About this release

This release by Public Health Scotland (PHS), in partnership with NHS National Services Scotland (NSS), provides information about NHS Scotland payments to General Practices for the financial year 2022/23, including analysis of payments by NHS Board area.

Main points

In 2022/23 the sum of NHS Scotland payments made to 910 General Practices was £1,013.0 million. Payments have increased by £23.6 million (2.4%) when compared to 2021/22.

  • £846.3 million was paid to General Medical Services (GMS) contracted practices run by GPs;
  • £119.1 million was paid to locally negotiated contracted practices (17C) run by GPs; and
  • £47.6 million was paid to NHS Board run practices (2C).
Image caption Total payment (£ million) by type of General Practice

Of the £1,013.0 million paid in 2022/23, the Global Sum was the largest payment amounting to £712.8 million paid to 910 General Practices. Moreover, payments for Directed Enhanced Services decreased by £10.8 million (-20.3%) to £42.3 million in 2022/23, largely due to the reduction in COVID-19 vaccination services provided by General Practices.

In addition to the £1,013.0 million, £20.3 million was paid to 83 General Practices for dispensing services in 2022/23.


This annual release provides information on NHS Scotland payments to General Practices for the financial year 2022/23. It does not provide information on General Practitioner earnings, which are published by NHS Digital every September.

Global Sum Payments are a contribution towards the contractor’s costs in delivering essential and additional services, including its staff costs. Directed Enhanced Services are services that NHS Boards must ensure are provided for patients within their area.

The GMS contract came into effect from the 1 April 2018, introducing increases in funding designed to support a significant change in the delivery of General Medical Services (GMS). More information about the contract can be found on the Scottish Government website.

Data are sourced from NSS Practitioner Services General Practice Payment system. Data on dispensing payments are sourced from the Prescribing Information System (PIS).

Information relating to General Practice in Scotland can be found on the Public Health Scotland website, and wider information about Public Health Scotland can be found in the News section.

Further information

The next release of this publication will be Autumn 2024.

General enquiries

If you have an enquiry relating to this publication, please contact Lisa Reedie at phs.generalpractice@phs.scot.

Media enquiries

If you have a media enquiry relating to this publication, please contact the Communications and Engagement team.

Requesting other formats and reporting issues

If you require publications or documents in other formats, please email phs.otherformats@phs.scot.

To report any issues with a publication, please email phs.generalpublications@phs.scot.

Older versions of this publication

Versions of this publication released before 16 March 2020 may be found on the Data and Intelligence, Health Protection Scotland or Improving Health websites.

Last updated: 21 March 2024
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