GMS contract changes


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

The first three-year GMS contract was introduced in 2003/04 for two years. Any agreed contract changes are underpinned by a Statement of Financial Entitlements (SFE) which are all available on the Department of Health's website. 

Those aspects of the 2015/16 contract agreement that are core contractual requirements for all practices are covered by the new GMS and PMS regulations for 2015/16.

The main changes in each of the contracts are included in sections you can access below. Click on the page for more information and the full contract. 

doctor and patient

GMS contract changes 2019/20

Changes to the GP contract for 2019/20

GP writing

GMS contract changes 2018/19

Investment of £256 million, including a pay uplift of one per cent, increased funding for expenses and locum reimbursement.

Hospital nurse care

GMS contract changes 2017/18

Investment of £238 million, including a pay uplift of one percent, increased funding for expenses, Directed Enhanced Services and locum reimbursement.

Coffee pad and pen

GMS contract changes 2016/17

Investment of £220 million, pay uplift of one per cent, item of service fee for vaccination and immunisation to £9.80, increase of the value of a QOF point to £165.18 and funding to cover increased expenses. 


GMS contract changes 2015/16

Introduction of named, accountable GP for all patients, publication of earnings, and  expansion of online services for patients. The alcohol  and patient participation enhanced services ended with  funding reinvested. 

Doctor and baby

GMS contract changes 2014/15

A new enhanced service to care for patients who may be at risk of an unplanned admission to hospital, reducing the QOF by 341 points, changes to seniority payments, and a named accountable GP for patients over 75. 

Maternity ward

GMS contract changes 2013/14

An increase in global sum of 1.47 per cent, the phasing out of MPIG over a seven year period, changes to QOF, vaccination and immunisation and four new enhanced services. This was announced by DH following a consultation process.

Doctor on  phone

GMS contract changes 2012/13

An overall uplift on 0.5 per cent, changes to QOF including new indicators, extension of two clinical DESs and the extended hours DES for a year.

Pen and form

GMS contract changes 2003/04

The new General Medical (GMS) contract saw the introduction of a practice-based contract, with an unprecedented scale of investment in general medical services. From 1 April 2004, the blue book - which outlines the new three year contract -  was implemented throughout the UK.


GMS contract changes 2006 - 2012

This section includes full details of contractual changes to the GMS contract between 2006-2012.

Related News

New GMS contract changes 2018/19

NHS Employers and the British Medical Association have agreed a new General Medical Services contract for 2018/19. Read the summary document of the changes.

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