Alternative Provider Medical Services (APMS) Directions
Directions for the NHS from the Secretary of State for Health and Social Care relating to Alternative Provider Medical Services (APMS) contracts in general practice.
Applies to England
Documents
Details
The Alternative Provider Medical Services Directions set out the legal framework governing APMS contracts in general practice.
Previous APMS Directions are published for public reference.
Updates to this page
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Added 'The Alternative Provider Medical Services (Amendment) Directions 2026'.
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Added 'The Alternative Provider Medical Services Directions 2026'. Removed all previous directions.
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Added 'The Alternative Provider Medical Services (Amendment) Directions 2025'.
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Added 'The Alternative Provider Medical Services (Amendment) Directions 2024'.
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Added 'The Alternative Provider Medical Services (Amendment) (No.2) Directions 2023'.
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First published.
Update history
2026-07-17 14:13
Added ‘The Alternative Provider Medical Services (Amendment) Directions 2026’.
2026-06-12 12:08
Added ‘The Alternative Provider Medical Services Directions 2026’. Removed all previous directions.
2025-07-17 08:24
Added ‘The Alternative Provider Medical Services (Amendment) Directions 2025’.
2024-05-24 09:30
Added ‘The Alternative Provider Medical Services (Amendment) Directions 2024’.
2023-05-02 09:57
Added ‘The Alternative Provider Medical Services (Amendment) (No.2) Directions 2023’.
2023-03-13 09:30
First published.