Guidance


NHS England GP Contract documents

Global sum allocation formula  – a reminder from the BMA how funding for GMS practices is calculated using the Carr-Hill formula, and what is taken into account.

GMS Contract 2023/2024


Update to GP Contract 2023/2024

Please click here to view our dedicated page for the GP Contract Updates to 2023 / 2024.


NHSE have a suite of documents covering the contract for 23/24 that can be seen at https://www.england.nhs.uk/gp/investment/gp-contract/

For ease of navigation, the following links go direct to the documented sections

The BMA have also published guidance on the changes to the GP Contract 2023/2024 and have run a number of webinars on this topic. The webinar recording is also available on the contract webpage. See https://www.bma.org.uk/pay-and-contracts/contracts/gp-contract/gp-contract-changes-england-202324

Regulation update 2023 – Access

It is worth noting that there is an update to the GMS Regulations this year (2023) around access. The NHSE letter says that it “will make clear that patients should be offered an assessment of need, or signposted to an appropriate service, at first contact with the practice. Practices will therefore no longer be able to request that patients contact the practice at a later time”. The BMA/GPC England say that whilst they agree with the aspiration of this amended regulation, it believes that this requirement is not achievable for many practices with current resource and workforce.

We would strongly recommend that you look at this requirement in more detail on the BMA webpage – GP Access and meeting the reasonable needs of patients. It highlights what the regulations will now say and also how this may affect safe working guidance.

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GMS Contract 2022/2023

On 1 October 2022, the following changes to the GMS and PMS Contract Regulations and APMS Directions came into force:

  • changes regarding premises requirements where services are provided remotely
  • expansion of the provisions regarding the disclosure of information about NHS earnings and confirmation of the disclosure date for self-declaration submissions
  • removal of the requirement that 25% of appointments are available for online booking, replaced with a requirement that all directly bookable appointments are able to be booked online, as well as in person or via the telephone.
  • the ability for patients to register digitally is now supported.

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GMS Contract 2021/2022

GMS/PMS Regulation Amendments (No.2) 1st October 2021 Summary

The following amendments were made to the GP contract from 1 October 2021:

  • The introduction of a requirement for the disclosure of information about NHS earnings which will begin for individuals who have NHS earnings of over £150,000 in 2019-2020. Further information is available in the general practice pay transparency guidance.
  • Changes to the process of registering with a GP practice for Crown Servants posted overseas and their family members.
  • The removal of the requirement for individual patient consent when moving a patient with an electronic repeatable prescription on to electronic repeat dispensing.
  • New requirements regarding the digital offer which all practices must provide to patients.
  • The introduction of exemption confirmation requests for patients who should not be tested for, or vaccinated against, coronavirus.
  • A requirement for the transfer of patient records between GP practices within 28 days of receiving the request.

There is a slide set with more detail on these amendments that can be downloaded here.

 

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GMS/PMS Contracts Services Agreements (Amendment No.2) Regulations 2020

Richard Vautrey  of the BMA summarised the amendments as follows: –

GMS and PMS regulations changes from October 2020 (England)

The amendments to GMS and PMS regulations in England to commence from October 2020 have now been published. These mainly brought into force elements of the GP contract agreement from earlier in the year. The amendments include:

  • requirement for monthly data submissions to the NHS Digital Workforce Collection
  • requirement to participate in the existing GP appointments data collection
  • requirement for practices to ensure patient registration data is regularly updated
  • removal of patients who move outside of the practice catchment area: the practice is responsible for the patient’s care for up to 30 days (unless and until the patient registers at another practice) but is not responsible for home visits or out of hours services during that period.
  • a modification to make sure that patients who have previously been removed from a practice list and been put onto a violent patient scheme cannot be permanently refused readmission to a practice list if they have been correctly discharged from that scheme.
  • patient assignment to any practice within the patient’s local ICB, rather than within the practice area.
  • patient assignment as part of a list dispersal
  • an exemption to the ban on subcontracting a subcontract in order to allow PCNs greater flexibility to deliver the DES
  • final cancellation of CQC registration is a ground for termination of a GMS contract
  • other minor amendments to wording without significant change to the meaning

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GP Contract Agreement 2020/2021

NHSE published the  Update to the GP Contract 2020/2021-2023/2024 This is an update to Investment and Evolution. NHSE&I has also published a letter detailing the financial implications of this update.

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GP Contract Agreement 2019/2020

The BMA’s GP committee reached a contract agreement with NHS England spanning five years, which introduced widespread changes aimed at addressing both the workforce and workload pressures experienced by GPs in England, and improving services for patients by beginning to realise ambitions laid out in the NHS Long-Term Plan.

The contract gave practices almost £1bn across five years, while another £1.8bn investment to support the formation of Primary Care Networks, in which practices work together to provide care to patients across a wider geographic area.

NHSE GP contract 2019/2020

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GMS and PMS Regulations 2015

GMS: http://www.legislation.gov.uk/uksi/2015/1862/contents/made (Issue December 2015)

PMS: http://www.legislation.gov.uk/uksi/2015/1879/contents/made (Issue December 2015)

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GMS and PMS Regulations Amendments

2023 –  General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023

2023 – GMS & PMS National Health Service (Amendments Relating to Pre-Payment Certificates, Hormone Replacement Therapy Treatments and Medicines Shortages) Regulations 2023

2023General Medical Services Contracts and Personal Medical Services Agreements (Amendment) Regulations 2023

2022 –  General Medical Services Contracts and Personal Medical Services Agreements (Amendment) (No. 3) Regulations 2022

2022 –  General Medical Services Contracts and Personal Medical Services Agreements (Amendment No.2) Regulations 2022

2022 –  General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2022

2021 –  General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021

2021 –  General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2021

2020 –  General Medical Services Contracts and Personal Medical Services Agreements (Amendment) (No. 3) Regulations 2020

2020 – General Medical Services Contracts and Personal Medical Services Agreements (Amendment No.2) Regulations 2020

2020 –  General Medical Services Contracts and Personal Medical Services Agreements (Amendment) Regulations 2020

2019 – General Medical Services Contracts and Personal Medical Services Agreements (Amendment) Regulations 2019

2018 – General Medical Services Contracts and Personal Medical Services Agreements (Amendment) Regulations 2018

2017 – General Medical Services Contracts and Personal Medical Services Agreements (Amendment) Regulations 2017

2016 – General Medical Services Contracts and Personal Medical Services Agreements (Amendment) Regulations 2016

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