GP Contract

The GP contract hub page provides information, guidance and links to further resources to support the implementation of changes to the 2026/27 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 Primary Medical Services Directed Enhanced Services Directions set out the requirements for GMS and PMS contractors choosing to provide directed enhanced services (DES), including the Network Contract DES.

Changes to the GP Contract in 2026/27

Letter from Dr Amanda Doyle, National Director for Primary Care and Community Services, providing information on arrangements for the 2026/27 GP contract.

Network contract directed enhanced service (DES)

This page contains all the information for the 2026/27 Network Contract Directed Enhanced Service (DES).

Quality and Outcomes Framework (QOF) Guidance for 2026/27

General practice respiratory syncytial virus (RSV) vaccination programme: contractual guidance

This contractual guidance sets out the RSV vaccination programme requirements for practices. It provides practices with information on the eligible cohorts, clinical codes required to record RSV vaccination events and outlines how payments will be supported through the General Practice Extraction Service (GPES) and Calculating Quality Reporting Service (CQRS):

General practice vaccination and immunisation services: standards and core contractual requirements

This document outlines in more detail the Vaccination and Immunisation Standards and core contractual requirements as set out in the GMS Regulations:

GP Contract documents from previous years