1,000 on the practitioner's list (or in excess of 1,000 per practitioner on the combined list of practitioners, practising in partnership) 1.15pa 28,719,232 iii. A fee for a night visit 13.35 8,278,474 4. A fee for an item of service carried out for reasons of public policy: i. Vaccination and Immunisation Fee A 2.00 11,453,702 Fee B 2.85 ii. Cervical Cytology Test 5.70 2,384,439 5. Fees for provision of contraceptive services: i. Ordinary 7.65pa 15,667,477 ii. Intrauterine Device 25.75pa 2,936,577 6. Fees for the provision of maternity medical services: On-Obstetric Not on Obstetric List List i. Complete maternity services 88.25 51.50 30,422,645 ii. Ante-natal care: a. Woman booking up to the 16th week of pregnancy 47.50 27.70 b. Woman booking from the 17th week to the 30th week of pregnancy 35.65 20.80 c. Woman booking from the 31st week of pregnancy 23.75 13.90 iii. Miscarriage 29.40 18.40 iv. Care during confinement 20.40 11.90 v. Complete post natal care 20.35 14.55 vi. Partial post natal care a. Each attendance 2.70 1.90 subject to a maximum of 13.50 9.50 b. Full post natal examination 6.85 5.05 vii. Second practitioner called in to give anaesthetic 19.15 19.15 7. A fee for the treatment of a temporary resident who: i. Expects to remain in the district for not more than 15 days 4.40 3,847,823 ii. Expects to remain in the district for more than 15 days 6.60 3,849,532 8. A fee for treatment given by a practitioner in an emergency not in his list and not eligible to be treated as a temporary resident: i. Emergency consultation a. Involving a night visit 13.35 580,145 b. Other 11.40 ii. Minor surgical operation requiring anaesthetic 11.40 iii. Treatment of fracture 11.40 iv. Reduction of dislocation 11.40 v. Administration of general anaesthetic 19.50 9. A payment in cases in which a practitioner is required to provide the services of a second practitioner for the purposes of administering general anaesthetic except in connection with maternity medical services 19.15 79,697 10. i. Fee for the arrest of dental haemorrhage or for the provision of after care 11.40 6,155 ii. fee for the removal of plugs and/or stitches only 7.80 512W
Rates at 1 January 1984 £ Amounts paid 1982–83 England £ 11. A fee for immediately necessary treatment given by a practitioner under paragraphs 6(3) or 4(4) of his terms of service 4.40 or 6.60 Included in Temporary Resident payments see item 7 12. Postgraduate training allowance 545 490,844 13. Payments in respect of the trainee practitioner scheme: i. Training grant 3,160pa 5,564,119 ii. Allowance for additional motor vehicle: 21,286,172 a. for one year's full-time training 2,122 b. for 2 year's part-time training (for each year) 1,325 iii. Trainees salary and board and lodging—approx. maximum payment (dependent on 9,626 last hospital post) to 15,847 iv. London Weighting a. London Zone 772pa b. The Fringe Area 149pa 14. Payments under the doctors' retainer scheme 20.00 per session 338,790 Amount to be compared with Total reckonable income in previous years 610,215 15. Initial practice allowance: Maximum allowance i. Type A First year 10,140pa Second year 6,760pa 10,900 Third year 3,380pa 10,900 Fourth year 1,690pa 10,900 ii. Type B First year 16,900pa — Second year 6,760pa 10,900 iii. Type C First year 8,880pa Second year 6,660pa Third year 4,440pa Fourth year 2,220pa iv. Type D Guaranteed Net Income a. First Doctor 26,870pa b. Two partners joint net income 47,540pa 16. Rural practice payments 2,361,000 7,625,269 England only (Quarter 1 January 1984–31 March 1984) England and Wales 17. Payments in respect of the supply of drugs and appliance Various 90,620,000 18. Inducement payments — 28,528 19. Additional payments during sickness Up to a maximum of £200 a week 1,080,780 20. Additional payments during confinement 21. a. Prolonged study leave —allowance £28.30 a week up to a maximum of £200.00 a week 135,595 b. Educational allowance locum allowance 22. Payments under the rent and rates scheme Various 37,326,639 23. Payments under the ancillary staff scheme Various 89,052,901 24. Related ancillary staff allowance 1,565pa 427,317 25. Improvement grant Various 1,814,314