Implications of the new GP contract

Clin Med (Lond). Jan-Feb 2005;5(1):50-4. doi: 10.7861/clinmedicine.5-1-50.


A new contract for general practitioners (GPs) was introduced in the UK on 1 April 2004 which has implications for secondary care. In particular, the contract means that GPs can opt out of out-of-hours care, and accident & emergency services have voiced their concern that their workload may increase as a result. The new contract provides the potential for a rise in GPs' salaries by two means: through the provision of the Quality and Outcomes Framework which includes the management of 10 common chronic diseases; and through 'Enhanced Services', which are a series of optional 'extra' more specialised services with national specified standards that can be commissioned by primary care organisations (PCOs).

MeSH terms

  • Contracts*
  • Family Practice / legislation & jurisprudence
  • Family Practice / organization & administration*
  • Family Practice / standards
  • Humans
  • Practice Guidelines as Topic
  • Quality of Health Care
  • Referral and Consultation
  • State Medicine / organization & administration
  • United Kingdom