Pca(M)(2008)1
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NHS Circular: PCA(M)(2008)1 Primary and Community Care Directorate Primary Care Division abcdefghijklmnopqrstu Dear Colleague 8 February 2008 ___________________________ GENERAL MEDICAL SERVICES STATEMENT OF FINANCIAL ENTITLEMENTS FOR 2007 Addresses Summary For action 1. This Circular introduces a revised Statement of Financial Chief Executives NHS Boards Entitlements (SFE) for GMS Contractors for 2007, a copy of which can General Medical Practitioners be found in the link provided below. For information 2. This SFE which takes effect from 6 February 2008 (30 Director of Practitioner Services November 2007 in the case of Annex J) has been agreed with the Division, NHS National Services Scotland Scottish General Practitioners Committee and will replace the SFE introduced on 22 March 2007. Amendments have been made to this ___________________________ SFE to (a) adjust payment calculations when there are 366 days in a financial year and (b) following changes to National Health Service Enquiries to: (General Medical Services Contracts) (Scotland) Regulations 2004, an annex J has been included in the SFE to define the vaccinations and Kay Robinson immunisations to be provided by GPs who undertake additional 1 East Rear services. Annex J is similar to paragraph 27 schedule 1 of the Red St Andrew’s House Book, with the exception that those who handle bats on a voluntary EDINBURGH EH1 3DG basis are now eligible for vaccination against rabies. The heading for “Payments for Specific Purposes” has moved to before Section 8A and Tel: 0131-244 2350 references to the Scottish Executive have changed to Scottish Fax: 0131-244 2621 Government. Details of the amendments are at Annex A. [email protected] 3. An electronic copy of the SFE can be found on the SHOW ___________________________ Website at: http://www.show.scot.nhs.uk/sehd/pca/PCA2008(M)01.pdf Action 4. NHS Boards are requested to bring this Circular to the attention of GP practices in their area and their Local Medical Committee for the attention of the Secretary of the GP sub-committee. Yours sincerely DR JONATHAN PRYCE Deputy Director, Primary Care Division St Andrew’s House, Regent Road, Edinburgh EH1 3DG www.scotland.gov.uk abcde abc a Annex A Amendments made to the SFE dated 22 March 2007 Amendment of the Introduction Paragraph 1.2 has changed from; “This SFE relates to the payments to be made by Health Boards to a contractor under a GMS contract. It replaces the Statement of Financial Entitlements for 2006, signed on 27th June 2006 but previous SFEs continue to have effect in relation to claims for payments that relate to those financial years.” to “This SFE relates to the payments to be made by Health Boards to a contractor under a GMS contract. It replaces the Statement of Financial Entitlements for 2006, signed on 22nd March 2007 but previous SFEs continue to have effect in relation to claims for payments that relate to those financial years.” Paragraph 1.5 has changed from; “The directions given in this SFE apply to Scotland only (parallel Statements will be made for England, Wales and Northern Ireland). They were authorised to be given, and by an instrument in writing, on behalf of Scottish Ministers, by Jonathan Pryce, a member of the Senior Civil Service, on 22 March 2007, and shall come into force with effect from 4th September 2006.” to “The directions given in this SFE apply to Scotland only (parallel Statements will be made for England, Wales and Northern Ireland). They were authorised to be given, and by an instrument in writing, on behalf of Scottish Ministers, by Jonathan Pryce, a member of the Senior Civil Service, on December 2007 ??, and shall come into force with effect from December 2007??.” Paragraph 1.6 has changed from; “This SFE may be revised at any time, in certain circumstances with retrospective effect. For the most up-to-date information, contact the Scottish Executive Health Department, Directorate of Primary Care and Community Care, General Medical Services Branch, Area 1.ER, St Andrews House, Regent Road, EDINBURGH, EH1 3DG. signed by authority of the Scottish Ministers Jonathan Pryce Scottish Executive Health Department: A member of the Senior Civil Service” to “This SFE may be revised at any time, in certain circumstances with retrospective effect. For the most up-to-date information, contact the Scottish Government Health Directorate, Directorate of Primary Care and Community Care, General Medical Services Branch, Area 1.ER, St Andrews House, Regent Road, EDINBURGH, EH1 3DG. signed by authority of the Scottish Ministers Jonathan Pryce Scottish Government Health Directorate: A member of the Senior Civil Service” Amendment of Section 2 Paragraph 2.17 has changed from; “However, if the contactor’s GMS contract either takes effect during, or is terminated before the end of, that financial year, the amount to be withheld pursuant to paragraph 2.16 is to be adjusted by the fraction produced by dividing the number of days during which the financial year for which its GMS contract had effect by 365.” to “However, if the contactor’s GMS contract either takes effect during, or is terminated before the end of, that financial year, the amount to be withheld pursuant to paragraph 2.16 is to be adjusted by the fraction produced by dividing the number of days during which the financial year for which its GMS contract had effect by 365 (or 366 where the financial year includes 29th February).” Amendment of Section 3 Paragraph 3.3b has changed from; “in accordance with the Scottish Executive Health Department (SEHD) guidance reproduced in Annex D of the 2004/5 SFE; and” to “in accordance with the Scottish Government Health Directorate (SGHD) guidance reproduced in Annex D of the 2004/5 SFE; and” Amendment of Section 6 Paragraph 6.8 (b) has changed from; “for only part of the financial year, the resulting amount is to be adjusted by the fraction produced by dividing the number of days during the financial year for which the contractor’s GMS contract had effect by 365, and the result of that calculation is the interim total for the contractor’s Achievement Payment for the financial year.” to “for only part of the financial year, the resulting amount is to be adjusted by the fraction produced by dividing the number of days during the financial year for which the contractor’s GMS contract had effect by 365 (or 366 where the financial year includes 29th February), and the result of that calculation is the interim total for the contractor’s Achievement Payment for the financial year.” Amendment of Heading for Part 4 The heading “PART 4 PAYMENTS FOR SPECIFIC PURPOSES” has been moved from before section 9 to before section 8A . Amendment of Section 13 Paragraph 13.12 (b) has changed from; “the GP provider’s Seniority Date falls in that quarter on any date other than the first date of that quarter, the full annual rate of the Seniority Payment payable in respect of him changes on his Seniority Date – and so in respect of that quarter, the full annual rate of the Seniority Payment payable in respect of him is to be calculated as follows– (i) calculate the daily rate of the full annual rate of payment for the first total of Years of Reckonable Service relevant to him (i.e. divide the annual rate by 365), and multiply that daily rate by the number of days in that quarter before his Seniority Date, (ii) calculate the daily rate of the full annual rate of payment for the second total of Years of Reckonable Service relevant to him (i.e. divide the annual rate by 365), and multiply that daily rate by the number of days in that quarter after and including his Seniority Date, then add the totals produced by the calculations in heads (i) and (ii) together, and multiply by four.” to “the GP provider’s Seniority Date falls in that quarter on any date other than the first date of that quarter, the full annual rate of the Seniority Payment payable in respect of him changes on his Seniority Date – and so in respect of that quarter, the full annual rate of the Seniority Payment payable in respect of him is to be calculated as follows– (i) calculate the daily rate of the full annual rate of payment for the first total of Years of Reckonable Service relevant to him (i.e. divide the annual rate by 365 or 366 where the relevant year includes 29th February), and multiply that daily rate by the number of days in that quarter before his Seniority Date, (ii) calculate the daily rate of the full annual rate of payment for the second total of Years of Reckonable Service relevant to him (i.e. divide the annual rate by 365 or 366 where the relevant year includes 29th February), and multiply that daily rate by the number of days in that quarter after and including his Seniority Date, then add the totals produced by the calculations in heads (i) and (ii) together, and multiply by four.” Paragraph 13.19 has changed from; “If, however, the GP provider’s– (a) qualifying date falls in that quarter, the quarterly amount is instead to be calculated as follows: the annual amount (taking account of any reduction in accordance with the GP provider’s Superannuable Income Fraction) is to be divided by 365, and then multiplied by the number of days in the quarter after and including his qualifying date; and (b) retirement date falls in that quarter, the quarterly amount is instead to be calculated as follows: the annual amount (taking account of any reduction in accordance with the GP provider’s Superannuable Income Fraction) is to be divided by 365, and then multiplied by the number of