The BMA GP Committee and NHS England have agreed changes to the contract for the first time in four years. Here are the major headlines
There will be £800m invested into the global sum. According to the BMA, the deal represents a 7.2% cash growth in contract funding. In total it’s estimated Global Sum per weighted patient will rise to £121.90.
Funding for recruiting GPs via the additional roles reimbursement scheme (ARRS) will no longer be ringfenced while salaries will see a boost. NHS England has committed to the ‘continuation of funding’ for the cohort of ARRS GPs recruited in the six months from October 2024, which equates to £186m for the whole of 2025/26. The salary element of the reimbursement will be increased by £9,305.
GPs will be required to publish a ‘patient charter’ setting out the standard of care they are contracted to provide, and will see a new incentive to boost patient continuity. The charter will be a ‘publicly accessible document’, which sets out ‘in black and white’ what patients can expect from their GPs and practices and will also set out what to do if patient expectations ‘aren’t met’ and what is expected of patients.
Practices will be paid to identify those that ‘would benefit most from continuity of care’, via amendments to the Capacity and Access Improvement (CAIP) payment)
NHS England will remove 32 QOF indicators and invest their funding into global sum, childhood vaccinations and cardiovascular prevention. The Item of Service Fee for routine childhood vaccinations will increase rom £10.06 to £12.06.
A £20 payment for advice and guidance (A&G) requests will be made available to GP practices by a new £80m national enhanced service from April.
All the contract stories
- New contract removes ARRS GP funding ringfence and increases salaries
- GP practices to publish ‘patient charter’ and receive continuity of care incentive
- Large chunk of QOF retired to fund global sum and immunisation fees rise
- Contract details new enhanced service to fund advice and guidance (A&G)
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