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The ten key elements of the GP contract 2014/15

Details of the 2014/15 GMS contract for England were announced on 15 November, downsizing the QOF and putting a focus on reducing unplanned hospital admissions.

Controversial contract changes include the phasing out of seniority payments (image: iStock)
Controversial contract changes include the phasing out of seniority payments (image: iStock)

1. Introduction of a new enhanced service to improve services for patients with complex health and care needs, who may be at high risk of unplanned admission to hospital.

2. Downsizing of the QOF by 341 points: reinvestment of the GMS element of the 238 points into the global sum, transfer of 100 points into the new unplanned hospital admissions DES and of three points into the learning disabilities DES.

3. Changes to enhanced services for patient participation, extended hours access, dementia, alcohol and learning disabilities, with the patient online and remote care monitoring ESs ceasing from 31 March 2014 (with monies reinvested in core funding).

4. Phasing out of seniority payments - no new entrants as from 1 April 2014 and payments to cease on 31 March 2020 for those already in receipt of payments.

5. All patients over 75 to be assigned a named, accountable GP who will provide proactive case-management and ensure they receive coordinated care.

6. GPs to monitor the quality of out-of-hours services in their area and report concerns, including care provided by third parties.

7. Introduction of the Friends and Family test from December 2014.

8. GP practices to be able to register patients from outside their boundaries from 2014, though they will not be obliged to provide home visits to these patients.

9. Introduction of new IT systems including the ability for patients to book appointments online and access their  own records.

10. Proposals in development for publication of the NHS earnings of all GPs. All GP practices to display their CQC inspection report in their waiting rooms and on their practice website.

  • For further details, download attached summaries of the GP contract deal and QOF changes by NHS Employers (right).
  • Key contract Q&As are available from the BMA website.
  • For daily updates on the 2014/15 GP contract, see coverage by Medeconomic's sister website GPonline.com.

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