Quick Guide to 2025/26 QOF and PCN DES Requirements
Quick Guide to 2025/26 QOF, PCN DES & 2025/26 GMS Contract Requirements
Below is a practical summary of the Quality and Outcomes Framework (QOF), the Network Contract Directed Enhanced Service (PCN DES) for 2025/26, and the core General Medical Services (GMS) contract for 2025/26.
Whether you’re a GP, Practice Manager or PCN Clinical Director, this guide highlights the key contractual focus areas and responsibilities that remain in effect throughout the year, including key funding updates, service expectations, and compliance requirements.
You’ll also find links to download the full NHS England and BMA documents for reference and use in practice.
QOF 2025/26 – Summary
Structure and Indicators
The indicator set remains stable for 2025/26, continuing to cover chronic disease management, public health measures, mental health, and prevention. No new indicator groups have been added this year.
Mental Health & Long-Term Condition Reviews
Clarifications were made to improve consistency in coding for mental health care plans and structured reviews. Practices should ensure up-to-date entries for care planning, screening tools, and referral follow-up.
Accurate Coding and PCAs
Continued emphasis on the appropriate use of Personalised Care Adjustments (PCAs) and exception reporting. Practices must ensure that coding decisions are clearly justified and auditable.
Chronic Disease Monitoring & Risk Management
Practices are reminded to maintain high-quality coding and monitoring for conditions such as hypertension, diabetes, CKD, and asthma. Focus remains on proactive management and achieving indicator thresholds.
General Medical Services (GMS) Contract 2025/26
The GMS contract is the core agreement between general practices and the NHS. It sets out national expectations around access, service delivery, workforce, and funding.
This BMA-produced summary outlines the key elements of the 2025/26 contract, including the core funding uplift, ARRS role changes, digital access standards, and safety regulations.
For most GPs, Practice Managers, and PCN leaders, this short summary will provide a helpful overview.
PCN DES 2025/26 – Key Areas of Responsibility
• PCNs must confirm participation annually and meet core eligibility criteria
• Ongoing requirements around:
• ARRS workforce expansion and reporting
• Modern General Practice Access model
• Care home support, enhanced health in communities
• Increased emphasis on place-based integration with neighbourhood teams
• Updated guidance on payments, digital infrastructure, and assurance
• PCNs must submit monthly CQRS declarations and engage in ICB-led monitoring