GMS finance

Tablet, calculator and coffee

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

Practices receive income through a number of different funding streams, for different services, including: 

  • essential services
  • additional services
  • the Quality and Outcomes Framework (QOF) 
  • enhanced services. 

Some practices may also receive seniority factor payments and payments for dispensing services.

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Global sum

The GMS Global Sum Formula distributes the core funding, or the Global Sum, to general practices to cover the cost of providing routine primary care services to its registered list of patients.

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Minimum practice income guarantee

The Minimum Practice Income Guarantee (MPIG) was introduced in 2004 to support some practices in moving to the new General Medical Services (nGMS) contract.

Stacks of money

Dispensing doctor payments

Dispensing doctors receive a fee for each item that they dispense. The feescale was introduced in the 2006/07 General Medical Services (GMS) contract.

Gp and computer

Seniority factor

Seniority factor payments were introduced as part of the new General Medical Services (nGMS) contract in 2004 and were designed to reward GPs’ experience.

FAQs

FAQs: Global sum formula review

This page has frequently asked questions about the Formula Review Group (FRG) consultation and its findings, which informed the review of the global sum formula

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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