King Washington Services Contract - General
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Alternative Provider Medical Services (APMS) Contracts allow NHS England to commission primary care services. This includes essential and additional services from a wide range of providers, e.g. private health companies and social enterprises.
What is the NHS Standard Contract? The NHS Standard Contract is mandated by NHS England for use by commissioners (including NHS England and CCGs) for all contracts for healthcare services other than primary care. The standard contract comes in two versions, a full-length and a shorter version.
GP practices are paid on the basis of the number of patients on their list. This is obtained from the registered patient list held by NHS Digital on behalf of NHS England. In addition to this GPs are paid for their performance under the Quality and Outcomes Framework (QOF).
GMS contracts are subject to the tightest rules governing who can hold them, with only GPs, GP partnerships or limited companies involving GPs eligible. PMS contracts can be held by GPs, other NHS employees or limited companies involving either GPs or NHS employees.
The Scottish General Medical Services (GMS) Contractimprove access for patients, address health inequalities and improve population health including mental health. provide financial stability for GPs, and reduce GP workload through the expansion of the primary care multidisciplinary team.
The GMS contract covers three main areas: The global sum covering the costs of running a general practice, including some essential GP services; The Quality and Outcomes Framework (QOF) covering two areas clinical and public health.
GMS contracts are subject to the tightest rules governing who can hold them, with only GPs, GP partnerships or limited companies involving GPs eligible. PMS contracts can be held by GPs, other NHS employees or limited companies involving either GPs or NHS employees.
The APMS framework allows contracts with organisations (such as private companies or third sector providers) other than general practitioners/partnerships of GPs to provide primary care services. APMS contracts can also be used to commission other types of primary care service, beyond that of 'core' general practice.
The GMS contract is the national standard GP contract. In 2018/19, around 70 per cent of GP practices operated under it 2. This contract is negotiated nationally every year between NHS England and the General Practice Committee of the BMA, the trade union representative of GPs in England.
Under s86 of the NHS Act 2006, a company limited by shares can hold a GMS contract providing, in respect of that company: (i) At least one share in the company is legally and beneficially owned by a medical practitioner.