Changes to Core Funding for GP Practices 2020/21






Global Sum 

Increases from £89.88 to £93.46 per weighted patient, being an increase of 3.98%. This does, however incorporate recycled funding from the following, which have all now ceased:

  • Seniority
  • MPIG
  • PMS premium


OOH Opt Out

Reduces from 4.82% to 4.77% of global sum


Impact on Average Practice

Based on: 

Weighted list size of 9,200 patients






Global sum



OOH opt out



Global sum net of OOH



MPIG/PMS premium






Core practice funding




The amounts previously received for seniority and MPIG/PMS premium will vary by practice, which will have a significant impact on how much of a real increase individual practices receive.


Services Now Deemed Essential Within GP Contract

The following will now be deemed as essential services within the GP contract:

  • Maternity medical services
  • Child health surveillance
  • Vaccinations and immunisations (from October 2020)


From October 2020 it will also be a requirement to offer a 6-8 week postnatal check for new mothers.


Alignment of GMS and PMS Contract Funding

 As GMS and PMS practices are effectively paid at the same rate from April 2020 onwards, PMS practices may consider transferring to a GMS contract. The main advantage of this is that PMS contract can be terminated at 6 months’ notice, but no such option exists for GMS contracts (although a GMS contract can be terminated if the CQC permanently cancels a practice’s registration).


In deciding whether to transfer to a GMS contract, PMS practices should consider the timing of monthly contract payments (which are often different for GMS and PMS practices) and whether this will have an adverse impact on practice cashflow.



For more updates for GP Practices please view our Medical Seminar Pack which was produced as an alternative to our normal Spring seminars. 


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