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NHS England’s’ relationship with GP practices is a contractual one whereby it monitors those services that GPs are contractually obliged to carry out if they hold a GMS, PMS or APMS contract.

GPs deliver health care to patients via three different types of contracts:

General Medical Services (GMS) contracts

GMS contracts deliver core medical services and are agreed nationally. The funding for these types of contract is calculated based on the practice’s registered list size with a fixed, nationally agreed, price per patient, and the actual amount paid is calculated practice by practice.

Personal Medical Services (PMS) contracts

PMS contracts provide similar core medical services to GMS contracts and can also include extra health services that are considered to be ‘over and above’ the usual core services (for example, special clinics for homeless people in areas of high need, etc). PMS contracts make it possible to address specific local health needs. The funding for PMS contracts is worked out locally.

Alternative Medical Services (APMS) contracts

APMS contracts are contracts which can cover the provision of general medical services, as well as other locally developed services for a specific patient group.

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added 2 years ago
9955Contractual Issues For GPs
Type: pdf, 407.3KB, added 2 years ago
9958GP contract IT requirements
added 2 years ago
9956GP contract payments
added 2 years ago
9960Sessional and locum GP contracts
added 2 years ago

NHS Standard Hospital Contract

NHS Standard Contract 2017/18 and 2018/19 – General Conditions

NHS Standard Contract 2017/19 and 2018/19 – Service Conditions


Preston Office

Consortium of Local Medical Committees
Ambulance Headquarters
449-451 Garstang Road

Tel: 01772 863806


Latest Blogs and insights direct from Lancashire and Cumbria LMCs Chief Executive, Peter Higgins, LMC staff and guest bloggers.