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Contract/PMS/GMS/APMS

Alternative Provider Medical Services (APMS)

Alternative Provider Medical Services (APMS) Contracts allow NHS England to commission primary care services. This includes essential and additional services from a wide range of providers, e.g. private health companies and social enterprises. Useful Guidance Links: GPC BMA - Alternative...

Certification - Low Calorie Diets

Patients often approach GPs with forms to fill out before they can embark on some low calorie diets. You may find this information useful: You do not have to fill out these forms You can charge a reasonable fee for filling out the form Much of the data, weight and BP is part of normal GMS...

Certification - Shared Lives

Shared Lives is a national idea rolled out to Local Authorities to encourage citizens to help share the lives of vulnerable adults. It is an excellent scheme that encourages people within communities to help vulnerable adults and get paid, while saving the state significant sums of money. Your...

Clinical Governance for Health Care Assistants

Clinical Governance for Health Care Assistants Please click here for more information

DBS: Risk Assessing Staff for a DBS Check

Risk Assessment Tool This tool aims to help you risk assess staff for DBS checking. It is, of course, for your Practice to make the final decision, based on the arrangements you currently have in place, but we have provided some scenario based guidance to assist you. In this case, the risk to...

December 2021 Temporary Contract changes and Income Protections.

7th December 2021 NHSE sent out a temporary contract change letter to assist with capacity to aid the Covid vaccination programme. Times are moving incredibly fast for us at the moment and General Practice Teams are being asked (yet again) to step up to provide the bulk of the Covid vaccination...

Developing the Workforce Janaury 2012

DH Document on developing the workforce January 2012 Future Forum 2nd Stage report on developing the workforce January 2012

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 Network Contract (PCN) Learning Disability Health Check Violent Patients Scheme...

General Practice Contract

The New General Medical Services (nGMS) contract 2003 'investing in General Practice' known as 'the blue book', was agreed in 2003 and implemented in 2004. It was a three-year contract that has seen considerable changes and enhancements year on year since then. GMS Contract Details of the...

Out of Area Registrations and In Hours Urgent Primary Medical Services (Enhanced Service)

Choice of GP Practice NHS England released guidance on the new out of area patient registration (choice of GP practice) arrangements in November 2014, click here to access this. What does this actually mean? Within the guidance was issued it identified 2 elements to this scheme which...

Patient Participation Groups

The Patient Participation DES ended on 31st March 2015. The DES was replaced by a contractual requirement for all practices to have in place and maintain a Patent Participation Group, comprising of members from its registered population. The PPG should: gather the news of patients about the...

PCN Workforce - ARRS

The update to the GP Contract Agreement 2020/21-2023/4 ​​ brings enhancements to the Additional Roles Reimbursement Scheme (ARRS). Additional workforce will be introduced and funded through the Network. Extra Government investment is funding a further 6000 staff through the scheme at 100%...

Primary Care Networks (PCNs)

Three major pieces of work have been published: The NHS Long Term Plan, The GP Partnership Review and The GP Contract changes for April 2019 and beyond. Individually these would have a significant impact on GPs and their practices but taken together they will have the most significant change...

Regulations

NHS England GP Contract documents Global sum allocation formula - a reminder from the BMA how funding for GMS practices is calculated using the Carr-Hill formula, and what is taken into account. GMS Contract 22/23 Please visit our dedicated webpage for updates to the GP Contract 22/23 On 1...

Requests for pre-operative assessments or investigations

We understand that some GPs are being asked to carry out pre operative assessments by consultants on patients referred for procedures. This is not a GP contractual requirement. We have created a template letter for use when replying to such requests, should you so wish to. You can download a...

Update to GP Contract 20/21 - 23/24

NHS England GP Contract Documents 2021/22 Contract End of year Checklist 21/22 - Once again, we have experienced a very unusual year with many contract changes, variations and activities stood up and down which all makes year end very tricky. Please see our checklist to help with this, we are...

Update to GP Contract 22/23

NHSE GP Contract page contains a suite of their published guidance. There are a large number of documents covering both contract financials, the PCN DES and QoF. Following published guidance for the GP Contract this year, we have put together a summary overview with associated finances....

Vaccines and Immunisations - Guidance for Practices

Page Contents Vaccinations and Immunisation Programme Vaccs & Imms Indicators in QOF GP Collections Timetable Immunisation Schedules Public Health Contacts for Imms and Screening SCID, BCG and Rotavirus Patient Group Directions HPV Vaccination Guidance for Healthcare...

“How to” Modules for GPs, Senior Leaders & Partners in General Practice - Recorded Webinars

You can record your reflections on this form or via your learning diary here: https://www.fourteenfish.com/about/learningdiary ​​CQC are particularly keen to see any evidence of your learning and how you apply it. Our 'How to...' modules are short 2 hour sessions, aimed at decision makers and...