Medeconomics | GP practice contracts

Contracts

Changes ahead for the GP contract

NHS England has suggested that 2019/20 could see the biggest change to the GP contract since 2004. Medeconomics looks at what this might mean.

2018/19 GP contract

Details of 2018/19 GP contract for England

A summary of changes to the GP contract for 2018/19, with links to key guidance.

Changes to violent patient regulations under 2018/19 GP contract

GP practices have been handed clearer powers to refuse to register violent patients under the GP contract for 2018/19.

What are practices' contractual obligations on e-referrals?

As part of the 2018/19 GP contract it is a contractual requirement for practices to use the NHS e-Referral Service (e-RS) for all referrals to first consultant-led outpatient appointments from October 2018.

How have the premises cost directions changed?

Practices will be able to access grants for 100% of the cost of improving or updating their building under long-awaited changes to the premises cost directions, which have been announced as part of the GP contract deal for 2018/19.

Vaccination and immunisation programmes for 2018/19

Under the 2018/19 GP contract in England there have been a number of changes to vaccination and immunisation programmes.

Reimbursement for parental and sickness leave, plus prolonged study leave payments

Details of payments for practices in England and Wales.

Details of Welsh GMS contract 2018/19

The Welsh GPC has confirmed details of the 2018/19 GMS contract for Wales, which includes an £11.67m funding boost and a significantly reduced QOF.

Details of new Scottish GMS contract

GPs in Scotland have voted for a new GP contract that will change the way that practices are funded and starts the move towards a new pay structure for GPs. Medeconomics explains what the deal means.

2017/18 contract requirements England

Undertaking the frailty requirements of the GP contract

Practices are now required to routinely identify and review patients over 65 with moderate or severe frailty. Practice manager Fionnuala O'Donnell provides advice on how to do this and highlights some useful resources.

Key dates for practices in 2017/18

There are a number of key deadlines for practices in England if they are to receive correct payments and meet contract requirements.

Changes to GP sickness leave payments

From 1 April all practices in England and Wales are entitled to reimbursement payments towards the cost of providing cover for GPs who are off work through sickness for periods of two weeks or more.

Management of patients with severe frailty under the 2017/18 GP contract

From 1 July 2017 practices will be contractually required to identify and manage patients aged over 65 who are living with moderate to severe frailty. This article has been updated to include links to new guidance.

Vaccination and immunisation programmes 2017/18

Fees and information for vaccination programmes in 2017/18.

Named accountable GP for patients - GMS contract requirements

All practices are contractually required to allocate a named accountable GP for all patients. This is a continuation from 2016/17

Alcohol-related risk reduction GMS contract requirements

It is a contractual requirement for practices to identify newly-registered patients who are drinking at increased or high-risk levels. Patients identified as at risk should also be screened for depression

Patient participation contract requirements

All practices must have a patient participation group under the GMS contract. Medeconomics explains what practices need to do to meet the contract requirements.

Providing online services - GMS contract requirements

Under the GMS contract practices are required to participate in digital services including referral management, online ordering of repeat prescriptions, interoperable records, patient access to their patient record and online appointment booking.

Publication of GP earnings under the GMS contract

Medeconomics explains what practices are required to do when it comes to publishing details of their GPs' earnings.

2017/18 contract requirements Wales

Details of Welsh GP contract for 2017/18

GP contract funding for Wales will rise around £27m in 2017/18 under a deal announced by health secretary Vaughan Gething.

Changes to the QOF in Wales for 2017/18

Practices in Wales are no longer required to demonstrate achievement in QOF clinical indicators totalling 165 points, but will still receive payment for them, following changes to the framework for 2017/18.

2017/18 contract requirements Scotland

GP funding in Scotland to rise £250m per year by 2021

GP funding in Scotland will rise £250m per year by 2021 with responsibility for vaccinations stripped from GMS contracts to ease practice workload, Scottish health secretary Shona Robison has announced.

No change for Scottish GMS contract in April 2017

The Scottish GPC and Scottish government have agreed to extend existing GMS arrangements into 2017/18 and revealed that some services could be removed from the contract later in 2017 with practices retaining the associated funding.

Enhanced services

Learning disabilities enhanced service requirements 2018/19

A summary of what is involved in the learning disabilities health check scheme ES for England.

Minor surgery enhanced service 2018/19

Details of the enhanced service for minor surgery.

Extended hours access enhanced service 2018/19

A summary of what is involved in the extended hours access ES for England.

Oral anticoagulation with warfarin DES for 2017/18 - Wales

Details of the directed enhanced service (DES) for oral anticoagulation with warfarin.

Care homes DES 2017/18 - Wales

Details of the directed enhanced service (DES) for care homes for Wales.

Mental health DES 2017/18 - Wales

Details of the directed enhanced service (DES) for mental health for Wales.

Other contract information

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