This page provides a comprehensive overview of NHS pension topics, including retirement options, scheme updates, and ill health retirement pathways.
Dr Amanda Doyle, National Director for Primary Care and Community Services NHS England wrote to all GP practices in England on 24th February to provide detail of the changes to the GP contract in 2026/27.
Directed Enhanced Services (DES) are nationally negotiated services, which are over and above those provided under GMS/PMS/APMS contracts, which the ICB (delegated by NHSE) are obliged to commission.
This is a complex area and needs careful navigating to ensure you don’t fall foul of the GMS/PMS Regulations.
Certifications for: Bus Pass, Chargeable, Child Performers, Jury Service, Low Calorie Diets, Non Chargeable, Notes for School Children, Parachute Jumps , Road Traffic Accidents, SCUBA, Shared Lives, Sickness.
An Indicative Activity Plan (IAP) is a funding mechanism used by Integrated Care Boards (ICBs) to commission NHS services from private providers. These services are delivered on behalf of the NHS through private contracts and are intended to support patient access to care.
Referrals were traditionally made to secondary care in the form of a handwritten letter. With the arrival of computerised IT Systems, we now have ability to create referral forms that can help speed up the referral process and provided consistent information to those receiving them.