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PMS & GMS Updates

GMS Contract Changes 2018/19

The contract changes have been announced for 2018/19.

NHS Employers and the British Medical Association’s General Practitioners Committee (GPC) have agreed changes to the General Medical Services (GMS) contract effective from 1 April 2018. These changes apply in England only.

The contract for 2018/19 will see an investment of £256 million, which is an overall increase of 3.4 per cent.

Contract changes - in summary

Interim uplift of 1% for pay and in line with inflation for expenses, which would be increased further following any uplift secured through the  DDRB process

Further information (including the revised Statement of Financial Entitlements and DES’s) can be found here:

GMS Contract Changes 2017/18

The contract changes have been announced  for 2017/8. These will apply to both GMS and PMS practices.

In previous years the changes have been kept to a minimum because of the pressures that all practices face.  

We know that for most practices the major factors that are having a negative impact are workload and workforce.

These contract changes will help all practices and are aimed at supporting practices and to take a further step to address these important factors. Alone, these contract changes will not address all the issues but they should be considered in the context of other important developments including the GP Forward View and the New Models of Care (also know as MCP or Vanguards).

If this years changes help with the rising expenses, supports the development of the work in terms of training additional members of the practices team (GPFV), adds additional funding to the global sum from a retired DES and requires the STP to deliver transformation that supports the out of hospital model and provides a focus on general practice via the new models of care, then this must be a positive. Next year we need additional recurrent resources to expand the workforce to add capacity both at practice level and at the level of a natural community of care.

Please click here to read the outcome of the 2017/18 GMS contract negotiations

New Contractual Requirements 2016

Provision of information on general practice access data (Publications Gateway Ref No: 05730)

Action: To ensure every GP in your area is aware of the new contractual requirement.

The Government’s mandate to NHS England has a commitment to ensure everyone has easier and more convenient access to GP services, including appointments at evening and weekends. From October 2016, as set out in regulations, every GP practice in England will be required to submit an online return twice a year through the Primary Care Web Tool.  This will set out what access to appointments the practice offers to patients either itself or through other arrangements, seven days a week.  The first return will be open for submission from 3 October 2016 to 31 October 2016 inclusive.

Guidance is planned to be published shortly on NHS England’s website.

Contact Name and email address for any queries:


GMS Contract Changes 2016/17

NHS Employers and the British Medical Association’s General Practitioners Committee (GPC) announced changes to the GMS contract in England for 2016/17 on 19 February 2016.

The contract for 2016/17 will see significant investment, helping to alleviate some of the pressures in general practice and working to improve access to services. In addition, there have been a number of other key changes including  further development of data collection to drive patient care and changes that continue or build on last year’s online services. No changes have been made to the Quality and Outcomes Framework (QOF) indicators or thresholds.

GMS Contract 2016/17 Guidance 

Consolidated GMS and PMS Regulations - December 2015

The consolidated GMS regulations have been laid and will come into force today, 7 December 2015 – reference SI 2015 No. 1862. The consolidated PMS Regulations will come into force at the same time – SI 2015 No 1879.

They are available through the links below and a PDF is also accessible.

PMS Reviews - Support for Practices

PMS Reviews, Support for Practices

July 2015 Reinvestment of PMS Premium, considerations for PMS & GMS practices

The LMC has been heavily involved with the PMS Review process in the Bath & North East Somerset, Swindon and Wiltshire areas.

Through this it has become apparent that both practices and CCGs would like some advice about the reinvestment of the released PMS premium funding which CCGs will have available to commission services from both GMS and PMS practices. No doubt the Wessex PMS practices will receive something from their Area Team in the not too distant future.

With this in mind, please find below supporting guidance around the reinvestment of the released PMS premium along with a PMS proposal template.  Please note that the PMS Proposal Template has been disseminated by the BGSW Area Team, we haven’t yet had confirmation from the Wessex Area Team of the process which will apply although we expect it to be similar if not exactly the same.

We hope you find both documents helpful and if you have any queries regarding this please contact

Provision of Services

Proposal Template

June 2015 GPC Guidance on PMS reviews

Focus on PMS reviews and transition to GMS - June 2015

Implementing 2014/15 GP Contract in PMS. . .

October 2014 Guidance

National PMS Review. . .

In 2013/14 NHS England placed a moratorium on local PMS reviews to undertake a national review to ensure effective use of PMS resources in 2014-15. As a consequence of this they have identified the following:

OOH Opt-Out Deductions. . .

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Updated on Thursday, 12 April 2018 3944 views