2026/27 NHS Standard Contract
The NHS Standard Contract is mandated by NHS England for use by commissioners for all contracts for healthcare services other than primary care and the 2026/27 Contract (in full-length and shorter-form versions) is available here:
A summary of the changes we have made to the Contract can be found in section 3 of the Contract technical guidance, and in the Response to the consultation feedback document.
If you have a query on the NHS Standard Contracts, please check the Contract technical guidance or email england.contractshelp@nhs.net
If you would like to be added to our stakeholder list to receive updates on the NHS Standard Contract, please email your contact details to england.contractsengagement@nhs.net.
To view the slides and recordings from our webinars, please go to the NHS Standard Contract FutureNHS page (please register for a FutureNHS account).
2026/27 NHS Standard Contract technical guidance and escalation form
- NHS Standard Contract 2026/27 technical guidance
- NHS Standard Contract 2026/27 technical guidance appendix 5 – escalation form
Model collaborative commissioning agreements
- Model collaborative commissioning agreement (single contract option)
- Model collaborative commissioning agreement (multiple contract option)
Varying the 2026/27 Contract
- Guidance on the mid-term variation process and on updating multi-year contracts which extend beyond 31 March 2026
- Variation Agreement template
Other Schedules to the full-length and shorter-form Contract
- Schedule 2L (Schedule 2L (Provisions Applicable to Primary Medical Services)) (full-length Contract)
- Schedule 7 (Fair Deal for Staff Pensions) (full-length Contract) and guidance
Other publications
- System collaboration and financial management agreement
- Model individual placement agreement
- Alliance agreement toolkit (please register for a FutureNHS account)
- Proforma contract management forms and change in control notification
Consultation on the 2025/26 NHS Standard Contract (now closed)