Statutory guidance

General Medical Services Statement of Financial Entitlements Directions

Directions for the NHS from the Secretary of State for Health and Social Care relating to payments for primary medical services contractors.

• From: Department of Health and Social Care
• Published: 31 March 2023
• Last updated: 30 September 2026 — See all updates

Applies to England

Documents

General Medical Services Statement of Financial Entitlements (Amendment) (No. 4) Directions 2026

PDF, 254 KB, 9 pages

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General Medical Services Statement of Financial Entitlements (Amendment) (No. 3) Directions 2026

PDF, 164 KB, 2 pages

General Medical Services Statement of Financial Entitlements (Amendment) (No. 2) Directions 2026

PDF, 166 KB, 1 page

General Medical Services Statement of Financial Entitlements (Amendment) Directions 2026

PDF, 182 KB, 4 pages

General Medical Services Statement of Financial Entitlements Directions 2026

PDF, 1.63 MB, 101 pages

Details

The General Medical Services Statement of Financial Entitlements Directions (GMS SFE Directions) set out how payments should be calculated and made to practices.

Previous GMS SFE Directions are published for public reference.

• Last updated: 30 September 2026
  Show all updates

  1. 30 September 2026

     Added 'General Medical Services Statement of Financial Entitlements (Amendment) (No. 4) Directions 2026'.

  2. 27 August 2026

     Added 'General Medical Services Statement of Financial Entitlements (Amendment) (No. 3) Directions 2026'.

  3. 24 June 2026

     Added 'General Medical Services Statement of Financial Entitlements (Amendment) (No. 2) Directions 2026'.

  4. 30 April 2026

     Added 'General Medical Services Statement of Financial Entitlements (Amendment) Directions 2026'.

  5. 31 March 2026

     Added: 'General Medical Services Statement of Financial Entitlements Directions 2026'. Removed: 'General Medical Services Statement of Financial Entitlements Directions 2024' and 7 amendments.

  6. 30 September 2025

     Added 'The General Medical Services Statement of Financial Entitlements (Amendment) (No.5) Directions 2025'.

  7. 27 August 2025

     Added 'The General Medical Services Statement of Financial Entitlements (Amendment) (No. 4) Directions 2025'.

  8. 31 July 2025

     Added 'The General Medical Services Statement of Financial Entitlements (Amendment) (No. 3) Directions 2025'.

  9. 6 May 2025

     Added 'The General Medical Services Statement of Financial Entitlements (Amendment) (No. 2) Directions 2025'.

  10. 28 March 2025

      Added 'The General Medical Services Statement of Financial Entitlements (Amendment) Directions 2025'.

  11. 30 September 2024

      Added 'The General Medical Services Statement of Financial Entitlements (Amendment) (No. 2) Directions 2024'.

  12. 30 August 2024

      Added 'The General Medical Services Statement of Financial Entitlements (Amendment) Directions 2024'.

  13. 28 March 2024

      Added 'General Medical Services Statement of Financial Entitlements Directions 2024'. Removed 'General Medical Services Statement of Financial Entitlements (Amendment) Directions 2023' and 'General Medical Services Statement of Financial Entitlements Directions 2023'.

  14. 2 October 2023

      Added 'The General Medical Services Statement of Financial Entitlements (Amendment) Directions 2023'.

  15. 31 March 2023

      First published.