NHS England (London) was required in 2015-16 to review London’s PMS (Primary Medical Services) contracts to establish how best to apply nationally agreed principles of equitable funding and to identify how to get the best value from its investment in quality improvement and innovation.

There are over 600 PMS practices in London across 32 CCGs. Significant engagement was required with CCGs and Local Medical Committees to ensure that the plans were in place for the review and to understand its full implications.

Our challenge was to ensure equitable funding for over 600 practices

We developed an agreed methodology around the financial aspects of the PMS review and specifications for the London-wide specifications. Alongside this we provided extensive support to, and engagement with, CCGs as well as communications and media advice and project management.

Through close ongoing engagement ensuring the involvement of a wide range of stakeholders, we provided:

  • A review of the PMS contracts and premium for each practice and CCG
  • Financial modelling of the London offer, local commissioning intentions, transitional payments and the impact of General Medical Services equalisation
  • Assurance and sign off process for local commissioning intentions
  • The stakeholder liaison work to establish the governance for the London PMS working group
  • Principles and guidance on transitional funding for practices