PC020 - GMPS CLAIMS AND PAYMENTS OR REIMBURSEMENTS FROM PRIMARY CARE TRUSTS

1. This diagram shows the classes concerned with the claims for payment which GENERAL MEDICAL PRACTITIONERS make to the PRIMARY CARE TRUST.

2. A GENERAL MEDICAL PRACTITIONER may make a number of GMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS. A GMP CLAIM FOR PAYMENT OR REIMBURSEMENT is either an ITEM OF SERVICE CLAIM or OTHER CLAIM BY GMP which may be in the context of a particular GENERAL MEDICAL PRACTITIONER PRACTICE.

3. An ITEM OF SERVICE DELIVERY is delivered to a PERSON which may be recorded as delivered at a particular ADDRESS and claimed for by a particular ITEM OF SERVICE CLAIM. An ITEM OF SERVICE DELIVERY may be one of a number of subtypes: REGISTRATION HEALTH CHECK, MATERNITY MEDICAL SERVICE, ANAESTHETIC SERVICE, CONTRACEPTIVE SERVICE, EMERGENCY TREATMENT SERVICE, NIGHT CONSULTATION VISIT, DENTAL HAEMORRHAGE SERVICE, MINOR SURGERY PROCEDURE or VACCINATION SERVICE.

4. A CARE PROFESSIONAL may undertake a particular role in the ITEM OF SERVICE DELIVERY as ITEM OF SERVICE DELIVERY ROLE such as responsible healthcare professional or healthcare professional taking material for pathology testing.

5. GENERAL MEDICAL PRACTITIONERS are paid via GMP PAYMENTS OR REIMBURSEMENTS for GMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS.

6. The applicable payment for a particular VACCINATION SERVICE is determined by the combination of IMMUNISATION DISEASE and IMMUNISATION COURSE TYPE.

7. A MATERNITY MEDICAL SERVICE may result in a number of GMP CONSULTATIONS.