General Practitioners: Employers' Contributions

We have made the necessary decisions to fix the foundations of the public finances in the Autumn Budget. Resource spending for the Department will be £22.6 billion more in 2025/26 than in 2023/24, as part of the Spending Review settlement. The employers’ National Insurance rise was implemented in April 2025.

General practices (GPs) are valued independent contractors who provide over £13 billion worth of National Health Services. Every year we consult with the profession about what services GPs provide, and the money providers are entitled to in return under their contract, taking account of the cost of delivering services.

The global sum allocation formula, which underpins capitation payments to GPs, is designed to ensure that resources are directed to practices based on an estimate of their patient workload and unavoidable practice costs. This takes into account factors such as age and sex composition of registered patients, and additional pressures caused by factors such as geographical location and patient turnover.

We are committed to ensuring that primary medical services receive appropriate support and resources. We are investing an additional £889 million in GPs to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.2 billion in 2025/26. This is the biggest increase in over a decade, and we are pleased that the General Practitioners Committee England is supportive of the contract changes.