GMS contract changes 2017/18

Hospital nurse care

NHS Employers and the British Medical Association’s General Practice Committee (GPC) have announced changes to the General Medical Services (GMS) contract in England for 2017/18.

The contract for 2017/18 will see an investment of some £238.7 million, this includes:

  • A pay uplift of one per cent and general expenses uplift of 1.4 per cent.
  • A change in the value of a Quality and Outcomes Framework (QOF) point, as a result of a Contractor Population Index (CPI) adjustment. There will be no changes this year to the number of QOF points, indicators or thresholds.
  • An increase in the payment for Learning Disabilities Health Check Scheme from £116.00 per health check to £140.00 per health check. A new health check template has been developed by NHS England which will be integrated in to practice clinical systems in due course.
  • Changes to the GP Retention Scheme with an additional £1 million investment.
  • Funding to cover expenses relating to submission of data for the NHS Digital Workforce Census (£1.5 million), contractual changes relating to overseas visitors (£5 million) and pensions administration levy (estimated £3.8 million). This funding will be added to the global sum allocation without the out-of-hours (OOH) deduction applied.
  • A recurrent payment of £2 million for workload related to transfer of patient records. This figure will be reviewed from time to time with regards to workload issues. It will be added to the global sum allocation without the OOH deduction applied. 
  • Estimated costs to support changes to payment arrangements for parental leave and sickness absence.
  • Funding to cover expenses relating to Care Quality Commission (CQC) costs (estimated £22.5 million), indemnity fee increases (£30 million) and Business Improvement District (BID) levies (estimated £1 million). CQC and BID levy costs will be reimbursed directly and indemnity costs will be reimbursed based on practice list size. 
There are also new contractual requirements around identification and management of patients with frailty, collection for the national diabetes audit (NDA), registration of prisoners, access to healthcare, vaccination and immunisations and data collection. 

NHS England and GPC have also agreed the new global sum figure for 2017/18. The value per weighted patient is set to rise from £80.59 in 2016/17 to £85.35 in 2017/18, a rise of 5.9 per cent. 

The Read codes, payment and management information counts are outlined in the technical requirements document. This document was updated in November 2017 to include the national diabetes audit (NDA), mental health (MH) Read codes for the dementia data collection and the GMS PMS (primary medical services) data collection.

Download the technical requirements document for the 2017/18 contract changes. 

An overview of the requirements supporting the contractual requirement for the identification and management of patients with frailty is available to download.

Practices can use the Ready Reckoner to see the effect of these changes and see FAQs on the financial uplift. NHS Employers and BMA have released FAQs on sickness absence reimbursement and non-contractual GMS digital guidance.  

The Department of Health has published the SFE (amendment) Directions 2017,  SFE (Indemnity) Directions 2017 and DES Directions.  

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