NHSE have now published the details in relation to contract changes for 23/24. All of the contract specification details can be found here.
We have attached them individually via the links below:
- Enhanced service specification: weight management programme
- Enhanced service specification: weight management programme 2023/24
- Quality and Outcomes Framework guidance for 2023/24
- Primary Care Networks: Network Contract Directed Enhanced Service from April 2023
- Network Contract DES – contract specification for 2023/24 – PCN requirements and entitlements
- Network Contract DES – guidance for 2023/24
- Network Contract DES – capacity and access improvement payment for 2023/24
- Network Contract DES – Investment and Impact Fund (IIF) guidance for 2023/24
- Network Contract DES – CVD prevention and diagnosis guidance for 2023/24
- Network Contract DES – personalised care guidance for 2023/24
- Network Contract DES – tackling neighbourhood health inequalities guidance for 2023/24
- Network Contract DES – early cancer diagnosis guidance for 2023/24
- Network Contract DES – subcontract for the provision of services for 2023/24
- Network Contract DES – PCN adjusted populations spreadsheet
There is a lot of information, although the PCN DES is now published, we have yet to see the changes to the core contract (via a contract variation) or changes within the regulations but would encourage practices to take a look to familiarise themselves with the guidance.
GP contract changes guidance
Following the announcement of the GP contract changes for 2023/24, which were imposed on 1 April, we have updated our guidance explaining what it means for practices. The changes are in the following areas:
- Prospective record access
- Cloud-based telephony
- Removal of reference to medical cards in the patient registration provisions
- General practice pay declaration guidance
Note that the changes on ‘access to general practice services’ have not been laid before Parliament yet and ICBs will therefore not have sent contract variations to practices. This means the changes have not yet come into effect. We will share further information on this imposed contractual change as soon as it is available.
We need practices’ feedback – evidence of the negative impact of imposed 23/24 contract changes
In our regular engagement sessions with LMCs, we are already hearing of issues relating to unresourced increased costs for practices, e.g. relating to cloud-based telephony. We need to hear about these issues so they can be collated and shared with the DHSC and NHS England as a body of evidence against their ill-advised imposed changes. Please email your evidence, as well as any other feedback you may have, to feedback.gpcontractimposition@bma.org.uk
Read more about the 2023/24 GP contract changes on the BMA website