GP Contract Guidance
NLMC GP Contract meeting presentations available to view
Thank you to all who attended our GP Contact Open Meeting, we had an excellent turnout and it was really good to see so many of you engaged with the information that was being shared.
Click here to view more updates about the meeting and access the presentation slides.
Indemnity Changes (Uploaded on 01/03/19)
GPC England have secured a state-backed indemnity scheme to cover clinical negligence for all GPs and staff working in NHS GP providers, both in and out of hours, for NHS work, from April 2019. Run by NHS Resolution, this will come at no direct cost to practices or GPs, and will mean no longer pay spiralling subscriptions.
Changes to QOF (Uploaded on 01/03/19)
GPC England have agreed to retire 175 points (from 28 indicators) following extensive analysis of all indicators which identified them as ‘low-value’. 101 of those points will be recycled in more appropriate indicators (15 new indicators) with the remain 74 points creating a new Quality Improvement domain.
GP Contract 2019/20
GPC England has negotiated a deal spanning the next five years. Elements will be introduced throughout the five years – 2019 will focus on building the foundations, creating Networks and starting to expand the workforce; 2020 onwards will see the workforce increase further, additional funding and services reconfigured (as decided by the networks).
- Hospital contract templates
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.
Dr Chaand Nagpaul, chairman of the GPC, wrote to NHS England in February 2017 about the suspension of the Quality and Outcomes Framework (QOF).
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.
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.
Alternative Provider Medical Services (APMS) Contracts allow NHS England to commission primary care services, including essential services and additional services.
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.
The LMC has produced a number of guidance documents called brieflets which provide an easy-to-read overview of an issue.