NHS primary medical service directions

This collection brings together directions for the National Health Service primary medical services, setting out part of the legal framework under which GP practices operate and are paid.

As well as being a useful resource for commissioners and GP practices, these directions may be of interest to patients who wish to understand the legal obligations of NHS England and GP practices to their patients.

The regulations that these directions relate to can be found on, including:

Current directions

No longer in force and previous directions

Updates to this page

Published 31 March 2023
Last updated 9 May 2024 + show all updates
  1. Added 'NHS (General Medical Services - Premises Costs) Directions: previous directions' to the 'No longer in force and previous directions' section.

  2. The following publications have been updated for 2024: 'The General Medical Services Statement of Financial Entitlements Directions'; 'The Primary Medical Services (Directed Enhanced Services) Directions'.

  3. First published.