Directed Enhanced Services
Enhanced Services are Nationally negotiated services, over and above those provided under usual contracts, which the Area Team / CCG is obliged to commission.
Locally Commissioned Services (LES)
- These are schemes designed to meet local needs
- They are optional for Practices to provide
- The CCG will usually consult with the LMC before they are issued, and we try to secure the best terms. It is an individual Practice decision to decide whether they want to sign up
Enhanced Services in 2018/19
- Extended Hours Access Scheme
- Learning Disability Health Check Scheme (£140 per health check)
- Violent Patients Scheme (Special Allocation Service)
- Minor Surgery Scheme
- Childhood Immunisation Scheme – item of service payments for all vaccination and immunisation programmes delivered via the Statement of Financial Entitlements will be uplifted to £10.06. This includes:
- Hepatitis B at risk new-born babies
- HPV completing dose
- Meningococcal ACWY Freshers
- Meningococcal B
- Meningococcal completing dose
- Routine Shingles
- Shingles catch-up
The Item of Service fee for the following programmes is unchanged at £9.80 per dose:
- Childhood seasonal influenza
- Seasonal influenza and pneumococcal polysaccharide
- PCV (at £15.02), childhood seasonal flu, Pertussis, seasonal flu and pneumococcal polysaccharide will remain as previously.
Enhanced Services in 2017/18
- Learning disabilities health check scheme - payment now set at £140 per health check.
- Extended hours - continues unchanged until 30th September 2017. New conditions apply from 1st October 2017 whereby practices who regularly close for half a day on a weekly basis do not qualify for the DES.
- Avoiding unplanned admissions - discontinued and the funding transferred into the global sum without the out of hours deduction applied.
- Childhood immunisation scheme for: Children under 2 years to be immunised against Meningitis C, MMR, Diphtheria, Tetanus, Poliomyelitis, Pertussis and HIB B.
- Children who are 5 years to receive a booster for protection against Diphtheria, Tetanus, Pertussis and Poliomyelitis.
- An Influenza and Pneumococcal Immunisation Scheme for at risk patients.
- A violent patients scheme
- A minor surgery scheme.
For more information, go to the DES Directions at: http://www.nhsemployers.org/gms201718