Legislative Assembly for the ACT: 2003 Week 7 Hansard (26 June) . . Page.. 2723..
i) Bulk Billings from Scheme A Doctors
Under their contracts Scheme A doctors assign 100% of their private revenue to TCH as a facility fee. In lieu of this private practice income the doctors are entitled to an allowance which is calculated as a percent of their salary.
ii) Bulk Billings from Scheme B &C Doctors
Under their contracts Scheme B & C Doctors are entitled to a certain percent of their salary as a bonus. This bonus is paid out of the private revenue recorded under their name. A percentage of their private practice revenue is then distributed to the TCH as facility fees and if enough private revenue has been earned the specialists are entitled to a further bonus. Once a specialist has been paid their full amount of bonuses they are entitled to, any extra revenue is donated to the Private Practice Trust Fund (PPTF). The money in the PPTF is generally used to fund training and research in TCH.
iii) Bulk Billings From AWA contracted Doctors
An AWA contract is structured like a scheme A contract in that the doctors assign 100% of their private revenue to TCH as a facility fee. In lieu of this private practice income the doctors are entitled to an allowance which is calculated as a percent of their salary. The AWA contract is different to Scheme A in that the allowance in lieu of private practice income is usually larger than in a standard Scheme A contract (ie the allowance is a higher percentage of salary). Specialties within TCH such as Medical Imaging have their own AWA contracts.
In all cases the money is retained by The Canberra Hospital as facilities fees revenue.
All of the Pathology Facility fees are billed in the name of one Provider, namely the Director of ACT Pathology. In return for the facility fees being retained by TCH as revenue, each Pathologist has the option of selecting an allowance 'in lieu of a private practice'.
(Question No 806)
Mr Smyth asked the Minister for Health, upon notice:
In relation to bulk billing:
(1) How many General Practitioners are currently working in the ACT;
(2) How many of these General Practitioners bulk bill for their services;
(3) How much has this number increased or decreased in the last 3 years.
Mr Corbell: The answer to the member's question is:
(1) According to the Report on Government Services 2003, there were 406 GPs in the ACT