This page summarises the key GMS contract changes from 2003 to 2014, starting with the first three-year GMS contract which was introduced in 2003/04.
Any agreed contract changes are underpinned by a Statement of Financial Entitlements (SFE) which are all available on the Department of Health’s website.
Contract changes 2017/2018
On 2 February 2017, the GPC announced changes to the GMS contract in England for 2017/18.
The changes include:
Contract changes 2015/16
On 30 September 2014, NHS Employers and the General Practitioners Committee of the BMA announced changes to the GMS contract in England for 2015/16.
Contract changes 2014/15
On 15 November 2013, NHS Employers and the GPC announced changes to the GMS contract in England for 2014/15.
The focus of the changes were on reducing unplanned admissions/accident and emergency attendances and reducing the number of indicators in the quality and outcomes framework (QOF) to allow GPs more time to spend with their patients.
A guidance document is available to download here.
The changes include the following:
Contract changes 2013/14
Changes included an increase in global sum of 1.47%, the phasing out of MPIG over a seven year period, changes to QOF, vaccination and immunisation and four new enhanced services. This was announced by DH following a consultation process.
Contract changes 2012/13
Changes included an overall uplift on 0.5%; changes to QOF including new indicators; extension of two clinical DESs and the extended hours DES for a year.
Contract changes 2011/12
Changes included an increase in pay in 2011/12; 0.5% uplift; changes to QOF; extension of clinical and non-clinical DESs; and a new Patient Participation DES.
Contract changes 2010/11
These changes continue existing arrangements for the Extended Hours Access Scheme Directed Enhanced Service (DES) and the four clinical DESs in England. There were no changes to the Quality and Outcomes Framework (QOF) as part of a wider agreement on a new DES for the swine flu vaccination programme.
Contract changes 2009/10
In 2009/10 the agreed changes gave a fairer distribution of resources across practices, to ensure that the contract rewards practices that continue to develop services to meet patient needs.
Contract changes 2008/09
These changes included an additional 1.5 per cent investment in new patient services and small changes to QOF, to ensure that it reflected the latest clinical evidence.
Contract changes 2006/07
In 2006/07, the key changes included strengthening and improving the QOF, and new investment in enhanced services. In England there was a new Extended Hours Access Scheme DES and a new independent patient experience survey.
The new GMS contract 2003/04
The new General Medical (GMS) contract saw the introduction of a practice-based contract, with an unprecedented scale of investment in general medical services. From 1 April 2004, the’ blue book’ – which outlined the new three year contract – was implemented throughout the UK.