If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email email@example.com .
Please tell us what format you need. It will help us if you say what assistive technology you use.
The attached letter from Dame Barbara Hakin sets out the outcome of negotiations between the BMA General Practitioners Committee (GPC) and NHS Employers on changes that will apply to GMS contractual arrangements in England from April 2012.