PMS contract review update
This briefing is for information only for GMS practices
This update follows our recent PMS briefing: in areas where CCGs have already moved to Level 3 co-commissioning, (fully delegated responsibilities) they can carry out PMS reviews themselves with oversight. Level 2 reviews will be carried out jointly between the CCG and NHS England London (NHSEL), and Level 1 will be carried out solely by NHSEL.
- Preparation of all PMS practice baseline figures across London is almost complete.
- NHSEL undertook to share detailed information on a practice by practice basis with CCGs and offer proposals on how the premium could be invested, by the end of October 2015.
- NHSEL already have a set of KPIs it uses for APMS contracts and NHSEL will expect CCGs to align these KPIs with the London Strategic Framework and their own Five Year Plan.
- Once NHSEL has discussed with the CCGs what the local offer will be, it will engage with all stakeholders. Although there will be a standard London approach, each CCG will have different priorities.
- NHSEL will expect CCGs to engage with LMCs and practices, any decisions will need to be taken to Strategic Planning Group (SPG) level and then the Joint Co-commissioning Committees (unless CCGs are operating under Level 3 arrangements).
- The proposed payment for PMS practices for essential and additional services, ie, core services will be based on the GMS global sum (without MPIG) and anything provided over that will be considered as premium funding. The information sent to practices will include what their GMS equivalent would be.
- NHSEL are proposing that PMS practices would have to deliver on all DESs and all locally commissioned services, ensuring population coverage, in order to hold a PMS contract.
- Individual PMS practice delivery of every enhanced service will not be demanded but suitable arrangements will have to be made by the PMS practice to enable delivery to all patients (eg, via a federation of practices).
- NHSEL will be asking CCGs how they will be addressing the inequity of funding between GMS and PMS; PMS contract holders may choose to revert to GMS with three months written notice.
- NHSEL are open to receiving local alternative proposals but these will still need to meet NHSEL’s overarching requirements. The national requirement is for the reviews to be completed by 31 March 2016 and NHSEL is continuing to work to this deadline. However, if local alternative approaches clearly demonstrated the benefits they can bring to patients and healthcare delivery, the deadline of 31 March 2016 may be reconsidered. NHSEL will still need to gain approval from NHSE central team for any alternative approach.
- NHSE states that if it is negotiating with a group of PMS practices on behalf of individual practices that there must be evidence of a mandate from each of the represented practices.
We will share any further information with you as soon as it becomes available.
Last updated : 09 Nov 2015Written response to GP partnership review (18 Sep 2018)
We have provided a written response to the GP Partnership Review which is being conducted for the Department of Health and Social Care by Dr Nigel Watson of Wessex LMCs....Tips of the month September 2018 (18 Sep 2018)
We provide weekly tips based on common queries which come through to us from London GPs and practice teams. These are shared via social media and collated for...Londonwide LMCs’ jobs board (18 Sep 2018)
Don’t forget our vacancies section is free to use for London practices. All you need to do is complete and submit the web form and we will do the rest...Winter pressures - keep us up to date (18 Sep 2018)
Last winter saw the whole health and social care system in London operating at full-stretch, with lack of capacity in secondary and social care increasing pressure on GPs. We are...LEAD Training Events (18 Sep 2018)
This year, our Learning Education and Development (LEAD) team created a new summer-time initiative for GPs and practice teams. Our LEAD Summer School programme ran throughout August and covered a...MMR and MenACWY vaccinations for students resident at home (17 Sep 2018)
September marks the time of the year when many students are starting their first year of university or returning to their studies. Students can be more vulnerable to illnesses such...How we use your data (17 Sep 2018)
In line with recent changes in data protection legislation, we have updated our Privacy Policy to provide you with more detail on how we handle your personal data. Our Privacy...Premises update September 2018 (14 Sep 2018)
This update is applicable to practices who are leasing their premises from Community Health Partnerships (CHP) or NHS Property Services (NHSPS). Urgent - Occupancy Agreement Letters We are aware that...Digital first consultation response (14 Sep 2018)
We have responded to NHS England’s consultation on ‘Digital-first primary care and its implications for general practice payments’. Our full response can be read here, a summary is...How to be a dementia friendly GP (14 Sep 2018)
There are currently 850,000 people in the UK with dementia, and this is set to rise to 1 million by 2025. We know that people with dementia can face challenges...Guidance
We provide expert guidance for practices in our guidance section, as well as an archive of other materials you may find useful.
GP Support
Contact our GP Support team if you need help or advice.
The team provide professional and pastoral support to GPs and practice teams on a broad range of issues.