NHS England GP Contract documents
GMS Contract 2021/22
NHSE & I in agreement with the BMA have published a letter supporting general practice 2021/22. The letter gives an overview, however, NHS England and the BMA/GPC England have agreed that too much remains unclear to confirm contractual arrangements for the whole of 2021/22. However, they can offer some reassurance and certainty now (Jan 21).
Please visit our dedicated webpage for updates to the GP contract 20/21 - 23/24 for a summary.
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 2019-20. 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.
We discussed these amendments in our PM webinar 14th October 2021.
There is also a slide set with from this webinar with more detail on these amendments that can be downloaded here.
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 CCG, 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
GP Contract Agreement 2020/21
We have a dedicated page for the 2020/21 update to contract at: - https://www.wessexlmcs.com/updatetogpcontract20212324
GP Contract Agreement 2019/20
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.
We have a dedicated page for the 2019/20 Contract at: https://www.wessexlmcs.com/gpcontractagreement201920 where you can download a full suite of the contract documents.
Alternatively, go to NHSE GP contract 2019/20
GMS Contract Changes 2018/19
NHS Employers and the British Medical Association’s General Practitioners Committee (GPC) agreed changes to the General Medical Services (GMS) contract effective from 1 April 2018. These changes applied in England only.
The contract for 2018/19 saw an investment of £256 million, which was an overall increase of 3.4 per cent.
Further information can be found here: http://www.nhsemployers.org/GMS201819
GMS Contract Changes 2017/18
In previous years the changes were 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 were aimed at supporting practices and to address these important factors. Alone, these contract changes did 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).
Please click here to read the outcome of the 2017/18 GMS contract negotiations
For a summary of the changes to PMS and APMS contracts in 2017/18 go to this link: Implementing the 2017/18 GP contract
New Contractual Requirements 2016
Provision of information on general practice access data (Publications Gateway Ref No: 05730)
The Government’s mandate to NHS England had a commitment to ensure everyone had 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 was required to submit an online return twice a year through the Primary Care Web Tool. This set out what access to appointments the practice offers to patients either itself or through other arrangements, seven days a week.
Contact Name and email address for any queries: firstname.lastname@example.org
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 saw significant investment, helping to alleviate some of the pressures in general practice and working to improve access to services. In addition, there were 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 were made to the Quality and Outcomes Framework (QOF) indicators or thresholds.
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
GMS and PMS Regulations Amendments
Primary Medical Services - Directed Enhanced Services
Premises Costs Directions
Statement of Financial Entitlements Directions
General Medical Services Statement of Financial Entitlements Directions 2013 (superseded in 2021)
Statement of Financial Entitlements Amendments