NHS Employers and the British Medical Association’s General Practitioners Committee (GPC) have agreed changes to the General Medical Services (GMS) contract effective from 1 April 2018. These changes apply in England only.
The contract for 2018/19 will see an investment of £256 million, which is an overall increase of 3.4 per cent.
The changes include:
- an investment of £60 million to cover GP indemnity costs for 2017/18
- an uplift to allow an increase to the Item of Service (IoS) fee for certain vaccination and immunisations (V&I) from £9.80 to £10.06, in line with consumer price index inflation
- an uplift of £22 million to allow a change in the value of a Quality and Outcomes Framework (QOF) point as a result of a Contractor Population Index (CPI) adjustment
- a non-recurrent investment of £10 million to recognise additional workload associated with the implementation of e-Referral contractual requirements.
The investment will also provide a one per cent uplift to pay and a three per cent uplift to expenses in line with consumer price index inflation. A further uplift may be made following the Government’s response to any recommendations by the Review Body on Doctors’ and Dentists’ remuneration (DDRB). The DDRB recommendation is expected in May 2018.
There are further key changes relating to use of the Electronic Prescription Service (EPS) and NHS e-Referral Service (e-RS), as well as contractual changes around advertising, violent patients, patient access to online services and out of hours services.
Read a summary of the agreement
Download the 2018/19 GMS guidance.
Download the technical requirements document for the 2018/19 contract changes.
The legal documents underpinning the GMS contract changes for 2018/19 are:
Practices can use the GMS ready reckoner on the NHS England website to see the effect of these changes.
NHS England and GPC have further agreed changes to NHS England’s locum reimbursement policy in order to support phased return to work for GPs. The locum protocol will be updated in due course. Please see the locum reimbursement phased return to work FAQ document for information.