Ep 333: The GP Contract in Scotland...

This episode (originally from the GP Practice Finance Course) features Scottish experts Dawn Laird and Colin Malone from Forvis Mazars explaining key elements of the Scottish GP contract and practice finance. They outline NHS Health Board income streams shown on monthly statements, including global sum (the largest), enhanced services, reimbursements, and deductions for seniority and superannuation. They describe how the Scottish workload formula values patients (especially by age, plus uplifts for new registrations and care homes) and note trends of rolling income into global sum, plus Scottish Government plans for £148m recurring funding by 2028–29 focused on workforce, locum cover reimbursement from day one, expense reimbursement, cloud-based telephony, and health inequalities. They review major costs (staffing and premises), practice structures (partnerships, LLPs, limited companies and superannuation implications), premises loans and grants, superannuation processes and opting out considerations, seniority rules, and pension administration via SPPA Engage, McCloud remedy statements, benefit statement timing, and retirement options.

00:00 Welcome and Course Intro

00:47 Meet the Experts

02:04 NHS Income Streams Explained

04:06 Global Sum and Workload Formula

06:51 New Funding and Contract Changes

11:05 Key Costs Staff and Premises

14:45 Practice Structures Partnership LLP Ltd

21:58 Premises Loans and Grants

26:40 Superannuation Basics and Planning

35:44 Seniority Rules and Session Changes

37:13 SPPA Portal and McLeod Updates