Skip to main content


Volume 79: debated on Thursday 16 May 1985

The text on this page has been created from Hansard archive content, it may contain typographical errors.

asked the Secretary of State for Social Services (1) if he will list those matters in respect of which general practitioners receive indirect expenses; and if he will quantify the average value of each of the same to individual general practitioners;(2) what instructions he has given to family practitioner committees in relation to the direct and indirect expenses of part-time general practitioners; and if he will make a statement.(3) pursuant to his reply of 25 March,

Official Report, column 97, and 4 April, Official Report, column 767, if he will list and describe in the fullest reasonable particularity the nature and value of the individual expenses incurred by general practitioners.

asked the Secretary of State for Social Services what are the maximum fixed expenses for which general practitioners are eligible under section 63 of the National Health Service Act 1977; and if he will list the same.

asked the Secretary of State for Social Services what is the top rate seniority allowance for general practitioners; what is the eligibility of older general practitioners to obtain further superannuation; at what age such incentives commence and cease; and what is the effect on the eligibility of general practitioners for such incentives if they obtain limited commitment.

The top rate seniority allowance for general medical practitioners is currently £4,375 per annum. A lower allowance first becomes payable after 11 years on the medical register and seven years as a National Health Service principal. Seniority allowance ceases to be payable at age 72. Payment of the allowance to a doctor who has a limited commitment depends on the nature of the commitment.General practitioners may retire at any time on reaching age 60. If they retire and again practise, even after 24 hours, as principals in the National Health Service, any pension payable will be reduced so that post-retirement earnings plus pension do not exceed pre-retirement earnings. While re-employed, retired doctors continue to pay contributions to the NHS superannuation scheme and earn further pension rights up to age 70. However, general practitioners who retire for the first time at age 65 or over may be re-employed without their pension being liable to reduction. In such a case, the re-employment is not superannuable and no further pension rights may be earned.

asked the Secretary of State for Social Services if he will identify and list, together with the sums payable in respect of each, the basic allowances, seniority allowances and other fees or allowances for which general practitioners are eligible

The fees and allowances, together with the rates payable at 1 November 1984, are as follows:

Rates at 1 November 1984 £
1. Basic Practice Allowance:
(a) Full rate6,760per annum
(b) First 100 patients1,360per annum
(c) Each patient above 100 to 9996 · 00 per annum
(d) Leave payment1,352per annum
2. Additions to Basic Practice Allowance in respect of:
(i) Pratice in a designated area
Type 12,095per annum
Type 23,195per annum
(ii) Practice as a member of a group1,175per annum
(iii) Seniority
First payment1,620per annum
Second payment2,760per annum
Third payment4,375per annum
(iv) Vocational training1,450per annum
(v) Employment of an assistant (full time) or where the principal (or in a partnership all principals) receive an addition as the practice is in a designated area4,410per annum
3. Payments for out of hours responsibilities:
(i) Supplementary practice allowance

Rates at 1 November 1984 £

(a) Full rate1,345per annum
(b) First 100 patients265per annum
(c) Each patient above 100 to 9991·20 per annum
(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)1·31 per annum
(iii) A fee for a night visit14·90 per annum
4. A fee for an item of service carried out for reasons of public policy:
(i) Vaccination and immunisation
Fee A2·20 per annum
Fee B3·20 per annum
(ii) Cervical cytology test6·40 per annum
5. Fees for provision of contraceptive services:
(i) Ordinary8·55 per annum
(ii) Intrauterine device28·70 per annum
6. Fees for the provision of maternity medical services:

On obstetric list

Not on obstetric list

(i) Complete maternity services100·0058·35
(ii) Ante-natal care:
(a) Woman booking up to the 16th week of pregnancy54·0031·50
(b) Woman booking from the 17th week to the 30th week of pregnancy40·5023·65
(c) Woman booking from the 31st week of pregnancy27·0015·75
(iii) Miscarriage33·3520·85
(iv) Care during confinement23·0013·35
(v) Complete post-natal care23·0016·35
(vi) Partial postnatal care
(a) Each attendance subject to a3·052·15
maximum of15·2510·75
(b) Full postnatal examination7·755·60
(vii) Second practitioner called in to give anaesthetic21·3021·30
7. A fee for the treatment of a temporary resident who:
(i) Expects to remain in the district for not more than 15 days4·90
(ii) Expects to remain in the district for more than 15 days7·35
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 visit14·90
(b) Other12·75
(ii) Minor surgical operation requiring anaesthetic12·75
(iii) Treatment of fracture12·75
(iv) Reduction of dislocation12·75
(v) Administration of general anaesthetic21·30
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 services21·30

Rates at 1 November 1984 £

(i) Fee for the arrest of dental haemorrhage or for the provision of after care12 · 75
(ii) Fee for the removal of plugs and/or stitches only8·70
11. A fee for immediately necessary treatment given by a practitioner under paragraphs 6(3) or 4(4) of his terms of service4·90 or 7·35
12. Postgraduate training allowance605
13. Payments in respect of the Trainee Practitioner Scheme
(i) Training grant3,160per annum
(ii) Allowance for additional motor vehicle:
(a) For one year's full-time training2,241
(b) For two years' part-time training (for each year)1,398
(iii) Trainees salary and board and lodging — approx. maximum payment (dependent on last hospital post)10,270 to 16,917
(iv) London Weighting
(a) London Zone807per annum
(b) The Fringe Area149per annum
14. Payments under the Doctors' Retainer Scheme21·35 per session
15. Initial Practice AllowanceMaximum allowance
(i) Type A First year11,310
Second year7,540
Third year3,770
Fourth year1,885
(ii) Type B First year18,850
Second year7,540
(iii) Type C First year9,900
Second year7,425
Third year4,950
Fourth year2,475
(iv) Type D Guaranteed net income:
(a) First doctor28,690
(b) Two partners joint net income50,760
16. Payments in respect of the supply of drugs and appliancesVarious
17. Inducement paymentsVarious
18. Additional payments during sickness

*213·50 per week

19. Additional payments during confinements
(a) Prolonged study leave allowance31·40 per week
(b) Educational allowance locum allowanceUp to a maximum of 213·50 per week
21. Payments under the Rent and Rates SchemeVarious
22. Payments under the Ancillary Staff SchemeVarious

Rates at 1 November 1984 £

23. Related Ancillary Staff Allowance1,760per annum
24. Improvement GrantVarious

asked the Secretary of State for Social Services how many general practitioners operating within the National Health Service are over the age of 65 years.

The number of unrestricted principals in England practising in the National Health Service aged 65 and over at 1 October 1984 was 1,189.

asked the Secretary of State for Social Services how many and what representations he has made to the General Medical Services Committee and elsewhere about a fixed retirement age for general practitioners; what was the response; when he will next make representations; and if he will make a statement.

We have made no representations and no decision yet about a fixed retirement age.