GP Contract Guidance

  • Raising concerns

    NHS England has produced guidance on raising concerns for primary care providers following the report of the Freedom to Speak Up review chaired by Sir Robert Francis QC.

  • QOF

    Dr Chaand Nagpaul, chairman of the GPC, wrote to NHS England in February 2017 about the suspension of the Quality and Outcomes Framework (QOF).

  • GMS Contract

    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.

  • MCP contract

    Following on the from the publication of the MCP contract, guidance has been created on the topic for GPs.

  • Directed Enhanced Services (DESs)

    Directed enhanced services (DESs) are special services or activities provided by GP practices that have been negotiated nationally. Practices can choose whether or not to provide these services.

  • Friends and Family test

    The Friends and Family Test (FFT) is a feedback tool that supports the principle that people who use NHS services should have the opportunity to provide feedback on their experience.

  • Health and Social Care Act

    The Government’s Health and Social Care Bill became law after receiving Royal Assent on 27 March 2012. The legislation – first published as a white paper in July 2010 – is known as the Health and Social Care Act (2012).

  • Patient and Public Involvement

    The patient participation directed enhanced service (DES) was agreed by the GPC and NHS Employers in April 2011 and has now been in place for three years.

  • IT Changes in the 2014/15 GP contract

    A number of IT-related changes became part of the GP contract from April 2014. These changes have been made in the context of the Government’s commitment to provide all NHS patients with online access to their record and other services by 2015.

  • APMS Contract

    Alternative Provider Medical Services (APMS) Contracts allow NHS England to commission primary care services, including essential services and additional services.

  • PMS Contract

    Personal Medical Services (PMS) contracts are agreed between NHS England and GP practices, together with funding arrangements. In England, approximately 40 per cent of GP practices are on PMS contracts.

  • Out of Area Registration

    The Patient Choice Scheme will allow GP practices to register new patients who live outside the practice area, without any obligation to provide home visits or out of hours services when the patient is unable to attend their registered practice.