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Investment and evolution - NHS England

Investment and evolution : A five -year framework for GP contract reform to implement The NHS Long Term Plan 31 January 2019. Contents Foreword and summary .. 3. 1. Addressing the workforce shortfall .. 8. 2. Solving Indemnity Costs .. 17. 3. Improving the Quality and Outcomes Framework (QOF) .. 19. 4. Introducing the Network Contract 25. 5. Going digital-first' and improving access .. 33. 6. Delivering new network 40. 7. Guaranteeing 51. 8. Supporting research and testing future contract changes .. 55. 9. Schedule of future contract changes and development 57. Annex A: QOF indicator changes .. 60. Annex B: QOF Quality 67. Annex C: Network Contract DES Registration 87. Annex D: Additional detail on main 2019/20 contract changes .. 90. Annex E: Network Contract DES Workforce Role Descriptions and 96. Glossary of Terms .. 103. 2. Foreword and summary General practice is the bedrock of the NHS, and the NHS relies on it to survive and thrive.

Gives five-year funding clarity and certainty for practices. Resources for primary medical and community services increase by over £4.5 billion by 2023/24, and rise as a share of the overall NHS budget. This agreement now confirms how much of this will flow through intended national legal entitlements for general

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