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Enhanced Services

Directed Enhanced Services (DES) are nationally negotiated services, over and above those provided under usual contracts, which the Area Team / CCG is obliged to commission. 

Directed Enhanced Services in 2021/22

The details for these can be found in the NHS - Primary Medical Services (Directed Enhanced Services) Directions 2021

Finance details can be found in the Statement of Financial Entitlements Directions.

Additionally the following two enhanced services were introduced in July 21


Following on from the Covid Vaccination Programme Phase 1 & 2,

NHSE have published an Enhanced Service Specification for COVID-19 vaccination programme: phase 3 2021/22

Seasonal Flu

August 2021 - NHSE have also published two Enhanced service Specifications for the seasonal flu programme

Another useful resource is NHSE GP Contract webpage.

Locally Commissioned Services (LCS)


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Updated on Friday, 1 October 2021 8445 views