Enhanced services
Focus on extended access 2008/09 - Commencing 1 April 2008
This guidance has been produced by the GPC to help GPs and LMCs understand the changes that have been made to the GMS contract for 2008/09.Contestability - best practice guidelines
As a significant proportion of the enhanced services cases referred to the Implementation Coordination Group (ICG) relate to “contestability”, we have developed the following best-practice guidelines that should be considered by primary care trusts (PCTs), local medical committees (LMCs) and practices.Enhanced services and floors from April 2007 - revised August 2007
Guidance explaining the status of all enhanced services and spending floors from April 2007. It includes a section on the interface between enhanced services and practice based commissioning in 2007-2008.Focus on the financial monitoring of enhanced services
Guidance to help Local Medical Committees (LMCs) in their role of agreeing with their Primary Care Organisations (PCOs) which enhanced services count towards the PCO-level expenditure floor.Focus on access (England) 2006/07 - revised January 2007
Helps GPs and Local Medical Committees (LMCs) understand the changes and developments that have been made to the general medical services contract for 2006/07.Focus on enhanced services, updated January 2004
Guidance to help GPs and Local Medical Committees (LMCs) with the enhanced services arrangements under the new General Medical Services (GMS) contract.Focus on choice and booking DES
Includes background, key points, choose and book, how the choice questionnaire will work, what will happen if problems arise and what can LMCs do?
Models for NES for general practitioners
National enhanced servicesAlcohol misusers
A model for a National Enhanced Service (NES) for patients who are alcohol misusers. Includes background, aims, service outline, accreditation, costs.Anti-coagulation monitoring
A model for a National Enhanced Service (NES) for anti-coagulation monitoring. Includes background, aims, definitions, service outline, untoward events, accreditation, costs and more.Depression
A model for a National Enhanced Service (NES) for specialised care of patients with depression. Includes background, aims, definition, service outline, accreditation and costs.Drug misuse
A model for a National Enhanced Service (NES) for patients suffering from drug misuse. Includes background, service outline, accreditation, appraisal criteria, continuing professional development requirements and costs.Homeless people
A model for a national enhanced service (NES) for enhanced care of homeless people. Includes background, aims, service outline, accreditation, costs.Immediate care and first response care
A model for a National Enhanced Service (NES) for provision of immediate care and first response care. Includes background, service outline, driving, training and organisation and costs.Intra-uterine contraceptive device fittings
A model for a National Enhanced Service (NES) for intra-uterine contraceptive device fittings. Includes background, aims, service outline, accreditation, costs.Intrapartum care
A model for a National Enhanced Service (NES) for intrapartum care. Includes background, service outline, accreditation, costs.Minor injury
A model for a National Enhanced Service (NES) for minor injury services. Includes background, service outline, accreditation, costs.Multiple sclerosis
A model for a National Enhanced Service (NES) for more specialised services for patients with multiple sclerosis. Includes background, aims, service outline, accreditation, costs.Near-patient testing
A model for a National Enhanced Service (NES) for provision of near-patient testing. Includes background, aims, service outline, untoward events, accreditation, costs and more.Sexual health
A model for a National Enhanced Service (NES) for more specialised sexual health services. Includes background, service outline, accreditation, costs.
Specifications on DES for general practitioners
Directed enhanced servicesClinical directed enhanced services (DES) guidance for GMS contract 2008 - 2009
NHS Employers and the General Practitioners Committee of the BMA have agreed five new clinical directed enhanced services (DES) as part of the contract negotiations.Access to primary care
This specification for a Directed Enhanced Service (DES) in England is for 2006/07 and will be reviewed for 2007/08. From 2007 the focus will continue on improving access to general practice. This DES will be reviewed in the light of experience, developing policies and the appropriateness of the award thresholds.Childhood immunisations
Specification for a Directed Enhanced Service (DES) including a model DES for immunising children aged two years and under and pre-school boosters for children aged five years and under.Choice and booking
This specification for a Directed Enhanced Service (DES) in England covers aspirational payments, patient experience survey, PCT duty, system fall down, the award and validation and payment.Focus on payments for influenza and pneumococcal vaccinations
Guidance to inform GPs of the nationally agreed prices for influenza and pneumococcal vaccinations as part of directed enhanced services (DES).Influenza immunisation for at-risk groups
A model for a Directed Enhanced Service (DES) for influenza immunisation in all at-risk groups. Includes aims, eligibility, how will the immunisation programme work and the pricing.Information management and technology
This Directed Enhanced Service (DES) is designed to facilitate information management and technology adoption to support the delivery of the National Programme for IT.Minor surgery
A model for a Directed Enhanced Service (DES) for minor surgery. Includes scope of service, eligibility to provide service and pricing.Towards practice based commissioning
This DES specification outlines a scheme for engagement in practice based commissioning to encourage those practices that have either yet to engage in developing the initiative, or yet to finalise their plans to do so.Violent patients
A model for a Directed Enhanced Service (DES) for services to support staff dealing with violent patients. Includes scope of the DES, aims, policy considerations and more.