Even better paid down at the surgery?

A recent paper on downgrading our local hospital, and requiring some of our area to travel 30 miles to the nearest major hospital (for some travelling up to 3 hours each way on public transport, if they have no car,) a passing item referred to payments for attendance at the A & E, which is one of the first departments to transfer out.

The wording is a summary and confusing to any who did not attend, but the gist seems to be that currently GPs are being paid for each patient who avoids admission to A & E . Presumably the GPs have to provide certification -" I inserted 6 stitches in the wound" or "I cauterised the bleed."

I had become aware that our local clinic is performing minor operations, and I welcome the trend - we know the doctors and the clinic is near, but payment for avoiding admissions to hospital does sound a little worrying. Is the decision left to the GP, and if the patient avoids hospital, who receives the payment? Given a full morning of surgeries, and afternoons with special clinics and no evening work, when do they actually manage to visit people in their homes?