GMS finance

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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 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.

NHS Digital has published new figures which outline the earning and expenses for doctors and dentists for the 2014/15 financial year. 

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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.

access to finance

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: 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

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.

View article

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Being the employer of choice - reward in integrated care systems

04 / 6 / 2019 2.32pm

NHS Employers' Max Liversuch looks at reward in integrated care systems, and the importance of being the employer of choice.

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