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 work with NHS England on 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.