The 2018 Scottish General Medical Services Contract is an historic joint agreement between the Scottish Government and the BMA. It came into force on 1 April 2018.
The 2018 GP Contract Offer was published on 13 November 2017:
It sets out the distinctive new direction for general practice in Scotland which will improve 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.
It also increases support for GPs and GP infrastructure, increases transparency on funding, activities and workforce to assist strategic planning and quality assurance; and makes general practice a more attractive profession for existing GPs, junior doctors and undergraduate medical students.
This page also contains links to a number of documents that have informed the 2018 Contract, such as the Report of the Improving General Practice Sustainability Short Life Working Group. These can be found in the related documents section of this page.
The Scottish Government commissioned a number of reviews completed to inform the funding formula which supports the 2018 Contract. These can be found as associated documents on the Contract Offer publication page. The Review of the Scottish Allocation Formula – GMS Workload Model describes how the new formula was derived. The Scottish Allocation Formula – GMS Unit Cost Formula Review provides a discussion of costs adjustments in the SAF and possible improvements. The Review of GP Earnings and Expenses reports the findings of a survey of practice earnings and expenses.
On 18 January, the Scottish GP Committee of the British Medical Association agreed to proceed to implement the new 2018 GP Contract. This decision followed strong backing (71.5%) in favour of the new contract shown in a poll of the profession.
GP Contract Regulations
Regulations provide the legal basis and framework for the provision of a primary medical services. The new Regulations were laid in Parliament on 19 February 2018 and came into force on 1 April 2019.
17J contracts (GMS)
Information Sharing Short Life Working Group
The Information Sharing Short Life Working Group was published on 30th May 2018. The group brought together subject matter experts, the regulator, legal experts and professional representation to understand and clarify roles, responsibilities and liabilities between health boards and GP contractors with respect to data controllership. The report provides recommendations intended to form the foundation to underpin Information Governance at a local level.
The report is available in the related downloads section on this page.
GMS Contract Oversight Group
The GMS Contract Oversight Group met for the second time on 13 June 2018. A sumary of that meeting is available in the related downloads section on this page.
GP Partner Minimum Earnings Expectation
In April 2019 the Scottish Government launched the new GP Partner Minimum Earnings Expectation in line with the commitment set out in the GP Contract offer. This is a significant step towards providing greater income security for GPs.
The Minimum Earnings Expectation will ensure that that no GP partner in Scotland earns less than £84,630 (including pension contributions) NHS income for a whole-time equivalent post.
Further information about how GPs can apply can be found in the Minimum Earnings Expectation Guidance 2019.