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Murdo Fraser (Conservative) | Question S3W-40499
To ask the Scottish Executive how it supports rural GP practices that raise income from dispensing services to continue to deliver services to communities when a community pharmacy opens in the area.
Murdo Fraser (Conservative) | Question S3W-40500
To ask the Scottish Executive how it ensures that an increase in community pharmacies will not have a negative impact on the capacity of rural GP practices that raise income from dispensing services to deliver services to communities.
Murdo Fraser (Conservative) | Question S3W-40501
To ask the Scottish Executive whether the funding arrangements for GPs that raise income from dispensing services will be amended to ensure that rural practices can continue to deliver services to patients.
Shona Robison (Scottish National Party)
Both urban and rural GP practices across Scotland, whether dispensing or non-dispensing, are allocated levels of funding to deliver essential and additional Primary Care Services by their local health board (called the global sum). These allocations are determined by the Scottish Allocation Formula which allocates resources on the basis of needs and workload of their patients, taking into consideration the relative costs of service delivery.
The formula contains weightings to reflect:
The age and sex structure of the practice population;
The additional needs of the practice population in areas of morbidity and deprivation, and
The rurality and remoteness of the practice population.
In addition to the incentives of the Quality and Outcomes Framework, an integral part of the General Medical Services contract which remunerates GPs, there are a number of Directed Enhanced Services offering increased care for patients in which GP practices can participate and earn income over and above their global sum allocation from the boards.
The extra remuneration given by NHS boards to GP practices to dispense to their patients is intended solely to cover the costs of delivering that service, and is not provided to cross-subsidise other services. GP practices should not be reliant on income raised from dispensing services to deliver essential and additional services under their General Medical Services contract, as appropriate funding is already allocated for this purpose. Any cross-subsidy would also be unfair on the patients of non-dispensing practices, who would not have access to that funding.