General practitioner Practice manager Contract England

Last updated:

GP partner contracts

Essential guidance for GP partners regarding contract Terms and Conditions.


2017/18 GMS contract agreement

The GPC and NHS Employers have reached agreement on GMS contract changes for 2017/18. Agreed changes include an uplift to Global Sum, reimbursement of CQC fees, payments for indemnity rises, removal of the AUA DES, requirements for the identification and management of frail elderly patients.

Further details on the contract agreement can be found here.

Amendments to the SFE and DES Directions can be found on the website and guidance on individual elements of the contract agreement can be found below.


2017/18 Contract Guidance


Focus on GP funding changes

Focus on locum cover for parental and sickness leave

Focus on frailty

Indemnity payment briefing note


Quality and outcomes frameworks (QOF)

There will be no changes to QOF requirements for 2017/18. For details of the current requirements, please see the 2016/17 QOF guidance.

The value of a QOF point has increased by £6.02 (3.6%) from £165.18 in 2016/17 to £171.20 in 2017/18.

Read the latest QOF guidance


Enhanced Services

Enhanced services are defined as primary medical services other than essential services, additional services or out-of-hours services. NHS England or CCGs commissions these services across England.

Read the enhanced services for 2017-2018


Vaccinations and Immunisations

Minor changes to some V&I programmes have been agreed for 2017/18.

Read the V&I services for 2017-2018


Model GMS and PMS Contracts

Model contract - GMS

General Medical Services (GMS) contract
This contract acts as the basis for arrangements between NHS England and providers of general medical services in England. Download this from NHS England's website.


Model contract - PMS

Personal Medical Services (PMS) agreements
Up to date guidance on PMS reviews and PMS transition to GMS contracts.


GMS contract and PMS agreement – how they compare

As the PMS review process continues, many practices will have their funding reduced over the next few years. The GPC strongly encourages consideration of a return to the nationally negotiated GMS contract.

Read more


Further guidance for GP practices

MCP contract guidance
This paper summarises the main elements contained in the proposed MCP contract.

Friends and family test for GP practices
Read an outline of the requirements for the friends and family test (FFT) which became a contractual requirement from Dec 1 2014.

Contractual issues for GPs (PDF)
Read guidance to help clarify the implications of retirement on practices, practice mergers and advertising and tendering vacancies

Outer boundaries for GP practices
As part of the agreement negotiated between GPC and NHS Employers for 2012/13, changes were made to regulations that came into effect in April 2012 to allow practices to create 'outer boundaries'.

GP seniority payments
Seniority payments are payments to a contractor in respect of an individual GP provider to reward experience. They are based on the GP's number of years of reckonable service.

Health service body status
The GPC receives a number of enquiries about whether practices should opt to become a health service body and how it affects the management of disputes.

Medical performers list for GPs (PDF)
This guidance note is for those applying as an individual medical practitioner to join a performers list, and for those intending to withdraw from a list.

Suspended GP performer (PDF)
This guidance seeks to provide LMCs and GPs with authoritative guidance on the implications for, and actions required by, a suspended GP performer.

Last partner standing (PDF)
'Last partner standing' (commonly referred to as the ‘last man standing’) is a phrase used to explain a situation where, due to either an exodus of partners and/or lack of successor partners being recruited, one partner (or perhaps more) finds themselves shouldering the full extent of the liabilities and obligations owed by the practice.

Handing back a GMS or PMS contract (PDF)
Guidance for practices who may be considering handing back their GMS/PMS contract and winding up their business.