The new general medical services (GMS) contract in April 2004 introduced a completely new system for funding GP practices and GPs. Funding is now primarily practice-based and is based on weighted patient populations rather than numbers of GPs.

General medical services (GMS) contract

The new remuneration system gives GP practices much more flexibility in how they deliver services, allowing them choices as to how they organise patient care whilst rewarding them for the quality of this care. An annual enquiry provides a very detailed study of GP earnings & expenses. Introduction of the new GMS contract also allowed GPs to opt-out of providing out-of-hours services.

Information and analysis directorate (IAD) develops funding formulae and carries out modelling of investment strategies to support the department of health (DoH) in contract negotiations.

GMS formula 

Funding for GP services follows the patient, not the GP. Funding is based on relative workload associated with each patient.

Pressures facing GPs 

There are a number of factors which create pressures on GPs. 

GP earnings and expenses 

The health & social care information centre (HSCIC) conducts a UK annual study of GP earnings and expenses.

More information is available from the 2012/13 GP earnings & expenses report found on the HSCIC website.

GP out-of-hours services 

The GP out-of-hours (OoH) service provides care for people when their normal GP surgery is closed. GP OoH is the responsibility of the health and social care board (HSCB).

For more information visit the HSCB GP out-of-hours website.

Who uses GPs?

GPs look after the health of people who have registered with their practice.

GP workforce

GPs look after the health of people in their local community and deal with a whole range of health problems.

For further information contact us

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