PHO Services Agreement Amendment Protocol (PSAAP)

What is PSAAP?

The PHO Services Agreement Amendment Protocol (PSAAP) is the document that details the arrangements around amending the PHO Services Agreement (PHOSA).

The forum created by PSAAP is tasked with discussing and agreeing changes in the PHOSA which are then applied to General Practice through the Contracted Provider Agreement. (The "Back-to-Back" Agreement).

The forum is the place where proposed capitation uplifts are notified and consulted on. It also has a function of information sharing and discussion of issues that may have a consequential impact on parties to the agreement.

Many decisions are made by consensus. There is a voting mechanism around changes to the contract but there is also the ability for the state to apply a compulsory variation to the funding.

On rare occasions when issues are referred for negotiation, four Contracted Provider negotiators will be appointed by the nominated Contracted Provider Agents, to represent the interests of all Contracted Providers. This process reflects that of the PHO negotiators.

With the Health reforms there has been a change to the parties at PSAAP. The Ministry of Health will no longer be a party but will have observer status. Te Whatu Ora and Te Aka Whai Ora (until June 2024) have replaced District Health Boards as parties. PHOs will maintain their long-established role at PSAAP with each PHO continuing to have the right to appoint to PSAAP. Contracted Providers continue to be a party to PSAAP, but their appointing arrangements have changed.

What has changed?

Historically the two Contracted Provider Representatives were appointed by a third party who was not a Contracted Provider. Initially this was the General Practice Leaders Forum, more recently the Contracted Provider Caucus (a subsidiary of the GPLF). After several years of lobbying and significant advocacy efforts it has been agreed that the rights and responsibilities of Contracted Providers should be the same as all other parties at PSAAP, and that Contracted Providers should be able to choose who represents them. Therefore, Contracted Providers now have the ability to appoint their own agents to PSAAP.

What does this mean?

This means that you can now choose who represents you and has your mandate at the PSAAP meetings.

This is a major milestone as it gives Contracted Providers the same rights of representation and appointment of agents to PSAAP as all other parties.

What do I have to do?

You need to nominate your mandated agent if you wish to be represented at PSAAP.

Nominating an Agent

The nomination form includes compulsory fields that:

  • identify you as the Contracted Provider.
  • confirm that you have the authority to nominate an agent on behalf of the Contracted Provider.
  • confirm your contact details.
  • confirm the current total enrolled population (ESU) - this is required by PSAAP to ensure the group is quorate.
  • identifies the agent that you wish to appoint (if the agent is not on the list, then you must ensure that the nominee is aware of the nomination and willing to undertake the role).
  • Each Contracted Provider ID will need to complete a separate individual nomination form.

Note: you can at any time in the future change your nominated agent by submitted a new nomination form and this will be reviewed ahead of meetings.

You can access the link to the nomination form here:
Contracted Providers Nomination Form for PSAAP Representation  

What if I do not choose anyone?

If you do not nominate an agent, then you will not be represented at PSAAP.

Can I share this information with my colleagues?

Please do. The Contracted Provider Caucus has made every effort to contact every Contracted Provider but know the limitations of email. We want all Contracted Providers who have the authority to do so, to have the opportunity to appoint their own agent.

What if I have questions?

If you are a GenPro member or represented by GenPro for PSAAP, please email for support.

You can also email questions to and they will be forwarded to the current Contracted Provider Caucus for response.