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Gp Fundholders

Volume 301: debated on Thursday 27 November 1997

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To ask the Secretary of State for Health what have been the payments made to GP fundholders in each region in each year since 1990–91 in (a) management allowances and (b) computer costs.[17388]

Available data on general practitioner fundholders' management allowances (PFMA) since 1990–91 are set out in the tables, which distinguish PFMA (general) from PFMA (computing).The PFMA (general) coverage was increased in 1995–96, to include an element for the running costs of fundholding computer systems, which had previously been paid separately.PFMA (computing) was introduced as a separate component of PFMA in 1996–97 to cover the costs of purchase or lease of fundholding computer systems. Up until April 1996 GP fundholders received reimbursement for these computer costs via the Statement of Fees and Allowances. As a result, audited information is not held centrally which identifies GP fundholding costs. However, estimates of moneys allocated to support GP fundholding computing costs from 1991–92 to 1994–95 are also shown.

Practice Fund Management Allowance by RHA in England— 1990–91 to 1995–96
Regional health authorities1990–911991–921992–931993–941994–951995–96
Northern and Yorkshire1,0822,3434,4666,0408,25414.859
Anglia and Oxford1,0152,2104,8167,2129,27813,163
North Thames2879442,1153,3645,55812,511
South Thames5151,5003,1396,2629,35416,504
South West7241,7083,3775,3156,92111,537
West Midlands3341,4123.2886.4669,23315.067
North West8561,9973,9876,6638,20514,377
Practice Fund Management Allowance by NHS Executive RO in England—1996–97 and 1997–98
Regional office1996–971997–98
Northern and Yorkshire17,8862,17519,186294
Anglia and Oxford13,7711,20013,853294
North Thames21,1931,85022,130420
South Thames18,9371.42519,4860
South West15,3892,80016,2580
West Midlands18,07065018,03463
North West19,3711,32519,633294


1990–91 to 1995–96: annual accounts of Family Health Services


1996–97: FDL(96)35 and FDL(96)42, revised slightly.

1997–98: FDL(97)32.


Data for 1990–91 to 1994–95 presented on Regional Office boundaries.

Estimated spend on Information Technology to support GPFundholding by Regional Health Authority inEngland— 1991–92 to 1994–95


Regional health authorities





Northern and Yorkshire2,0993,0932,1292,717
Anglia and Oxford1,4461,9892,1441,894
North Thames8361,8091,6651,819
South Thames1,8122,3713,0282,659
South West2,1171,7472,0881,906
West Midlands1,1522,3712,4133,129
North West8241,7252,6432,060


Estimates taken from FIS4 returns by FHSAs.