DoctoriumGP · Practice MOT
Funding Radar
DoctoriumGP · primary-care income intelligence

GP Funding Radar

Every income stream a Staffordshire & Stoke practice can claim — national, ICB-local and council — in one register, with a monitor for what's new or repriced. The LARS that GP funding never had.

v0 · self-audit register Practice: Trent Meadows · Burton ICB: NHS Staffordshire & Stoke-on-Trent Baseline: 2025/26 rates Built —
The problem

There is no single GP funding table.

In skills funding you had the LARS / Learning Aims Database: one national table, one rate per aim, sortable by what pays most. GP funding has nothing like it.

The money is defined and claimed across five disconnected places — which is exactly why a practice manager tracks it by hand, and exactly why it leaks.

01 National

The contract (SFE)

Global Sum, QOF, vaccination fees, DES rates. A legal document, amended every April.

02 PCN

Network DES

Core PCN funding, ARRS staff reimbursement, Enhanced Access, IIF, Capacity & Access.

03 ICB-Local

Enhanced services

Anticoagulation, near-patient testing, phlebotomy, ECG. Scattered PDFs — no register.

04 Council

Public health

NHS Health Checks, stop-smoking, LARC contraception. A different commissioner entirely.

05 Portals

Where you get paid

CQRS + CQRS Local + PCSE — three systems that don't talk to each other.

The building blocks

Confirmed 2025/26 rates.

£121.79/wtd pt
Global Sum (capitation)
Confirmed
£225.49/point
QOF · 564 points
Confirmed
£140/check
LD health check
Confirmed
£12.06/dose
Childhood vaccination IoS
Confirmed
~£90/fit
LARC contraception (Staffs CC)
Indicative · FOI
£82,418+oncosts
ARRS GP reimbursement max
Confirmed
The register

Money on the table, by tier.

All tiers
Tier 1 · silent loss
Tier 2 · cliff edge
Tier 3 · not signed up
Tier 4 · audits
The radar

Turning sources into alerts.

Job 1

Register

A normalised table of every stream — national + Staffs & Stoke ICB + Staffordshire CC. The missing LARS.

  • Rate, commissioner, claim route
  • Signed-up? uptake? value?
  • Quarterly self-audit
Job 2

Monitor

Watch the upstream sources for anything new or repriced.

  • SFE / NHSE contract pages
  • BMA "Focus on" guidance
  • South Staffs LMC bulletins
  • ICB + council PDFs
Job 3

Alert

Push the practice-specific signal — and the deadline.

  • "New LES — you're eligible"
  • "IoS fee changed on 1 April"
  • "CQRS Local claim closes in 14 days"
  • "CVD QOF tracking under threshold"
The white space

Why nobody does this.

Ardens

Optimises income from coding inside the clinical record. Won't flag a LES you never signed up to, an April rate change, or a claim deadline.

~87% of practices · coding layer

Recovery services

Retrospective FP34 / prescription-claim audits. Backward-looking, one narrow stream, commission-priced.

e.g. GP Profit Recovery

Medical accountants

Income-maximisation advice and ES monitoring — but periodic, manual, after the fact.

AISMA firms

The radar

Monitors the upstream funding sources and pushes a practice-specific change / eligibility / deadline alert. Nobody does this.

The gap
Zero build

Do this week — for Trent Meadows.

  1. Run the register self-audit with the practice manager — tick signed-up Y/N on every row. Gaps fall out immediately.
  2. FOI the Staffs & Stoke ICB (foi@staffsstoke.nhs.uk) for the local enhanced services list + rates — there's no published bundle. Staffs commissions individually; this surfaces what Trent Meadows is eligible for.
  3. Confirm the LARC contraception contract with Staffordshire CC / MPFT. The one genuine council income line — and Gemma's wheelhouse. (Health Checks/stop-smoking are outsourced to Everyone Health — not GP income here.)
  4. Reconcile one month of CQRS + CQRS Local + PCSE statements — was every expected line actually paid? Follow the money.
  5. Commission a one-off no-find-no-fee FP34 / PPA reconciliation. Pure upside.
We're now in FY 2026/27. Rates above are the fully-documented 2025/26 baseline. Already changed for 2026/27: +£485m uplift (~3.6%), Advice & Guidance ES retired into core, new GP Employment Reimbursement Scheme. Re-baselining the register is the first maintenance pass — which is the whole argument for a monitored register over a static brief.