GP care cao. What you must do as an employer in GP care, and the tools to do it.
For GP practices, health centres, out-of-hours GP posts and care groups with staff. Make an employment contract with the right salary, look up a salary or write a letter. All under the GP care cao 2025-2027.
Make an employment contractAll toolsTools
Choose what you need to do now. Each tool uses the GP care cao and the minimum wage that applies on the date.
Employment contract
For a doctor's assistant, triagist, practice nurse, practice manager or another job from the FWHZ handbook. We fill in the salary, probation, notice period, holiday hours and PLB. You get a pdf to sign.
Make the contractLetters
Extension or end of a fixed-term contract, change and promotion, training costs under the cao, the step after the appraisal, reference and resignation.
Make a letterSalary table
All monthly salaries of scales 1 to 12 per salary number, per month and per hour, with net pay. From 1 November 2025, 1 July 2026 and 1 May 2027.
Go to the salary tableJob grading
Fifty function levels from the FWHZ handbook, from doctor's assistant and triagist to practice nurse, practice manager and policy adviser, with the scale and the salary.
Go to the guideWhat does an employee cost?
All employer costs of an employee: contributions, the PFZW pension, the SSFH, the year-end bonus and the cost per productive hour.
Go to the calculatorWhat to do when
The fixed moments of the cao in a year. The article in brackets.
| Every year | Hold an appraisal. After a neutral or positive appraisal one step, on the first of the month of joining or for everyone on 1 January (4.6). |
|---|---|
| Every year | A training plan, with at least 20 hours of recognised training at more than 8 hours a week. And discuss the PLB (6.6 and 8.9). |
| Every quarter | Compensate overtime in time. If that is not possible, pay it out or add it to the PLB, with an overtime supplement in the month after the quarter (4.11 and 4.12). |
| One month before the end | Say in writing whether a fixed-term contract continues and on which terms (3.4). |
| May | Pay 8% holiday pay, over the salary with supplements (4.7). |
| December | Pay the 8.33% year-end bonus, also over the holiday pay (4.8). |
| 1 May 2027 | Salaries rise by 3% and the minimum hourly wage becomes €17.48 (annex 9). |
| 30 June 2027 | The cao and the declaration of general application end. Without notice the cao is extended by a year (1.4). |
Rules that often go wrong
The cao rules that differ from the law, or that employers in GP care often miss.
| Notice period | For a permanent contract 4 months for the employer and 2 months for the employee, to the end of a calendar month and in writing (3.5). |
|---|---|
| Overtime supplement | 12% of the hourly wage, at least €3.50 an hour, for overtime not compensated in the quarter. Not above salary number 25 (4.12). |
| ORT or ANW | Day workers get ORT: 30% from 8 pm to midnight, 100% at night and at weekends. Evening, night and weekend workers get the ANW supplement of 30% to 60% (4.9 and 4.10). |
| Sickness | No waiting day. 26 weeks 100% of pay, then 90%, 80% and 70% per 26 weeks, including fixed and structural supplements (5.2). |
| Freelancers | Employees get first choice in rosters over hired freelancers. An employee may refuse a shift change made for a freelancer (4.17). |
| Triage diploma | One or two extra salary steps for a doctor's assistant or triagist with the InEen triage diploma, also above the scale maximum (4.5). |
| Holiday and PLB | 190 holiday hours and 25 hours PLB a year at 38 hours. Statutory hours lapse 6 months after the year (8.1 and 8.10). |
| Pension and fund | Pension with PFZW, the premium half each for employer and employee. Also a contribution to the GP care social fund (SSFH) (7.4 and 1.9). |
Source: GP care cao 1 July 2025 to 30 June 2027 (LHV, InEen, NVDA, FNV, CNV and NVvPO), version of 9 July 2026, with the FWHZ handbook of July 2025. Generally binding from 29 August 2026 to 30 June 2027 (Government Gazette 2026, 27568). As of 1 November 2026.
Frequently asked questions
For those who focus almost only on GP care: GPs and their partnerships, out-of-hours GP posts and care groups, and for health centres. Also for an organisation that lends staff to or works for such an employer, if that employer holds the majority. Not for GPs themselves, GPs in training and directors. A dental practice is not covered.
The cao runs from 1 July 2025 to 30 June 2027. It is generally binding from 29 August 2026 to 30 June 2027, also if you are not a member of the LHV or InEen. After 30 June 2027 the cao is extended by a year each time unless a party gives notice. A new declaration of general application is then needed for it to apply to all employers.
You grade each job with the FWHZ handbook. The function level is the number of the salary scale. On joining, experience in the same or a comparable job counts. After a neutral or positive appraisal one salary number is added every year, up to the maximum. The amounts apply at 38 hours a week.
3% from 1 November 2025, 3% from 1 July 2026 and 3% from 1 May 2027. The cao minimum hourly wage moves along: €16.48, €16.97 and €17.48. Nothing has been agreed yet on pay rises after 30 June 2027.
Pensioenfonds Zorg en Welzijn (PFZW). Employer and employee each pay half of the premium. The employer also pays a contribution to the GP care social fund (SSFH), over the pensionable salary. A small part of it may be withheld from the salary.
Would you rather we handled it?
We run payroll for GP practices, health centres and care groups under the GP care cao: scales and steps, irregular hours and ANW supplements, overtime per quarter, holiday pay in May, the year-end bonus in December, the PLB, the PFZW pension and the SSFH contribution. Tell us how many people you employ. You'll hear back within one working day.
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