General Medical Services

Doctor and baby
The General Medical Services (GMS) contract is the contract between general practices and NHS England for delivering primary care services to local communities.

NHS Employers leads negotiations with the General Practitioners Committee (GPC), which is part of the British Medical Association (BMA),  on changes to the GMS contract.

The GMS contract was introduced in 2003 and covers three main areas:

  • The global sum – covering the costs of running a general practice, including some essential GP services.
  • The quality and outcomes framework (QOF) – covering the two areas of clinical and public health. Practices can choose to provide these services.
  • Enhanced services (ES) –  covering additional services that practices can choose to provide. ES can be commissioned nationally or locally to meet the populations healthcare needs.

A set of FAQs has been developed to support area teams and practices in delivery of the 14/15 GMS contract. The FAQs can be found on our Non-clinical FAQs page.

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GMS contract changes

NHS Employers leads on negotiations with the General Practitioners Committee (GPC) of the British Medical Association, on changes to the General Medical Services (GMS) contract.

Tablet, calculator and coffee

GMS finance

The General Medical Services (GMS) contract rewards practices for essential services, as well as additional services that practices can choose to offer.

Nurse taking a patient

Vaccination and immunisation

National arrangements for the delivery of vaccination and immunisation (V&I) programmes by general practices in England and the UK.

GP taking blood pressure

Quality and outcomes framework

The quality and outcomes framework (QOF) is part of the General Medical Services (GMS) contract for general practices and was introduced on 1 April 2004.

Reception ladies

Enhanced services

This page has details of the agreed enhanced services changes for the General Medical Services contract from 2008/09 to 2014/15.

Calculator finance

GPES and CQRS

This page outlines information on the General practice extraction service (GPES) and Calculating quality reporting service (CQRS).

FAQs

Frequently asked questions

A set of FAQs has been developed to support area teams and practices in delivery of the GMS contract.

Acronyms

GMS acronym buster

GMS has many acronyms which we have listed along with their definitions.

Related News

2016/17 GMS technical requirements document published

Learn about the updates that are included in the 2016/17 technical requirements document.

View article

Interim GP Seniority Figure for 2016/17

HSCIC has published the final seniority figures for England and Wales for 2016/17.

View article

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