GP Contract

This page sets out guidance and links to further resources to support implementation of changes to General Medical Services (GMS) contractual arrangements that will apply in England in 2020/21.

Further implementation guidance will be added to this webpage before 1 April 2020. See the 2019/20 guidance here.

NHS England Enhanced Service Specifications

These enhanced service specifications outline more specialised services and those additional services provided by all General Medical Services (GMS) practices.

Update to the GP contract deal: 2020/21-2023/24

NHS England and NHS Improvement and the BMA have agreed and jointly published an “Update to the GP contract agreement 2020/21 to 2023/24”. This agreement updates and enhances the existing five-year GP contract deal: Investment and Evolution.  

The main features of the agreement include:

  • Major enhancements to the Additional Roles Reimbursement Scheme to help secure 26,000 additional staff
  • A raft of measures to aid GP recruitment and retention to help deliver 6000 more doctors working in primary care
  • Improvements in access for patients: More people working in general practice will help achieve 50 million more appointments in general practice
  • Further improvements to the Quality and Outcomes Framework
  • Reforms to vaccinations and immunisations payment arrangements to improve vaccination coverage
  • A new universal 6-8 week post-natal check for new mothers
  • Three new services in 20/21: Structured Medication Review and Medicines Optimisation, Enhanced Health in Care Homes and Supporting Early Cancer Diagnosis service.
  • New incentives under the Investment and Impact Fund to increase uptake of learning disability health checks, seasonal flu jabs, social prescribing referrals, and improve specific aspects of prescribing.

Read: Update to the GP contract agreement 2020/21 to 2023/24

Read: NHS England Letter – February 2020

Update to the GP contract agreement: 2020/21-2023/24: Financial implications

This letter provides further details of the financial implications of the Update to the GP contract agreement: 2020/21-2023/24 including:

  • additional funding allocations
  • funding the costs of other contract increases
  • enhancements to the Additional Roles Reimbursement Scheme.

Statement of Financial Entitlements and Directed Enhanced Services Directions

Legislation underpinning the GP Contract

A number of legal documents, published by the Department of Health and Social Care (DHSC), formally set out the detail of the GP contract.

The Statement of Financial Entitlements (SFE) sets out payment conditions for General Medical Services contractors, which are replicated by commissioners for local Primary Medical Services (PMS) and Alternative Provider Medical Services (APMS) contractors. The SFE (Amendment 2) Directions 2020 sets out updated terms from 1 April 2020.

The Primary Medical Services (Directed Enhanced Services) Directions 2020 sets out the requirements for contractors choosing to provide Directed Enhanced Services, including the Primary Care Network DES, from 1 April 2020.

The NHS (GMS Contracts) Regulations, NHS (PMS Agreements) Regulations and Alternative Provider Medical Services (APMS) Directions set out the most recent contractual amendments for GMS, PMS and APMS contractors from 1 April 2020.

In addition the NHS (Amendments Relating to the Provision of Primary Care Services During a Pandemic etc) Regulations 2020 give NHS England the power, with the agreement of the Secretary of State, to temporarily suspend certain parts of the GP contract to assist in management of the Covid-19 outbreak. Details of any contract suspension are on our COVID-19 update for general practice page.

General Medical Services (GMS) Ready Reckoner

This ready reckoner has been produced by NHS England and NHS Improvement in partnership with the BMA General Practitioners Committee (GPC) and is intended to provide an indication of the changes in income streams that may affect a GMS practice and Primary Care Network (PCN) from 1 April 2020. Figures are indicative and do not provide any guarantee of income.

Primary Care Networks additional roles reimbursement scheme: Update to Commissioners

General Medical Services Quality and Outcomes Framework

Two new QOF Quality improvement modules will be introduced in 2020/21. The modules will focus on improving care of people with a learning disability and supporting early cancer diagnosis. These modules have been developed by the RCGP in collaboration with NICE and the Health Foundation.

Further guidance on the full QOF changes for 2020/21 will be published soon.

For any further queries, please contact england.gpcontracts@nhs.net

Network Contract Directed Enhanced Service 2020/21

Previous GP Contract documents