GP Facts & Figures

Summary

The requester asked for GP contracts, payment data from 2012, contract values, controlled drug prescriber lists, and complaint statistics. The Department of Health and Social Care provided a copy of the Standard General Medical Services Contract dated April 1, 2018, but withheld other specific data citing partial exemptions.

Key Facts

• The response includes the full text of the Standard General Medical Services Contract made under Section 31 of the National Health Service Act 2001.
• The contract provided was dated April 1, 2018, between the Department of Health and Social Care and the Contractor.
• The outcome of the request was 'Some information sent but part exempt', indicating not all requested data was disclosed.
• The contract defines 'additional services' to include cervical screening, contraceptive services, vaccinations, and minor surgery.
• The request covered financial years from 2012 to the current date and complaint data from 2015.

Data Disclosed

• 2019-03-21
• 2019-04-12
• 2012
• 2015
• 1st April 2018
• Section 31
• National Health Service Act 2001
• 141 pages
• 2 documents

Original Request

Dear FOI Team I would be most grateful if you could provide me, under the Freedom of Information act, details in respect of the below: 1. A copy or copies of the GP contracts. 2. Broken down by financial years, from 2012 to current date, provide the annual amount paid to each GP practice by the DHSC for services provided. 3. Provide contract values of each GP framework/contract (and any sub-lots) for the following financial years: 2012 to current date. 4. Provide the most up to date list of private controlled drug prescribers in the IOM including their controlled drug prescriber code, NHS area team location, and practice location. 5. Provide from 2015 to current date, the total number of complaints made against each GP practice broken down by type of complaint (i.e. rudeness etc.).

Data Tables (19)

Full Response Text

STANDARD GENERAL MEDICAL SERVICES CONTRACT

GP Practice name

MADE UNDER SECTION 31 OF THE NATIONAL HEALTH SERVICE ACT 2001

CONTENTS

Part Heading Starting Clause PART 1 DEFINITIONS AND INTERPRETATION 1 PART 2 RELATIONSHIPS BETWEEN THE PARTIES 2.1 PART 3 NHS CONTRACT 3.1 PART 4 COMMENCEMENT OF THE CONTRACT 4.1 PART 5 CLINICAL COMMISSIONING GROUPS 5.1 PART 6 WARRANTIES 6.1 PART 7 LEVEL OF SKILL PROVISION OF SERVICES 7.1 7.2 PART 8 ESSENTIAL SERVICES 8.1 PART 9 ADDITIONAL SERVICES 9.1 PART 10 OUT OF HOURS SERVICES 10.1 PART 11 OPT OUTS OF ADDITIONAL AND OUT OF HOURS SERVICES 11.1 PART 12 ENHANCED SERVICES
12.1 PART 13 PATIENTS 13.1 PART 14 PRESCRIBING AND DISPENSING 14.1 PART 15 PERSONS WHO PERFORM SERVICES 15.1 PART 16 RECORDS,INFORMATION,NOTIFICATION AND RIGHTS OF ENTRY 16.1 PART 17 CERTIFICATES 17.1 PART 18 PAYMENT UNDER THE CONTRACT 18.1 PART 19 FEES AND CHARGES 19.1 PART 20 CLINICAL GOVERNANCE 20.1 PART 21 INSURANCE 21.1 PART 22 GIFTS 22.1 PART 23 COMPLIANCE WITH LEGISLATION AND GUIDANCE 23.1 PART 24 COMPLAINTS
24.1 PART 25 DISPUTE RESOLUTION 25.1 PART 26 VARIATION AND TERMINATION OF THE CONTRACT
26.1 PART 27 NON-SURVIVAL OF TERM ENTIRE AGREEMENT GOVERNING LAW AND JURISDICTION WAIVER, DELAY OR FAILURE TO EXERCISE RIGHTS FORCE MAJEURE SEVERANCE SERVICE OF NOTICE 27.1 27.2 27.3 27.4 27.5 27.6 27.7 PART 28 REGISTERED PATIENTS FROM OUTSIDE PRACTICE AREA 28.1

SCHEDULES

SCHEDULE 1 CONTRACTOR’S DETAILS (INDIVIDUAL) SCHEDULE 1 CONTRACTOR’S DETAILS (PARTNERHSIP) SCHEDULE 1 CONTRACTOR’S DETAILS (COMPANY) SCHEDULE 2 SIGNATURES OF THE PARTIES TO THE AGREEMENT
SCHEDULE 3 INFORMATION TO BE INCLUDED IN THE PRACTICE LEAFLET SCHEDULE 4 KEY PERFORMANCE INDICATORS SCHEDULE 5 PLAN FOR IMPROVEMENT OF PREMISES SCHEDULE 6 PAYMENT SCHEDULE SCHEDULE 7 DISPENSING DOCTORS
SCHEDULE 8 ENHANCED SERVICES SCHEDULE 9 PRACTICE BOUNDARY

THIS CONTRACT is made on the 1st April 2018 BETWEEN

(1) The Department of Health and Social Care (called “the Department”) and

(2) The contractor(s) whose name(s) appear(s) at Schedule 1 to this Contract (called “the Contractor”)

BACKGROUND

A The Department is a statutory body. It is the duty of the Department to exercise its powers so as to provide or secure the provision of primary medical services within the Isle of Man.

B In order to achieve this object, the Department is empowered by section 31 of the National Health Service Act 2001, to enter into a general medical services contract with specified categories of person.

C The Contractor falls within one of the specified categories of person.

D The Department and the Contractor wish to enter into a general medical services contract under which the Contractor is to provide primary medical services and other services in accordance with the provisions of this Contract.

1 PART 1

1.1 DEFINITIONS AND INTERPRETATION

1 The following terms and phrases shall have the following meanings for the purposes of this Contract:

“the Act or 2001 Act” means the National Health Service Act 2001; “accountable GP” means a general medical practitioner assigned to a regiistered patient in accordance with clause 7.7B.1 and 7.9.3 “additional services” means one or more of - a) cervical screening services; b) contraceptive services; c) vaccinations and immunisations; d) childhood vaccinations and immunisations; e) child health surveillance services; f) maternity medical services; and g) minor surgery “advanced electronic signature” means an electronic signature which is - a) uniquely linked to the signatory, b) capable of identifying the signatory, c) created using means that the signatory can maintain under his sole control, and d) linked to the data to which it relates in such a manner that any subsequent change of data is detectable; “appliance” means an appliance which is included in the Drug Tarriff “bank holiday” means a day prescribed under the Bank Holidays Act 1989 as a bank holiday; “batch issue” means a form provided by the Department which:
a) is issued by a repeatable prescriber at the same time as a non-electronic repeatable prescription to enable a chemist to receive payment for the provision of repeat dispensing services; b) relates to a particular non-electronic repeatable prescription and contains the same date as that prescription;
c) is generated by a computer and not signed by a repeatable prescriber, d) is issued as one of a sequence of forms, the number of which is equal to the number of occasions on which the drugs, medicines or appliances ordered on the non-electronic repeatable prescription may be provided, and e) has included on it a number denoting its place in the sequence referred to in sub clause (d); “CCT” means certificate of completion of training awarded under section 34L(1) of the Medical Act 1983 (of Parliament) including any such certificate awarded in pursuance of the competent authority functions of the General Medical Council specified in section 49B of, and Schedule 4A to, that Act;
“cervical screening services” means the services described in clause 9.2.2; “the Charges Regulations” means the National Health Service (Charges for Drugs and Appliances) Regulations 2004; “charity trustee” means one of the persons having the general control and management of the administration of a charity; “chemist” means: a) a person included on the list of persons undertaking to provide general pharmaceutical services in the Island, maintained by the Department under section 9 of the Act. or b) a supplier of appliances, c) a person who is included in the list held by the Department
“child” means a person under the age of 16 years;

“child health surveillance services” means the services described in clause 9.6.2;

“childhood vaccinations and immunisations” means the services described in clauses 9.5.1 to 9.5.1(d); “chiropodist or podiatrist independent presriber” means a person: a) who is engaged or employed by the Contractor or is a party to the Contract; and b) who is registered in Part 2 of the register maintained under article 5 of the Health and Social Work Professions Order 2001 (of Parliament) (establishment and maintenance of register), and against whose name in that register is recorded an annotation signifying that the chiropodist or podiatrist is qualified to order drugs, medicines and appliances as a chiropodist or podiatrist independent prescriber; “clinical correspondence” means all correspondence in writing, whether in electronic form or otherwise, between the Contractor and other health service providers concerning or arising out of patient attendance and treatment at practice premises including referrals made by letter or by any other means; “closed” in relation to the Contractor’s list of patients, means closed to application for inclusion in the list of patients other than from immediate family members of registered patients; “complete course” means the course of treatment appropriate to the patient’s condition, being the same as the amount that would have been prescribed if the patient had been seen during core hours; “contraceptive services” means the services described in clause 9.3; “Contract” means this Contract between the Department and the Contractor named in Schedule 1; “Contractor’s list of patients” means the list prepared and maintained by the Department under clause 13.4.3; “core hours” means the period beginning at 8.00 am and ending at 6.00 pm on any day from Monday to Friday except Good Friday, Christmas Day or bank holidays; “DSA” means the Data Sharing Agreement entered into between the Commissioner and the Provider on or around the date hereof in the form appended to this Agreement in the Appendix; “Data Protection Legislation” means the Data Protection Act 2002 and any regulations made thereunder and any successor legislation relating to data protection including the GDPR and LED as it applies to the Isle of Man including but limited to any legislation as applies to the parties as the controller or processor of data ( as defined within the Data Protection Legislation) according to such legislation from time to time during the Term of this Contract; “Department” means the Isle of Man Department of Health and Social Care;
“disease” means a disease included in the list of three-character categories contained in the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (published by the World Health Organisation, a copy of
which can be found at: http://who.int/classifications/icd/ICD10Volume2 en 2010.pdf
“dispenser” means a chemist, medical practitioner or contractor whom a patient wishes to dispense the patient’s electronic prescriptions; “dispensing services” means the provision of drugs, medicines or appliances that may be provided as pharmaceutical services by a medical practitioner in accordance with arrangments made under the 2001 Act;
“Drug Tariff” means the publication known as the Drug Tariff which is published by the Secretary of State and which is referred to in section 127(4) of the National Health Service 2006 Act; (of Parliament)
“electronic communication” has the same meaning as in section 15 of the Electronic Transactions Act 2000; “electronic prescription” means an electronic prescription form or an electronic repeatable prescription;

“electronic prescription form” means a prescription form which falls within paragraph (b) of the definition of “prescription form”; “Electronic Prescription Service” means the service of that name which is managed by NHS Digital (of England); “electronic repeatable prescription” means data created in an electronic form for the purpose of ordering a drug, medicines or appliance, which:
a) is signed with a prescriber’s advanced electronic signature; b) is transmitted as an electronic communication to a nominated dispensing contractor by the Electronic Prescription Service; c) indicates that the drug, medicine or appliance ordered may be provided more than once; and d) specifices the number of occasions on which they may be provided; “electronic signature” means data in electronic form which is attached to or logically associated with other data in electronic form which is used by the signatory to sign; “electronic signature creation data” means unique data which is used by the signatory to create an electronic signature;
“enhanced services” are - a) services other than essential services, additional services or out of hours services; or b) essential services, additional services, out of hours services or an element of such a service that a contractor agrees under a contract to provide in accordance with specifications set out in a plan, which requires of the contractor an enhanced level of service provision compared to that which it needs generally to provide in relation to that service or element of service; “essential services” means the services required to be provided in accordance with clauses 8.1.1 to 8.1.8; “financial year” means 1st April to 31st March
“friends and family test” means the arrangements that the Contractor is required by the Department to enable its patients to provide anonymous feedback about the patient experience at the Contractor’s practice;
“GDPR” means the General Data Protection Regulation, namely Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC; “general medical practitioner” means a medical practitioner whose name is included in the General Practitioner Register kept by the General Medical Council;
“general medical services contract” has the same definition as ‘contract’ above
“global sum” has the same meaning as in the GMS Statement of Financial Entitlements; “GMS Statement of Financial Entitlements” is the directions given by the Department; “GP Specialty Registrar” means a medical practitioner who is being trained in general practice by a general medical practitioner who is approved for the purpose of providing training, whether as part of training leading to a CCT or otherwise; “GPSOC accredited computer system and software” means computer systems and software which have been accredited by the Secretary of State for Health in England or another person in accordnace with “General Practice Systems of Choice Level 2” “GP2GP facility” means the facility provided by the Department to the Contractor’s practice which enables the electronic health records of a registered patient which are held on computerised clinical systems of the Contractor’s practice to be transferred securely and directly to another provider of primary medical services with which the patient has registered;

“Health and Social Services Board” means a Health and Social Services Board established under article 16 of the Health and Personal Social Services (Northern Ireland) Order 1972 (establishment of Health and Social Services Boards); “Health and Social Services Trust” means a Health and Social Services Trust established under Article 10 of the Health and Social Services (Northern Ireland) Order 1991 (anciliary services); “Health Board” means a Health Board established under section 2 of the National Health Service (Scotland) Act 1978; “health care professional” has the same meaning as the Health Care Professionals Act 2014“health check” means a consultation undertaken by the Contrator which is of the type which the Contractor is required to undertake at a patient’s request under clause 7.9.4(c) “the health service” means the health service established in pursuance of section 1 of the National Health Service Act 2001; “health service body” unless the context otherwise requires, has the meaning
given to it in section 9(4) of the NHS Act 2006 (of Parliament);
“home oxygen services” means any of the following forms of oxygen therapy or supply: a) ambulatory oxygen supply, b) urgent supply, c) hospital discharge supply, d) long term oxygen therapy, and e) short burst oxygen therapy; “independent review body” means the body appointed by the Department to hear complaints if they have not been resolved via local resolution.
“immediate family member” means - a) a spouse or civil partner, b) a person whose relationship with the registered patient has the characteristics of the relationship between spouses, c) a parent or step-parent, d) a son or daughter, or
e) a child of whom the registered patient is - a. the guardian, or b. the carer duly authorised und

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