GP Contract Car-Hill Formula

Question 1

What are some factors included in the Carr-Hill formula?

Answer 1

• Age and sex of patients
• Nursing and residential home patients
• List turnover: adjusted for number of new registrations
• Additional needs: Standardised Mortality Ratio and Standardised Long-Standing Illness for patients under the age of 65 years
• Staff market forces factor
• Rurality
• London weighting

Question 2

What did the Carr-Hill formula replace?

Answer 2

The Jarman index

Question 3

What is the Carr-Hill formula?

Answer 3

Used to adjust the global sum total for a number of local demographic and other factors which may affect Practice workload.

In plain English: A higher GP workload from complex patients that have higher demands.