Richard Vautrey of the BMA has given a useful summary of these 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 has reached a contract agreement with NHS England spanning the next five years, which introduces widespread changes aimed at addressing both the workforce and workload pressures currently 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 gives practices almost £1bn across five years, while another £1.8bn will be invested to support the formation of Primary Care Networks, in which practices will 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
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.
Further information can be found here: http://www.nhsemployers.org/GMS201819
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
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)
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.
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 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 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
Premises Costs Directions
Statement of Financial Entitlements Directions 2013
Statement of Financial Entitlements Amendments