General Medical Services

In contrast to doctors who work in hospitals, general practitioners (GPs) are usually independent, self-employed contractors working together in partnership.

The contract details what services they provide and how they receive payment. The GMS contract is a nationally agreed contract negotiated with the British Medical Association (BMA) by National Health Service (NHS) employers on behalf of the four UK governments. The contract was introduced in 2002/3.

The overall aim of the contract is to improve the quality and range of services closer to the patient’s home. The contract has dealt with concerns from GPs about high workload and the inability to maintain a good work/life balance.

One of the most significant changes brought about by the contract is that out-of-hours services are now provided by LHBs. No longer do doctors have to work at night and still arrive for morning surgery. Those doctors who wish to work at night or weekends may still do so, but those who do not, can concentrate on core working hours with greater energy.

The contract clarified for the first time exactly what core services a practice is expected to offer to patients and what they should be paid for that work. All practices will provide essential services for their patients.

It also enables practices to choose whether or not they wish to provide additional services to their patients. Practices will be able to opt out of some services to ensure that their workload remains manageable. All practices are encouraged to provide the full range of services and the vast majority are already doing so. In line with the strategy, Designed for Life, patients can expect to receive a higher proportion of health services closer to home. 

More information can be found at the General Medical Services Website (external link).