2019/20 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.

The Contract (in full-length and shorter-form versions) has now been updated for 2019/20. A summary of the changes we have made to the Contracts can be found in section 3 of the NHS Standard Contract Technical Guidance and in the Response to Consultation Feedback document below.

The full-length NHS Standard Contract 2019/20 comprises three parts:

The NHS shorter-form Contract 2019/20 also comprises three parts:

If you have a query on the NHS Standard Contracts, please email: nhscb.contractshelp@nhs.net

If you would like to be added to our stakeholder list to receive updates on the NHS Standard Contracts, please email your contact details to: england.contractsengagement@nhs.net


The eContract system hosts both the full-length and shorter-form Contracts and allows tailoring of the contract to reflect the specific services provided, so that only the relevant Service Conditions and Schedules appear. We strongly recommend that commissioners and providers utilise the eContract system.

If you have a query on the eContract system, please email: england.econtract@nhs.net

Contact support and other publications

Integrated Care Provider Contract publications

An updated version of the Integrated Care Provider (ICP) Contract has been published on the ICP web page.

Queries on the ICP Contract may be directed to nhscb.contractshelp@nhs.net.

National Variations to NHS Standard Contracts

Guidance on the process to effect the mandatory 2019/20 National Variation to existing contracts, the terms of which extend beyond 31 March 2019, and the National Variation templates are available below:

Local Variations to 2019/20 NHS Standard Contracts

NHS Standard Sub-contract

Model Collaborative Commissioning Agreements:

Fair Deal for Staff Pensions

Provisions Applicable to Primary Medical Services

Proforma Contract Management Forms and Change in Control Notification

Changes to the Contract for 2019/20

Comparison documents showing the changes made from the NHS Standard Contract 2017-19 (May 2018 edition) to the NHS Standard Contract 2019/20 are available here:

Consultation – December 2018: Now closed

We have now published, for consultation, the draft 2019/20 NHS Standard Contract (both full length and shorter-form versions).  The consultation paper below describes the main, material changes we are proposing in the Contracts, and we would welcome comments from stakeholders on our proposals. We also welcome comments on the draft Technical Guidance.

Following an engagement exercise carried out in January 2018, NHS England is proposing to mandate use of a standard Activity and Finance Report (known as the Aggregate Contract Monitoring report) format, and supporting data flows, for all acute and mental health services commissioned under the full-length version of the Contract.  These proposals are set out in detail in the Introduction to proposals on Aggregate Contract Monitoring Reports and supporting dataflows document below, and we welcome comments on these.

Comments on the draft Contract and Aggregate Contract Monitoring report proposals should be sent by 1 February 2019 to england.contractsengagement@nhs.net.

Full length

Shorter form


Aggregate Contract Monitoring report proposals