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Contracts
General Practitioners are independent contractors to the NHS and work under legal agreements that determine the services that must be delivered to patients under their care and how. These contracts which are often referred to as the core contract are held between NHS England (the purchaser or commissioner of the service) and the primary care contractors or provider of the service. Currently, the contracting mechanisms for the core contracts are the GMS, PMS and APMS contracts.
General Medical Services (GMS) contract
A nationally negotiated contract.
This came into force in 2004 and has undergone annual amendments since its inception. The annuals contract negotiations are held between the General Practitioners Committee of the British Medical Association and NHS England.
Personal Medical Services (PMS) contract
Locally negotiated contract.
Although the PMS contract is locally negotiated between a contractor and the Clinical Commissioning Group, the bulk of its content mirrors the GMS contract.
Alternative Provider of Medical Services (APMS)
Locally negotiated contract which allows flexibility to commission services from any contractor.
Contractors can also opt in to deliver extra services to their patients on top of their core services. These include;
Additional Services
- Cervical Screening
- Contraception
- Childhood vaccination and immunisations
- Child health surveillance
- Maternity medical services
- Minor Surgery
Quality and Outcomes Framework (QoF)
Local Enhanced Services
Directed Enhanced Services
GMS Contract and amendments
General Medical Services Contracts
Technical Requirements for 2017/18 GMS Contract Changes
GMS Contract amendments (2015-
GMS Contract summary (2015-
GMS Contract amendments (2013-
The GMS Contract 2004 (ORIGINAL)
APMS Directions
Alternative Provider Medical Services Contracts
Statement of Financial Entitlements
The statement of financial entitlement, or SFE document outlines all of the finances that practices are entitled to under a GMS contract.
Contract Funding Summary (2015 -
Premises Cost Directions
Miscellaneous
Confidentiality and disclosure
