GP Contract
The GP contract hub page provides information, guidance and links to further resources to support the implementation of changes to the 2025/26 GP Contract that will apply in England.
Legislation underpinning the GP Contract
A number of legal documents, published by the Department of Health and Social Care (DHSC), formally underpin the GP contract.
The Statement of financial entitlements (SFE) sets out payment terms for general medical services (GMS) contractors, which should also be replicated for local personal medical services (PMS) and alternative provider medical services (APMS) contractors. The SFE directions 2025 set out updated terms from 1 April 2025.
The Primary medical services directed enhanced services directions 2025 set out the requirements for GMS and PMS contractors choosing to provide directed enhanced services (DES), including the Network Contract DES, from 1 April 2025.
Changes to the GP Contract in 2025/26
Letter from Dr Amanda Doyle, National Director for Primary Care and Community Services, providing information on arrangements for the 2025/26 GP contract.
- Changes to the GP Contract in 2025/26 – letter from Dr Amanda Doyle
GP Contract 2025/26 financial information
The 2025/26 GP contract financial information page includes:
- a letter and appendices setting out the financial implications of the 2025/26 contractual changes
- a practice and PCN income ready reckoner
- information on implementing the GP contract changes for Personal Medical Services (PMS) and Alternative Provider Medical Services (APMS) contracts.
Network contract directed enhanced service (DES)
This page contains all the information for the 2025/26 Network Contract Directed Enhanced Service (DES).
Quality and Outcomes Framework (QOF) Guidance for 2025/26
Weight management enhanced service 2025/26
The service specification for the 2025/26 Weight Management Enhanced Service can be found at the link below:
General Practice Requests for Advice & Guidance Enhanced Service 2025/26
The service specification for the 2025/26 General Practice Requests for Advice and Guidance Enhanced Service can be found at the link below:
Local enhanced service commissioning
This guidance document sets out how integrated care boards can commission local enhanced services through primary medical care contracts.