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Contract up to 2005
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Last modified date:24 February 2007
The GMS contract has evolved in partnership between the NHS Confederation and the General Practioners Committee (GPC) of the British Medical Association (BMA). It creates greater flexibility for GPs and represents an unprecedented level of investment in primary care
The pre-ballot documents make up the new GMS contract 'offer' which GPs were asked to vote on and accepted on 20 June 2003. They comprise:
Investing in General Practice - the GMS contract
- Download GMS Contract June 2003 (PDF, 192K)
- Download Annex A: Quality indicators (PDF, 39K)
- Download Annex B: Contractual and statutory requirements (PDF, 12K)
- Download Annex C: Competency framework for practice management (PDF, 56K)
- Download Annex D: Carr-Hill resource allocation formula (PDF, 24K)
Supporting documentation
More detailed documents (in Portable Document Format) on the application of the contract to specific services and activities.
1. Salaried contracts
- Download Download model offer letter for the employment of a salaried general practitioner by a practice to provide primary medical services (PDF, 35K)
- Download Download model terms and conditions of service for a salaried general practitioner employed by a GMS practice (PDF, 83K)
- Download Download model offer letter for the employment of a salaried general practitioner by a PCT to provide primary medical services (PDF, 37K)
- Download Download model terms and conditions of service for a salaried general practitioner employed by a Primary Care Trust (PDF, 81K)
2. Directed Enhanced Services
- Download DES specification: Access to general medical services (PDF, 52K)
- Download DES specification: Childhood immunisations (PDF, 57K)
- Download DES specification: Influenza immunisation for those in the 65 and over and other at-risk groups (PDF, 35K)
- Download DES specification: Minor surgery (PDF, 45K)
- Download DES specification: Quality information preparation (PDF, 36K)
- Download DES specification: Services to support staff dealing with violent patients (PDF, 47K)
3. National Enhanced Services
- Download NES specification: Anti-coagulation monitoring (PDF, 52K)
- Download NES specification: Enhanced care of the homeless (PDF, 89K)
- Download NES specification: Intra partum care (PDF, 45K)
- Download NES specification: Intra-uterine contraceptive device fittings (PDF, 99K)
- Download NES specification: Minor injury services (PDF, 59K)
- Download NES specification: More specialised services for patients with multiple sclerosis (PDF, 80K)
- Download NES specification: More specialised sexual health services (PDF, 79K)
- Download NES specification: Patients who are alcohol misusers (PDF, 84K)
- Download NES specification: Patients suffering from drug misuse (PDF, 52K)
- Download NES specification: Provision of near-patient testing (PDF, 82K)
- Download NES specification: Provision of immediate care and first response care (PDF, 65K)
- Download NES specification: Provision of immediate care and first response care (PDF, 79K)
Other documents
- Download Innovative Out-of-Hours schemes (PDF, 40K)
- Download Seniority payments (PDF, 84K)
- Download Mapping of payments to new contract income streams (PDF, 22K)
- Download New GMS contract funding streams (PDF, 33K)
- QOF guidance and evidence base (updated August 2004)
- GPAQ General Practice Assessment Questionnaire (opens new window)
- CFEP Improving Practice Questionnaire (opens new window)
Joint letters
Following publication of the contract on 26 February 2003, there were further discussions between the NHS Confederation and GPC negotiators. These focussed on technical issues around the allocation formula and a number of issues on which both GPs and PCOs sought clarification. Two letters setting out the detail of these issues were sent by the NHS Confederation and GPC to all GPs.
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