Home > Guidance
General Medical Services
The current GMS contract was introduced in 2004 and substantially revised in 2006.
Information about payments related to the contract can be obtained from the latest Statement of Financial Entitlements (SFE).
Full Contract Details from the DH Website
A
| Document | Name | Source | Date |
|---|---|---|---|
| Accepting Donations from Patients - GPC guidance | GPC | August 2007 | |
| Access 2006-07 - Focus on guidance | GPC | March 2006 | |
| Access to health records by patients - BMA guidance revised 2007 | BMA | October 2007 | |
| Age discrimination - Guidance on the implications of the new age discrimination legislation | GPC | August 2007 | |
| Agenda for change and practice staff - Focus on guidance | GPC | December 2005 | |
| Annual Certificate of Pensionable Earnings - GPC Guidance for GPs' Accountants | GPC | 2005 |
B
| Document | Name | Source | Date |
|---|---|---|---|
| Basket LESs - Enhanced Services Sub Group view | GPC | March 2005 | |
| BMA involvement in implementation of the SHA visions published under Lord Darzi's NHS Next Stage Review | BMA | August 2008 |
C
| Document | Name | Source | Date |
|---|---|---|---|
| Cash to accruals - Focus on guidance | GPC | June 2004 | |
| Chaperones - Guidance on the role and effective use of chaperones in primary and community care settings | NHS Clinical Governance Support Team | June 2005 | |
| Charges to NHS patients - Guidance for GPs | BMA | January 2007 | |
| Charging patients - Frequently asked questions | GPC | April 2008 | |
| Child Death Review Process | BMA | July 2009 | |
| Choice and Booking DES - Frequently asked questions from the DH | DH | January 2007 | |
| Choice and Booking DES - Focus on guidance | GPC | March 2006 | |
| Clinical DES for GMS Contract 2008/9 - Guidance for medical practitioners undertaking work under the collaborative arrangements | GPC | March 2009 | |
| Collaborative arrangements - Guidance for medical practitioners undertaking work under the collaborative arrangements | GPC | January 2007 | |
| Community Hospital GPs - Focus on guidance | GPC | July 2005 | |
| Community Hospital GPs - Focus on guidance | GPC | Revised October 2007 | |
| Community Hospital GPs - interim guidance - Focus on guidance | GPC | February 2005 | |
| Confirmation and Certification of Death GPC guidance | GPC | June 2009 | |
| Corporate Manslaughter Act - Focus on guidance | GPC | July 2008 | |
| Confidentiality and disclosure of information to PCTs in primary care - BMA guidance for GPs | BMA | August 2007 | |
| Contracts - standard and default - Focus on guidance | GPC | March 2004 | |
| Contracts and partnerships - the nature of - Focus on guidance | BMA | September 2003 | |
| Contractual issues for GPs - GPC guidance | GPC | April 2007 |
D
| Document | Name | Source | Date |
|---|---|---|---|
| Data Protection Act 1998 - consent form - Example form for releasing health records under the DPA | BMA | July 2003 | |
| Dental problems: "Patients presenting with dental problems” - Guidance on GP responsibilities | GPC | December 2005 | |
| DES - Alcohol | SPCT | August 2008 | |
| DES Childhood Immunisation | SPCT | August 2008 | |
| DES Direction Amendment | DH | February 2009 | |
| DES- Ethnicity | SPCT | August 2008 | |
| DES Flu and Pneumococcal Immunisation | SPCT | August 2008 | |
| DES - Heart Failure | SPCT | August 2008 | |
| DES - I M & T | SPCT | August 2008 | |
| DES Learning Disabilities | SPCT | August 2008 | |
| DES - Minor Surgery | SPCT | August 2008 | |
| DES - Osteoporosis | SPCT | August 2008 | |
| DES - Violent Patient Risk Assessment Form | SPCT | August 2008 | |
| DH Patient Survey Update June 2009 | DH | June 2009 | |
| Disability Discrimination Act - physical adjustments to GP premisesDisability Discrimination Act - physical adjustments to GP premises - GPC guidance | GPC | April 2003 | |
| Dispensing Doctors Fee Scale 2009-10Focus On | GPC | September 2009 | |
| Dynamising factor - Focus on guidance | GPC | September 2004 | |
| Dynamising factor (March 2005 update) - Focus on guidance | GPC | March 2005 | |
| Dynamising factor (March 2007 update) - GPC guidance | GPC | March 2007 | |
| Dynamising factor (May 2008 update) Focus on - GPC guidance | GPC | May 2008 | |
| Dynamising factors - frequently asked questions - Focus on guidance | GPC | March 2007 | |
| Dynamising factor - November 2008 - Focus on guidance | GPC | November 2008 |
E
| Document | Name | Source | Date |
|---|---|---|---|
| Earnings and Expenses Enquiry 2006/7 - Main Paper Summary | DH | October 2008 | |
| Earnings and Expenses Enquiry 2006/7 - Initial Report | DH | October 2008 | |
| Earnings and Expenses Enquiry 2006/7 - How is General Practice Funded | DH | October 2008 | |
| Electronic Patient Records - Good practice guidelines for General Practice from the DH | DH | July 2005 | |
| Eligiblity Criteria Flowchart - Who is eligible for Treatment | |||
| Enhanced services - Focus on guidance | GPC | July 2003 | |
| Enhanced services - the financial monitoring of - Focus on guidance | GPC | March 2004 | |
| Enhanced services - update - Focus on guidance | GPC | February 2004 | |
| Enhanced services – GPC list of currently available LES specifications - List of available LES specifications by topic area as of January 2006 | GPC | March 2006 | |
| Enhanced services and floors from April 2007 - GPC guidance | GPC | March 2007 | |
| Enhanced services contestability, best practice guidelines - Implementation Co-ordination Group (ICG) guidance | ICG | MAy 2007 | |
| Enhanced services floor - agreeing the - GPC guidance | GPC | February 2005 | |
| Enhanced services floor underspend - Letter from the DH | DH | March 2005 | |
| Exception reporting - Focus on guidance | GPC | March 2004 | |
| Exception reporting - joint guidance - GPC/NHS Employers guidance | GPC/NHS Employers | October 2006 | |
| Excessive prescribing - Focus on guidance | GPC | November 2006 | |
| Extended Access 2008/09 (Sept) - Focus on guidance | GPC | September 2008 | |
| Extended Hours Access Scheme DES - Final Guidance | DH | September 2008 |
F
| Document | Name | Source | Date |
|---|---|---|---|
| Firearms - Guidance from the BMA’s Ethics Department | BMA | February 2004 | |
| Freedom of Information Act (2000) - Link to overview on the BMA website | BMA | 2007 | |
| Freedom of Information Act (2000) - completing your publication scheme - Guidance for completing your model publication scheme | NHS/BMA | July 2003 | |
| Freedom of Information Act (2000) - frequently asked questions - Link to frequently asked questions on the BMA website | BMA | September 2005 | |
| Freedom of Information Act (2000) - model publication scheme - Joint NHS/BMA guidance for GPs | NHS/BMA | July 2003 | |
| Funding for the new GMS contract - Focus on guidance | GPC | October 2003 | |
| Future of Practice Premises | GPC | March 2010 |
G
| Document | Name | Source | Date |
|---|---|---|---|
| GMS indicative contractor budgets - Focus on guidance | GPC | July 2005 | |
| Good medical practice for GPs - GPC/RCGP guidance | GPC/RCGP | September 2002 | |
| The GP Earnings and Expenses 2007/08 Final Report | GPC/RCGP | September 2002 | |
| GP Led Health Centre Procurement Timetable | SPCT | May 2008 | |
| GP Referral Incentive Schemes | BMA | January 2009 | |
| GP Systems of Choice (GPSoC) - Letter from Dr Paul Cundy, Chairman, GPC IT Subcommittee | GPC | February 2008 | |
| GP Systems of Choice (GPSoC)Guidance from Connecting for Health | NHS | March 2007 | |
| Guidance to PCTs on Calculating PE7 and PE8 Easements | DH | February 2010 | |
| Guns - Guidance from the BMA’s Ethics Department | BMA | February 2004 |
H
| Document | Name | Source | Date |
|---|---|---|---|
| Hazardous waste regulations - GPC guidance | GPC | July 2005 | |
| Health Service Body Status - GPC guidance | GPC | June 2004 | |
| Hepatitis B immunisation for employees at risk - GPC guidance | GPC | August 2005 | |
| High Quality for All - Full Report (3MB) | DH | June 2008 | |
| High Quality For All - Summary Report | DH | June 2008 | |
| High Quality For All - NSR Final Report - BMA Summary | BMA | July 2008 | |
| High Quality For All - A High Quality Workforce - BMA Summary | BMA | July 2008 | |
| High Quality For All - Our Vision for Primary and Community Care - BMA Summary | BMA | July 2008 | |
| High Quality For All - Our Vision for Primary and Community Care - Next Stage Review Guidance for LMCs | BMA | November 2008 |
I
| Document | Name | Source | Date |
|---|---|---|---|
| Improving GP Services - Focus On | GPC | July 2009 | |
| IM&T DES - implementing the (data accreditation) - GPC guidance | GPC | April 2006 | |
| IM&T support services guidance (previously SLA) - DH guidance | DH | April 2006 | |
| Improving care pathways - The latest joint paper produced by the General Practitioners Committee (GPC) and the Central Consultants and Specialists Committee (CCSC) | GPC/CCSC | January 2008 | |
| Improving communication, the exchange of information and patient care - Suggested guidelines from the BMA for secondary care doctors and GPs | BMA | October 2007 | |
| Information - how to access - Focus on guidance | GPC | February 2004 | |
| Information management and technology - funding for - Focus on guidance | GPC | September 2003 | |
| Information management and technology - funding for, 2nd update - Focus on guidance | GPC | November 2003 | |
| Information management and technology - funding for, 3rd update - Focus on guidance | GPC | April 2004 | |
| Involvement with private companies and other health professionalsFrequently asked questions | GPC | April 2008 |
J
| Document | Name | Source | Date |
|---|---|---|---|
| Jury Service - Guidance on aspects of jury service | BMA | November 2005 |
K
L
| Document | Name | Source | Date |
|---|---|---|---|
| Leg Ulcers and District Nurses - Enhanced Services Sub-group advice | GPC | March 2006 | |
| LES - Smoking Cessation | SPCT | August 2008 | |
| List size – the financial implications of increasing list size - GPC guidance | GPC | February 2006 | |
| LMCs - the role of - Focus on guidance | GPC | October 2003 | |
| LMCs - the role of (updated) - Focus on guidance | GPC | February 2004 | |
| Local Improvement Finance Trust (LIFT) (England only) - GPC guidance for GPs | GPC | January 2007 | |
| Locums – negotiating fees in General Practice - Guidance on aspects of jury service | GPC | 2005 | |
| Locums – negotiating fees in General Practice - Excel Spreadsheet calculator | BMA |
M
| Document | Name | Source | Date |
|---|---|---|---|
| Managing disputes with PCTs - GPC guidance for GPs | GPC | January 2008 | |
| Medicines administered in nurseries - Letter from the Department for Children, Schools and Families | Department for Children, Schools and Families | ||
| Mental Capacity Act - Guidance for GPs | BMA | October 2007 | |
| Microalbuminuria Screening | LMC | 2006 | |
| Microsoft Licensing Home User If you encounter a problem with registration then please email hupvalue@msdirectservices.com and you can order that way | Microsoft | 2009 | |
| Misuse of Drugs Act - changes to the Statutory Instrument - DH update | DH | June 2006 | |
| Misuse of Drugs Act - explanatory memorandum - DH guidance | DH | June 2006 |
N
O
| Document | Name | Source | Date |
|---|---|---|---|
| Out of hours - Focus on guidance | GPC | August 2003 | |
| Out of hours (June 2004 first update) - Focus on guidance | GPC | June 2004 | |
| Out of hours update (June 2004 second update) - Focus on guidance | GPC | June 2004 | |
| Out of hours solo GP NHS Pension form | NHS Pensions | ||
| Overseas patients - the treatment of - GPC guidance | GPC | May 2005 | |
| Overseas visitors - who is eligible for NHS treatment? - GPC guidance | GPC | April 2006 |
P
| Document | Name | Source | Date |
|---|---|---|---|
| Partnership agreements - GPC guidance | GPC | February 2006 | |
| Patient Experience Survey (PES) - Focus on guidance | GPC | October 2006 | |
| Patient Experience Survey (PES) (updated) | GPC | December 2006 | |
| Patient registration - Focus on guidance | GPC | March 2004 | |
| Patient transport - Enhanced Services Sub-group view | GPC | February 2006 | |
| Payments for influenza and pneumococcal vaccinations 2004/05 - Focus on guidance | GPC | May 2004 | |
| Payments for Vaccines | Kent LMC | July 2008 | |
| Pensionable earnings - guidance for GPs' accountants - GPC guidance | GPC | August 2005 | |
| Pensionalble GP earnings - assessment of - Focus on guidance | GPC | March 2005 | |
| Pensions flexibilities - Focus on guidance | GPC | September 2004 | |
| Pensions: an overview - Focus on guidance | GPC | September 2004 | |
| Pensions: Main 2008/9 Certificate | GPC Pensions Department | November 2009 | |
| Pensions: Main Certificate Guidance Notes | GPC Pensions Department | November 2009 | |
| Pensions: Main Certificate FAQ | GPC Pensions Department | November 2009 | |
| Pensions: Pension Overlaps | GPC Pensions Department | November 2009 | |
| Pensions: Main 2008/9 Certificate for Limited Companies | GPC Pensions Department | November 2009 | |
| Pensions: Main Certificate Guidance Notes for Limited Comanies | GPC Pensions Department | November 2009 | |
| Pensions: Main Certificate FAQ for Limited Companies | GPC Pensions Department | November 2009 | |
| Performers list for GPs applying as individuals - GPC guidance | GPC | April 2005 | |
| Personal medical services (PMS) - Focus on guidance | GPC | February 2004 | |
| Phlebotomy - Enhanced Services Subgroup statement | GPC | July 2005 | |
| Police request for medical reports for injuries - circular - Extract from the Home Office Circular 24/98 | Home Office | 1998 | |
| Police request for medical reports for injuries - letter - letter to Chief Constables from Paul Whitehouse, Association of Chief Police Officers | ACPO | June 2001 | |
| Postgraduate education after the PGEA - Focus on guidance | GPC | March 2004 | |
| Practice based commissioning (PBC) - commissioning plan and agreement - GPC guidance on the commissioning plan and agreement with the PCT | GPC | May 2006 | |
| Practice based commissioning (PBC) - component 2 of the PBC DES - GPC guidance | GPC | May 2007 | |
| Practice based commissioning (PBC) - component 2 of the PBC DES - GPC guidance | GPC | May 2007 | |
| Practice based commissioning (PBC) - consortium working - GPC guidance | GPC | April 2006 | |
| Practice based commissioning (PBC) - detailed analysis 2007-08 - GPC guidance on detailed analysis of policy and guidelines in 2007-08 | GPC | March 2007 | |
| Practice based commissioning (PBC) - division of freed up resources - GPC guidance | GPC | April 2006 | |
| Practice based commissioning (PBC) - GPC guidance - Guidance from the GPC | GPC | March 2005 | |
| Practice based commissioning (PBC) - key issues 2007-08 - GPC guidance | GPC | March 2007 | |
| Practice based commissioning (PBC) - technical guidance - DH technical guidance | GPC | 2003 | |
| Practice based commissioning (PBC) - toolkit for PCTs - Primary Care Contracting Toolkit for PCTs | NHS | April 2005 | |
| Practice based commissioning (PBC) - towards the PBC DES (England - Focus on guidance | GPC | February 2006 | |
| Practice based commissioning (PBC) - universal coverage - DH guidance on achieving universal coverage | DH | January 2006 | |
| Practice based commissioning (PBC) and enhanced services funding - GPC guidance | GPC | June 2005 | |
| Practice based commissioning (PBC) dual roles of commissioner/provider - GPC guidance on the dual role of the practice based commissioner and GP provider, avoiding conflicts of interest and ensuring probity | GPC | January 2008 | |
| Practice based commissioning (PBC) in 2008-09 - GPC guidance on the state of play for PBC in 2008-09 | GPC | January 2008 | |
| Practice based commissioning and wider commissioning - Useful weblinks (England only) | BMA | August 2007 | |
| Practice premises - Focus on guidance | GPC | January 2004 | |
| Practice staff under the new contract - Focus on guidance | GPC | February 2004 | |
| Premises - the future of GP practice premises - GPC guidance | GPC | October 2004 | |
| Premises costs - Focus on guidance | GPC | April 2004 | |
| Preparing for implementation - Focus on guidance | GPC | January 2004 | |
| Prescribing - information and guidance - GPC guidance | GPC | September 2004 | |
| Prescribing and the primary and secondary care interface - Revised GPC guidance | GPC | February 2007 | |
| Primary Medical Contracts - who can hold what? - GPC guidance | GPC | February 2007 | |
| Primary medical services contracts: advertising and appeal - GPC guidance | GPC | March 2007 | |
| Primary Medical Services - DES Directions | DH | February 2009 | |
| Private hospitals, nursing and residential homes - treating patients - GPC guidance on treating patients in private hospitals, nursing and residential homes | GPC | March 2005 | |
| Private practice - Focus on guidance | GPC | June 2004 | |
| Procurement Guidance - GPC guidance concerning the procurement of new primary care services following the Interim Report of Lord Darzi's NHS Next Stage Review. | GPC | May 2008 |
Q
| Document | Name | Source | Date |
|---|---|---|---|
| QMAS - Focus on guidance | GPC | October 2004 | |
| QOF Business Rules v12 | NHS | August 2008 | |
| QOF Guidance 2008-9 | NHS | June 2008 | |
| QOF - the review of - Focus on guidance | GPC | May 2004 | |
| QOF framework 2006 - what has changed - Focus on guidance | GPC | February 2006 | |
| QOF payments - Focus on guidance | GPC | February 2007 | |
| Quality achievement payments - Focus on guidance | GPC | February 2005 | |
| Quality and outcomes framework - Focus on guidance | GPC | September 2003 | |
| Quality and outcomes framework - update - Focus on guidance | GPC | March 2004 | |
| Quality and outcomes framework 2008 - Focus on guidance | GPC | March 2008 | |
| Quality and Outcomes Framework Management and Analysis System (QMAS) - Focus on guidance | GPC | February 2007 | |
| Quality and performance management standards - Focus on guidance | GPC | February 2007 | |
| Quality payments - Focus on guidance | GPC | October 2003 |
R
| Document | Name | Source | Date |
|---|---|---|---|
| Read codes - QOF 2006-07 - Focus on guidance | GPC | March 2007 | |
| Records Management: NHS Code of Practice Part 1 - DH code of practice on records management | DH | April 2006 | |
| Records Management: NHS Code of Practice Part 2 - DH code of practice on records management | GPC | April 2006 | |
| Referral management - frequently asked questions - GPC guidance | GPC | January 2006 | |
| Referral management schemes - GPC guidance | GPC | March 2007 | |
| Referrals to complementary therapists - GPC guidance | GPC | May 2009 | |
| Removal of patients from GP lists - GPC guidance | GPC | April 2005 | |
| Returners - GPC guidance - Link to the GPC website | GPC | December 2006 | |
| Returners - GPC guidance | GPC | October 2006 | |
| Revisions to the GMS contract 2006-07 - Focus on guidance | GPC | March 2006 |
S
| Document | Name | Source | Date |
|---|---|---|---|
| Safeguarding patient services, maintaining cost-effectiveness - GPC guidance | GPC | April 2007 | |
| Salaried GPs - Focus on guidance - revised February 2009 | GPC | February 2009 | |
| Salaried GPs - Focus on guidance - revised August 2007 | GPC | August 2007 | |
| Salaried GPs - Focus on guidance | GPC | June 2004 | |
| Sale of goodwill - Focus on guidance | GPC | June 2004 | |
| SCR Summary Guidance | GPC | February 2010 | |
| SCR Opt-Out Form | GPC | February 2010 | |
| Seniority Payments - Updated January 09 - Focus on guidance | GPC | January 2009 | |
| Services that should not be provided under primary medical services - GPC guidance | GPC | August 2006 | |
| SFE changes 2006-07 (England) - Focus on guidance | GPC | April 2006 | |
| SFE Consolidated | GPC | March 2009 | |
| SFE Amendments Extended Hours DES | DH | September 2008 | |
| SFE Amendments 2009 | DH | February 2009 | |
| Standard Childhood Immunisation Payment Calculator | LMC | June 2009 | |
| Superannuation contributions - Focus on guidance | GPC | July 2004 | |
| Superannuation contributions - 2nd update - Focus on guidance | GPC | September 2004 | |
| Suspended GP Performer - The - GPC guidance | GPC | March 2006 |
T
| Document | Name | Source | Date |
|---|---|---|---|
| Travel vaccinations - GPC guidance | GPC | September 2004 |
U
V
| Document | Name | Source | Date |
|---|---|---|---|
| Vaccinations and immunisations - Focus on guidance | GPC | April 2004 | |
| Violent and racially abusive patients – provision of care to - BMA guidance on the provision of care to violent and racially abusive patients | BMA |
W
| Document | Name | Source | Date |
|---|---|---|---|
| Waste disposal - guidance on hazardous waste regulations - GPC guidance | GPC | July 2005 |
XYZ
Personal Medical Services
PMS services are governed by the NHS PMS Agreement Regulations
Latest PMS legislation info from the DH
| Document | Name | Source | Date |
|---|---|---|---|
| Personal medical services (PMS) - Focus on guidance | GPC | February 2004 | |
| PMS Reviewing Contractual Arrangements - GPC Guidance | GPC | March 2007 | |
| PMS Contractors - GPC Guidance | GPC | April 2006 |
Salaried/Sessional GPs
Newsletters from the BMA
| Document | Name | Source | Date |
|---|---|---|---|
| FLU - Locum GPs Death in Service Payments | BMA | August 2009 | |
| Employment of a Salaried General Practitioner by a GMS Practice - Model offer letter for the employment of a salaried GP by a GMS Practice | BMA | October 2006 | |
| Employment Terms and Conditions for a Salaried GP | BMA | October 2006 | |
| Extended hours - GPC guidance for Salaried GPs | GPC | April 2008 | |
| Job Planning -GPC Guidance | GPC | November 2005 | |
| Model GP retainer scheme contract - GPC Guidance | GPC | January 2005 | |
| Negotiating your salary - guidance for salaried GPs | BMA | April 2008 | |
| Salaried GPs - Focus on guidance - revised August 2007 | GPC | August 2007 | |
| Salaried GPs - Focus on guidance | GPC | June 2004 |
Registrar
E-Bulletins from the GPC
- February 2010
- July 2008
- May 2008
- February 2008
- December 2007
- October 2007
- October 2006
- January 2006
- November 2005
Other Useful Documents
| Document | Name | Source | Date |
|---|---|---|---|
| Allowance,Accommodation, Removal and Associated Expenses of GP Registrars in General Practice | NHS | July 2007 | |
| Registrars Pay and Pay Protection - Guidance from NHS Employers | NHS | June 2005 |