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Regulations

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 23/24


Update to GP Contract 23/24 

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 23/24 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. 

GMS Contract 22/23

Please visit our dedicated webpage for updates to the GP Contract 22/23

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

GMS Contract 2021/22

Please visit our dedicated webpage for updates to the GP contract 20/21

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

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

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

 

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:

GP Contract Agreement 2020/21

NHSE published the  Update to the GP Contract 20/21-23/24 This is an update to Investment and Evolution. NHSE&I has also published a letter detailing the financial implications of this update.

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.

NHSE GP contract 2019/20

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

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

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

2022General 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

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

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

2020General 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

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

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

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

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

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

Primary Medical Services - Directed Enhanced Services

2023Primary Medical Services (Directed Enhanced Services) Directions 2023

2022Primary Medical Services (Directed Enhanced Services) Directions 2022

2021Primary Medical Services (Directed Enhanced Services) Directions 2021

2020 - Primary Medical Services (Directed Enhanced Services) (No.2) Directions 2020

2020 - Primary Medical Services (Directed Enhanced Services) Directions 2020

2019Primary Medical Services (Directed Enhanced Services) Directions 2019

Premises Costs Directions 

The National Health Service (General Medical Services - Premises Costs) Directions 2013

The National Health Service (General Medical Services – Premises Costs) (Amendment) Directions 2013

The National Health Service (General Medical Services - Premises Costs) Directions 2004 (superseded in 2013)

 

Statement of Financial Entitlements Directions 

General Medical Services Statement of Financial Entitlements Directions 2023

Statement of Financial Entitlements Amendments

2023

As above

2022

General Medical Services Statement of Financial Entitlements (Amendment) (No. 5) Directions 2022

General Medical Services Statement of Financial Entitlements (Amendment) (No. 4) Directions 2022 

General Medical Services Statement of Financial Entitlements (Amendment) (No. 3) Directions 2022

General Medical Services Statement of Financial Entitlement (Amendment No 2) Directions 2022

General Medical Services Statement of Financial Entitlement (Amendment) Directions 2022

2021

General Medical Services Statement of Financial Entitlement (Amendment 2) Directions 2021

General Medical Services Statement of Financial Entitlements (Amendment) Directions 2021 

 

 

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Updated on Wednesday, 20 September 2023 10481 views