As we recover from the last-minute QOF work to maximise income, we now move on to the new QOF year, and the challenges are just as intense, says FPM's secret diarist and practice manager. 

NHS England published their letter to all primary care services (28th February) outlining the GP contract arrangements for the upcoming financial year, with changes aimed at improving primary care services, enhancing patient outcomes, and empowering Primary Care Networks (PCNs). We take a look into the key contents of the letter, summarise the important points, and discuss potential implications for ARRS funding, primary care staffing, and general budgets for primary care services in the UK.