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Alternative Provider Medical Services (APMS)

Alternative Provider Medical Services (APMS)

Alternative Provider Medical Services (APMS) is one of four contracting routes available to enable PCOs to commission or provide primary medical services within their area to the extent that they consider it necessary to meet all reasonable requirements. The other routes are General Medical Services (GMS), Personal Medical Services (PMS) which includes Specialist PMS, and Primary Care Trust Led Medical Services (PCTMS).

APMS provides the opportunity for locally negotiated contracts allowing PCOs to contract with non-NHS bodies, such as voluntary or commercial sector providers, (or with GMS/PMS practices) to supply enhanced and additional primary medical services. PCOs can enter into APMS contracts with any individual or organisation to meet local needs, as long as core NHS values are fully protected and secured.

What services can be provided under APMS?

In common with GMS, PMS and PCTMS, APMS can be used to provide:

  • Essential services

  • Additional services where GMS/PMS practices opt-out

  • Enhanced services

  • Out of Hours services

  • A combination of any of the above

Can GMS and PMS Practices provide APMS services?

Yes. PCOs can contract with GMS and PMS Practices through the APMS route. The Practice would hold a separate APMS contract alongside their GMS/PMS contract though this may no longer be allowed according to the new regulations from April 2013 .

Further information

Revised Regulations on APMS fom April 2013

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