Implementing the 2021/22 GP contract changes to personal medical services and alternative provider medical services contracts

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This document sets out the approach to the funding changes that NHS England will apply to Personal Medical Services (PMS) and Alternative Provider Medical Services (APMS) contracts. Commissioners will update local PMS and APMS contracts as soon as possible, applying the funding changes identified in this guidance with effect from 1 April 2021.


This guidance on implementing PMS and APMS has been updated as at 1 April. The updates correct an error in the previous version and no longer includes MPIG reinvestment, which ceased at the end of 2020/21. These updated versions now align with the Statement of Financial Entitlements.