Changes to GP Practice Contracts


Your practice currently holds a PMS (Personal Medical Services) Contract and has opted to change back to a GMS (General Medicine Services) Contract.

PMS contracts, introduced in 1998, allow an additional premium to be paid with the aim of promoting innovation and local service improvement. As GP services have continued to develop since the introduction of PMS contracts many of the elements in these contracts are now routinely undertaken in primary care.

A national review of PMS contracts has concluded that these premiums have been unevenly distributed across those GP practices with PMS contracts. As a result of this Area Teams have been instructed to undertake a review of all PMS contracts by March 2016.

The aim of our review of these contracts is to secure best value for primary care services now and in the future, whilst reflecting the Area Team and Clinical Commissioning Group (CCG) strategic plans including achieving fairer funding across all GP practices.

We recognise that for a number of GP practices this may mean a reduction in overall income. However any funding freed up by the review can only be used for GP services and will be reinvested within your local CCG area where the practice is located. We are working with the Local Medical Committees and practices to manage any impact this may have on income, particularly by having an extended lead-in time over a number of years for any potential loss of income.

Where possible, every attempt will be made to ensure that the health care you receive will remain the same although the funding streams and contract mechanism will be different. The majority of GP practices in England will be working to the Standard National GMS contract.

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