In full: The Government’s GP contract offer and GPC England’s counter-demands

The Government offer

• 1.9% increase to core funding;
• ‘Very modest’ increase in the overall ARRS allocation;
• Confirmation that GP employer NHS contributions will remain unchanged (at 14.38%) despite the employer scheme contribution rising by 3.1%;
• Suspension of a number of QOF indicators and an increase in the percentage aspiration payment;
• Further reduction in IIF indicators; 
• Confirmation of the current eight service specifications within the PCN DES being aggregated within an overarching specification; 
• Recruitment changes within the ARRS programme (nurses to be included);
• Changes in the arrangements for vaccination and immunisation data recording;
• Changes in the wording of the regulations in relation to patient registration arrangements, the Armed Forces Veterans offer, continuity of care and electronic records.

GPC demands

• Uplift by inflation the vaccination IoS fees and certain Statement of Financial Entitlement payments;
• Ringfence a proportion of current spend for dedicated purposes, such as GP supervisory tasks, or the Enhanced Health in Care Home beds premium;
• Allowing GPs with extended roles to be recruited via the ARRS;
• Inflation-linked core contract increase. 

Source: Letter from deputy GPCE chair Dr Julius Parker to Surrey & Sussex LMCs