DoctoriumGP · Practice MOT
DoctoriumGP · primary-care income intelligence

GP Funding Radar

Every income stream a Derby & Derbyshire 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 Edition: NHS Derby & Derbyshire ICB Trent Meadows = Staffordshire (see addendum) 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.

Confirmed 2025/26 rates — the building blocks

£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
£186.56/pt/yr
Anticoagulation LES (DDICB)
Confirmed
£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 + DDICB + Derbyshire 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
  • Derbyshire 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"

Why it's white space — the competitor gap

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

Do this week — zero build, 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. Confirm with Derbyshire LMC: LCSF enrolment + current value, and whether a DOAC LES now exists. The LCSF bundles 16 services — miss it and you miss all 16.
  3. Check three council contracts are held with Derbyshire CC public health: NHS Health Checks, stop-smoking, LARC. Different commissioner — the most-missed category.
  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.