Key GP Contract documents 2025

by | Feb 8, 2026 | Library

These are the key headlines from the 25/26 GP contract changes:

  • £969 million new investment uplift – comprises £889m additional core contract funding and £80m for use of e-RS advice and guidance between GPs and consultants.
  • This investment is on top of the £433m added to the contract during autumn last year.
  • Enhancement of ARRS, with GPs and practice nurses added in to the main scheme, minimum GP salary + on-cost reimbursement increased in line with the BMA salaried GP pay range and with no caps on numbers
  • Enhanced service for ‘pre-referral’ advice and guidance with a £20 item of service fee payment per request by GPs
  • Restoration / uplift of SFE payments (sickness/parental leave cover) in line with 2025-26 real-terms values (compared to 2018/19), including locum reimbursements and childhood vaccination payments.
  • Changes to requirements for patient online e-consultation access to general practice from October 2025024-v2

Digest GP Contract

Letter to changes in GP contract sent to all:

• All GP practices in England
• Primary Care Network Clinical Directors

PRN01866-letter-changes-to-the-gp-contract-in-2025-26- 1

References:

Key GP Contract docs 2025

https://www.england.nhs.uk/long-read/changes-to-the-gp-contract-in-2025-26/

https://www.england.nhs.uk/gp/investment/gp-contract/network-contract-directed-enhanced-service-des/

https://www.england.nhs.uk/gp/investment/gp-contract/quality-on-outcomes-framework-qof-changes/

https://www.england.nhs.uk/publication/quality-and-outcomes-framework-guidance-for-2025-26/

Enhanced Service Specification – General Practice Requests for Advice and Guidance 2025/26

1. Introduction
2. Commonly Used Terms
3. Background
4. Process
5. General Requirements
6. Service Delivery Specification
7. Payment and Validation
8. General payment provisions relating to practices wishing to withdraw from the ES
9. Provisions relating to GP practices who merge or are formed
10. New contract awards

enhanced-service-specification-general-practice-requests-for-advice-and-guidance-2025-26

Enhanced Service Specification – Weight Management 2025/26

1. Introduction
2. Commonly Used Terms
3. Background
4. Process
5. General Requirements
6. Service Delivery Specification
7. Payment and Validation
Annex A: Provisions relating to GP practices that terminate or withdraw from this ES (subject to the provisions below for termination attributable to a GP practice formation or merger) and New GP practices

enhanced-service-specification-weight-management-2025-26

Quality and Outcomes Framework guidance for 2025/26

1. Introduction 4
1.1 Purpose of this document 4
1.2 Definition of ‘commissioner’ 4
1.3 Additional indicator information 4
1.4 Reporting, payment calculation and verification 6
1.5 Disputes 8
2. Summary of all indicators 8
2.1 Clinical domain (437 points) 8
2.2 Public health domain (127 points) 15
2.3 Public health domain – additional services sub-domain 17
3. Clinical domain 17
3.1 Atrial fibrillation (AF) 17
3.2 Secondary prevention of coronary heart disease (CHD) 20
3.3 Cholesterol control and lipid management (CHOL) 23
3.4 Heart failure (HF) 25
3.5 Hypertension (HYP) 29
3.6 Stroke and TIA (STIA) 31
3.7 Diabetes mellitus (DM) 33
3.8 Asthma (AST) 41
3.9 Chronic obstructive pulmonary disease (COPD) 46
3.10 Dementia (DEM) 48
3.11 Mental health (MH) 52
3.12 Non-diabetic hyperglycaemia (NDH) 57
4. Public health domain 59
4.1 Blood pressure (BP) 59
4.2 Smoking (SMOK) 60

quality-outcomes-framework-guidance-for-2025-26

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