Letter: C

Childhood Seasonal Influenza Vaccination Programme – Claiming Service 2026-27

Purpose and outline

This service supports the NHS Childhood Seasonal Influenza Vaccination Programme: 2-3 year olds and at-Risk Children 26/27. The service enables automated data extraction and payment claims for vaccinations administered to eligible patients either by the practice or another practice within the PCN under the Network Contract DES.

Practices wishing to take part in the Childhood Seasonal Influenza Vaccination Programme must also sign up to the Enhanced Service Participation Service within CQRS. Practices not taking part are encouraged to register for this Claiming Service to claim payment when another PCN practice vaccinates their registered patients.

An item of service (IoS) fee of £10.06 will be paid per dose administered to each eligible registered patient using a recommended vaccine. The service applies to eligible children aged six months to under 18 years in a clinical at risk group and to all 2-3 year olds with eligibility aligned to national policy, Green Book and the Flu Letter for 26/27.

How this service is commissioned and provided

Regions commission this service from GP practices.

2026/27: Information about this service

Quality service start date: 1 September 2026

Quality service end date: 31 March 2027

Payment period: Monthly

Collection frequency: Monthly

Manual or automatic entry: Automatic data collection

Included in data collection: All system suppliers (TPP, Medicus and EMIS)

System type: Vaccination and Immunisation (V&I)

Service user guides

The below links to user guides describe how to participate, manually enter and declare achievement for this service:

Viewing, accepting and rejecting a Quality service offered in CQRS National

Manually inputting Achievement data

Declaring an achievement for payment

Childhood Seasonal Influenza Vaccination Programme – Enhanced Service Participation Service 2026-2027 

Purpose and outline

This service supports the delivery of the NHS Childhood Seasonal Influenza Vaccination Programme: 2-3 year olds and at-Risk Children. Practices signing up to this service are confirming participation and individual responsibility for delivery of the service requirements for the Childhood Seasonal Influenza Vaccination Programme: 2-3 year olds and at-Risk Children 2026/27. 

In order to claim payment and receive automated data extractions, practices must also sign up to the Childhood Seasonal Influenza Vaccination Programme: 2-3 year olds and at-Risk Children – Claiming Service, once it is made available within CQRS. The service applies to eligible children aged six months to under 18 years, who are in a clinical at risk group, and to all 2 and 3 year olds, with patient eligibility aligned to national policy, the Green Book and the annual Flu Letter for 2026/27. 

How this service is commissioned and provided

Region’s commission this service from GP practices. 

Information about this service:

Quality service start date: 1 September 2026

Quality service end date: 31 March 2027

Payment period: N/A

Collection frequency: N/A

Manual or automatic entry: N/A 

Service user guides 

The below links to user guides describe how to participate, manually enter and declare achievement for this service: 

Viewing, accepting and rejecting a Quality service offered in CQRS National 

Manually inputting Achievement data 

Declaring an achievement for payment 

COVID-19 Vaccination Claiming Service 2026-2029

Purpose and outline

The aim of the COVID-19 vaccinations programme is to protect individuals at highest risk from serious illness or death from COVID-19 and to protect the NHS by reducing the risks of hospitalisation and critical care admission.

COVID-19 vaccination is a targeted offer for those at higher risk of severe COVID-19 disease and is offered during planned seasonal campaigns. These campaigns are currently bi-annual: an autumn campaign (part of overall winter health preparedness) and an additional spring campaign, offering the vaccine to those at the highest risk: older adults and those who are immunosuppressed due to disease or treatment.

This service has 3 automated indicators where data will be extracted via GPES and 6 manual indicators where data is required to be inputted into CQRS. Payment of all indicators is subject to the usual declaration process.

How this service is commissioned and provided

Region’s commission this service for GP practices.

NHS England service specifications 

Each Practice opting in to participate in the service must:

  1. Accept the offer in CQRS by 2 February 2026 for the commencement of the Spring 2026 programme; and
  2. Complete the 2026-2027 registration form, which will be open for registrations from 5 January 2026, by 2 February 2026 for the commencement of the Spring 2026 programme.

Information about this service:

  • Quality service start date: 01 April 2026
  • Quality service end date: 31 March 2029
  • Payment period: Monthly
  • Collection frequency: Monthly
  • Manual or automatic entry: Automatic data collection and manual data collection
  • Included in data collection: All system suppliers (TPP, Medicus and Emis)
  • System type: Vaccination and Immunisation (V&I)

COVID-19 Vaccination Claiming Service – Additional Information for General Practices

This additional information should be read in conjunction with the NHS England » General practice: Seasonal Vaccination Programmes – additional guidance 2026/27

There are 9 payment indicators in the COVID-19 Vaccination Claiming Service. Of these:

  • 3 indicators are automated, where the data is extracted through GPES and payment is automated subject to the usual CQRS declaration process.
  • A maximum of two automated vaccinations payments may be made per patient within the financial year.
  • Any additional eligible vaccinations must be claimed through the relevant manual indicator.
  • 6 indicators require manual data entry by practices into CQRS.
  • All payments remain subject to the usual CQRS declaration process
  • All indicators are payment; there are no management indicators in the service.

Automated Payment Indicators

The following 3 indicators are automated, where the data is extracted through GPES and payment is automated subject to the usual CQRS declaration process:

Indicator IDEligible Activity
COV001Standard COVID-19 vaccination activity delivered during the Spring/Summer (April to June) campaign
COV002Standard COVID-19 vaccination activity delivered during the Autumn/Winter Campaign (September–January)
COV003Vaccination activity delivered outside the main seasonal campaigns (February, March, July and August), including activity relating to newly immunosuppressed  patients.

For automated indicators:

  • payment will only be made where the vaccination:
    • has been administered by a GP practice; and
    • is the first eligible vaccination within the relevant campaign or timeframe.
  • vaccinations must be recorded using the approved clinical codes included within the relevant SNOMED CT refsets.
  • only one automated indicator will generate activity within a given extraction month, as each indicator relates to a specific campaign period.

 Manual Payment Indicators

The following indicators require practices to manually enter activity into CQRS:

Indicator IDEligible Activity
Third Vaccinations Within the Financial Year
COVM001 Third COVID-19 vaccinations administered between February and August where the vaccination is not within 90 days of the previous dose.
COVM002 Third COVID-19 vaccinations administered between September and January where the vaccination is not within 90 days of the previous dose.
Vaccinations Within 90 Days of a Previous Dose
COVM003 Vaccinations administered within 90 days of a previous vaccination between February and August.
COVM004 Vaccinations administered within 90 days of a previous vaccination between September and January.
Immediately Necessary Treatment (INT) / Unregistered Patients
COVM005 Vaccinations administered under Immediately Necessary Treatment (INT) arrangements, including unregistered patients, between February and August.
COVM006 Vaccinations administered under Immediately Necessary Treatment (INT) arrangements, including unregistered patients, between September and January.

For manual indicators:

  • If the input value for a manual indicator is not updated before declaration, CQRS will automatically default the value to 0.

Summary

Campaign PeriodAutomated Payment IndicatorsManual Payment Indicators
Spring/Summer Campaign (April–June)COV001COVM001, COVM003, COVM005
Autumn/Winter Campaign (September–January)COV002COVM002, COVM004, COVM006
Outside Main Seasonal Campaigns (February, March, July and August)COV003COVM001, COVM003, COVM005

Review all indicators in the CQRS COVID-19 Service (All practices)

The automated data for the COVID-19 Vaccination Claiming Service is currently being processed with CQRS. As part of this process, six separate manual indicators within the service will automatically default to zero, which will trigger the achievement calculation.

What you need to do every month

Where possible, please ensure you have submitted the six manual indicators before the extract takes place – should the extract take place before manual entry, follow the below guidance:

  • Check the content of the appropriate automated indicators (COV001-COV003)
  • Review the six manual indicators in CQRS (COVM001-COVM006)
  • If any of these indicators require adjustment, ensure all updates are made before submitting your claim to your commissioner. More information on how to amend indicators.
  • Please note, if the achievement has already been declared at Practice level, all further amendments will need to be made by your Commissioner.
  • Please note that no changes can be made to the claim within CQRS after financial approval of your claim.

Service user guides

The below links to user guides describe how to participate, manually enter, and declare achievement for this service:

Viewing, accepting and rejecting a Quality service offered in CQRS National

Manually inputting Achievement data

Declaring an achievement for payment

Cloud Based Telephony 2024-2030

Purpose and outline

NHS England has agreed to make a change to the GP Contract in 2024/25 to require practices to provide Cloud Based Telephony (CBT) data to NHS England. This follows a major funded programme (as part of the Primary Care Access Recovery Plan (PCARP)) to ensure that all practices have digital telephony systems in place. Telephony data will provide important demand data which will provide significant value to national policy makers as well as Integrated Care Boards (ICBs). 

Via the Advanced Telephony Better Purchasing framework, practices can purchase CBT systems from assured system providers. These system providers will be required to support the practices and the national programme with increased reporting functionality (call level data) meaning that practices do not face additional administrative burden.

How this service is commissioned and provided

This service is commissioned by NHS England.

Information about this service

Quality service start date: 1 October 2024

Quality service end date: 31 March 2030

Payment period: N/A – contractual requirement with no funding attached, participation only service in CQRS.

System type: Core contract.

Complex Care

Information about this service

Local incentive scheme.

Example components for this service

Per Care Plan.

Declaration.

Complex Wounds (Leg Ulcer)

Purpose and outline

Complex wounds (leg ulcer) are chronic wounds that have compromised healing which require specialist assessment and management. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Leg ulcer – first appointment.

Leg ulcer – first doppler.

Leg ulcer – follow up (left leg).

Leg ulcer – follow up (right leg).

Leg ulcer – follow up (both legs – bilateral).

Leg ulcer – follow up doppler.

Leg ulcer – healed ulcer garment fit.

Declaration

Compression Bandaging

Purpose and outline

Compression bandages are used to treat leg ulcers.

Information about this service

Local incentive scheme.

Example components for this service

Management of the whole episode of care following assessment – leg.

Declaration.

Chronic obstructive pulmonary disease (COPD)

Purpose and outline

Chronic obstructive pulmonary disease (COPD) is a lung condition that causes breathing difficulties. A GP will organise a breathing test to help diagnose COPD. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

COPD patients reviewed.

Declaration.

Counselling

Information about this service

Local incentive scheme.

Example components for this service

Total number of Assessments undertaken.

Total number of Referrals.

Declaration.

CQC Fees Reimbursement

Information about this service

Local incentive scheme.

Example components for this service

CQC Fees Reimbursement Scheme.

Declaration.

Cryotherapy (Practice Patients)

Purpose and outline

Cryotherapy is a treatment that uses extreme cold, typically liquid nitrogen, to freeze and destroy abnormal or diseased skin tissue.

Information about this service

Local incentive scheme.

Example components for this service

Total number of Cryotherapy treatment sessions undertaken.

Total number of referrals to Dermatology.

Declaration.

Cardiovascular Disease (CVD) / Health Checks

Purpose and outline

Cardiovascular Disease (CVD) is a general term for conditions that affect the heart or blood vessels. CVD can often largely be prevented by leading a healthy lifestyle to reduce health factors. If patients are over 40 they will be invited to see their GP for an NHS Health Check every 5 years. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Count of patients aged 40 to 74 years who are eligible for the NHS Health Check Scheme.

Count of eligible patients who have been invited for NHS Health Check in this quarter.

Pulse rhythm check confirmation.

Declaration.

Coeliacs

Purpose and outline

Coeliac disease is an autoimmune condition trigged by gluten. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of blood tests for specific antibodies to gluten undertaken.

Number of referrals to gastroenterologist.

Declaration.

Colorectal Cancer

Purpose and outline

Bowel cancer, or colorectal cancer, is one of the most common types of cancer in the UK. GPs may do a rectal examination, ask for a stool sample for testing, and may will arrange referrals to specialists.

Information about this service

Local incentive scheme.

Example components for this service

Number of Faecal Immunochemical Tests (FIT) posted to eligible individuals.

Declaration.

Colposcopy

Purpose and outline

Colposcopy is a test of the cervix. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Coloscopy procedures undertaken.

Declaration.

Chlamydia

Purpose and outline

Chlamydia is a sexually transmitted infection (STI) passed on through unprotected sex. It is treated with antibiotics. A GP or nurse can diagnose Chlamydia and prescribe treatment. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Chlamydia tests undertaken.

Declaration

Circumcision

Purpose and outline

Circumcision is the removal of foreskin.

Information about this service

Local incentive scheme.

Example components for this service

Number of procedures undertaken.

Declaration

Clinical Haematology

Purpose and outline

Clinical Haematology focuses on the diagnosis, treatment and prevention of blood disorders and diseases.

Information about this service

Local incentive scheme.

Example components for this service

Number of Full Blood Count (FBC) undertaken.

Number of referrals to secondary care.

Declaration.

Clinical Waste Disposal

Purpose and outline

The safe and compliant management of waste generated in healthcare settings.

Information about this service

Local incentive scheme.

Example components for this service

Amount to reimburse.

Declaration.

Cardiovascular Disease

Purpose and outline

Cardiovascular Disease (CVD) is a general term for conditions that affect the heart or blood vessels. CVD can often largely be preventted by leading a healthy lifestyle to reduce health factors. If patients are over 40 they will be invited to see their GP for an NHS Health Check every 5 years. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Cardiovascular Disease (CVD) health checks.

Care Homes

Information about this service

Local incentive scheme.

Example components for this service

Annual Declaration and MOU.

Declaration.

Care of Older People

Information about this service

Local incentive scheme.

Example components for this service

Number of Senior Health Checks for patients aged over 75.

Declaration.

Carpal Tunnel

Purpose and outline

Carpel Tunnel Syndrome (CTS) is pressure on the never in the wrist causing tingling, numbness and pain in hands and fingers. A GP can diagnose CTS by reviewing symptoms and checking the hand. A patient may be referred to hospital for tests and scans. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of procedures.

Number of DNAs (Did Not Attend).

Declaration

Cautery (Practice Patients)

Purpose and outline

Cautery is a medical procedure that uses heat to remove abnormal tissue or control bleeding.

Information about this service

Local incentive scheme.

Example components for this service

Number of cautery treatments undertaken.

Declaration

Clinical Pharmacists in General Practice 2022-2023

This service is designed to allocate funding to GPs for utilising a (senior) clinical pharmacist through the Clinical Pharmacists in General Practice Phase 2 programme. Find out more about this service, including the benefits and how it’s commissioned and provided.

Purpose and outline

Service relates to continuation of NHS England Clinical Pharmacist in General Practice Scheme. Details of scheme previously agreed with the General Practitioners Committee.

In July 2015, NHS England launched a pilot scheme to support clinical pharmacists working in general practice. This service is to support the remainder of practices still eligible under the scheme to claim reimbursement for the clinical pharmacists recruited through the Clinical Pharmacists in General Practice Phase 2 programme.

Benefits to GPs

These include:

  • supporting patients to get the best use of their medicines and identifying medicines related issues
  • expanding the general practice team, thus allowing reallocation of general practice workload
  • increasing GP practice capacity to see and help more members of the pubic
  • ensuring safer prescribing and improving patient safety and quality of care
  • benefits to the wider healthcare system
  • improvement in the clinical and cost-effective use of medicines.

For further information, please see the Service Specification.

Enquiries should be sent to england.contactus@nhs.net for the attention of the pharmacists team.

How this service is commissioned and provided

This service is commissioned by NHS England.

This is a manual service with two components:

Upfront payment

Follow up service for on-going claims

The Upfront payment is paid once only and cannot be claimed in more than one financial year.

The indicators and fees for Component 2 (on-going claims) cover a pharmacist’s employment in year one (Y1), year two (Y2) and year three (Y3) of the Programme.

The following table shows the indicators to submit for year 1 (Y1), year 2 (Y2) and year 3 (Y3) of the pharmacist’s employment:

Indicator, Description, £ Per Item of Service

CPY1001, Y1 Senior Clinical Pharmacist 1 WTE, £3000

CPY1002, Y1 Senior Clinical Pharmacist 0.1 WTE, £300

CPY1003, Y1 Senior Clinical Pharmacist 0.2 WTE, £600

CPY1004, Y1 Senior Clinical Pharmacist 0.3 WTE, £900

CPY1005, Y1 Senior Clinical Pharmacist 0.4 WTE, £1200

CPY1006, Y1 Senior Clinical Pharmacist 0.5 WTE, £1500

CPY1007, Y1 Senior Clinical Pharmacist 0.6 WTE, £1800

CPY1008, Y1 Senior Clinical Pharmacist 0.7 WTE, £2100

CPY1009, Y1 Senior Clinical Pharmacist 0.8 WTE, £2400

CPY1010, Y1 Senior Clinical Pharmacist 0.9 WTE, £2700

CPY1011, Y1 Clinical Pharmacist 1 WTE, £2416.66

CPY1012, Y1 Clinical Pharmacist 0.1 WTE, £241.66

CPY1013, Y1 Clinical Pharmacist 0.2 WTE, £483.33

CPY1014, Y1 Clinical Pharmacist 0.3 WTE, £725

CPY1015, Y1 Clinical Pharmacist 0.4 WTE, £966.66

CPY1016, Y1 Clinical Pharmacist 0.5 WTE, £1208.33

CPY1017, Y1 Clinical Pharmacist 0.6 WTE, £1450

CPY1018, Y1 Clinical Pharmacist 0.7 WTE, £1691.66

CPY1019, Y1 Clinical Pharmacist 0.8 WTE, £1933.33

CPY1020, Y1 Clinical Pharmacist 0.9 WTE, £2,174.99

CPY2021, Y2 Senior Clinical Pharmacist 1 WTE, £2000

CPY2022, Y2 Senior Clinical Pharmacist 0.1 WTE, £200

CPY2023, Y2 Senior Clinical Pharmacist 0.2 WTE, £400

CPY2024, Y2 Senior Clinical Pharmacist, 0.3 WTE, £600

CPY2025, Y2 Senior Clinical Pharmacist 0.4 WTE, £800

CPY2026, Y2 Senior Clinical Pharmacist 0.5 WTE, £1000

CPY2027, Y2 Senior Clinical Pharmacist 0.6 WTE, £1200

CPY2028, Y2 Senior Clinical Pharmacist 0.7 WTE, £1400

CPY2029, Y2 Senior Clinical Pharmacist 0.8 WTE, £1600

CPY2030, Y2 Senior Clinical Pharmacist 0.9 WTE, £1800

CPY2031, Y2 Clinical Pharmacist 1 WTE, £1666.66

CPY2032, Y2 Clinical Pharmacist 0.1 WTE, £166.66

CPY2033, Y2 Clinical Pharmacist 0.2 WTE, £333.33

CPY2034, Y2 Clinical Pharmacist 0.3 WTE, £499.99

CPY2035, Y2 Clinical Pharmacist 0.4 WTE, £666.66

CPY2036, Y2 Clinical Pharmacist 0.5 WTE, £833.33

CPY2037, Y2 Clinical Pharmacist 0.6 WTE, £999.99

CPY2038, Y2 Clinical Pharmacist 0.7 WTE, £1166.66

CPY2039, Y2 Clinical Pharmacist 0.8 WTE, £1333.32

CPY2040, Y2 Clinical Pharmacist 0.9 WTE, £1499.99

CPY3041,  Y3 Senior Clinical Pharmacist 1 WTE, £1,083.33

CPY3042,  Y3 Senior Clinical Pharmacist 0.1 WTE, £108.33

CPY3043,  Y3 Senior Clinical Pharmacist 0.2 WTE, £216.66

CPY3044,  Y3 Senior Clinical Pharmacist 0.3 WTE , £325.00

CPY3045,  Y3 Senior Clinical Pharmacist 0.4 WTE , £433.33

CPY3046,  Y3 Senior Clinical Pharmacist 0.5 WTE, £541.66

CPY3047,  Y3 Senior Clinical Pharmacist 0.6 WTE , £650.00

CPY3048,  Y3 Senior Clinical Pharmacist 0.7 WTE, £758.33

CPY3049,  Y3 Senior Clinical Pharmacist 0.8 WTE, £866.66

CPY3050,  Y3 Senior Clinical Pharmacist 0.9 WTE, £975.00

CPY3051,  Y3 Clinical Pharmacist 1 WTE, £916.66

CPY3052,  Y3 Clinical Pharmacist 0.1 WTE, £91.66

CPY3053,  Y3 Clinical Pharmacist 0.2 WTE, £183.33

CPY3054,  Y3 Clinical Pharmacist 0.3 WTE, £275.00

CPY3055,  Y3 Clinical Pharmacist 0.4 WTE, £366.66

CPY3056,  Y3 Clinical Pharmacist 0.5 WTE, £458.33

CPY3057,  Y3 Clinical Pharmacist 0.6 WTE, £550.00

CPY3058,  Y3 Clinical Pharmacist 0.7 WTE, £641.66

CPY3059,  Y3 Clinical Pharmacist 0.8 WTE, £733.33

CPY3060,  Y3 Clinical Pharmacist 0.9 WTE, £825.00

Component 1: Clinical pharmacists in general practice up front payment 2022/23

  • Quality service start date: 1 April 2022
  • Quality service end date: 31 March 2023
  • Payment period: Annual
  • Collection frequency: Manual entry programme to be provided by CQRS
  • Manual or automatic entry: Manual
  • Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)
  • Co-commissioning: Regional Local Office/CCG
  • Service type: DES

Component 2: Clinical pharmacists in general practice 2022/23

  • Quality service start date: 1 April 2022
  • Quality service end date: 31 March 2023
  • Payment period: Monthly
  • Collection frequency: Manual entry programme to be provided by CQRS
  • Manual or automatic entry: Manual
  • Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)
  • Co-commissioning: No
  • Service type: DES

Component 3: Clinical pharmacists in general practice 2022/23

  • Quality service start date: 1 April 2022
  • Quality service end date: 31 March 2023
  • Payment period: Monthly
  • Collection frequency: Manual entry programme to be provided by CQRS
  • Manual or automatic entry: Manual
  • Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)
  • Co-commissioning: No
  • Service type: DES

*to access this service on CQRS, please check that you have access to the correct service type. In CQRS, select ‘My Account’ from the top of the page to see a full list of all viewable services. If you don’t have access to this type of service, ask your user administrator to update your profile.

Service user guides

The Calculating Quality Reporting Service (CQRS) user guides describe how to participate, manually enter and declare achievement for this service.

Payment count/clinical codes

N/A

Core GP Contract 2022-2027

Purpose and outline

The purpose of this service is to support NHS England in ensuring practices are meeting contractual requirement as set out in the GMS PMS and APMS Contract Regulations. The service ensures standardised care and improved patient outcomes and provides the relevant management information to support practices and commissioners understand their performance and ensure they meet their core GMS contract requirements. The Identification and Management of Patients with frailty, dementia, alcohol and unpaid carers are separate contractual requirements combined in this Service.

How this service is commissioned and provided

NHS England Regional teams and Sub ICB Locations commission this service from GP practices.

NHS England GP Contract Information

Information about this service:

Quality service start date: 1 April 2022

Quality service end date: 31 March 2027

Payment period: N/A – contractual requirement with no funding attached, participation only service in CQRS.

Collection frequency: Annual

System type: Core Contract

Childhood Seasonal Influenza Vaccination Programme (Two and Three Year Olds) 2025-26

Background

In 2012, the Joint Committee on Vaccination and Immunisation (JCVI) recommended the seasonal influenza programme be extended to all children aged 2 to under 17. The roll-out of this extended programme is being phased in over a period of time, to ensure a manageable and successful implementation process.

This enhanced service, delivered by GP practices, offers vaccination to all children aged two and three years. GP practices should offer vaccination, using the recommended vaccine, to all children aged two and three, but not children aged four years on 31 August 2022.

Four year olds have been removed from the enhanced service and transferred to school’s programme.

Purpose and outline

The influenza immunisation programmes are to protect those who are most at risk of serious illness should they develop influenza and to reduce transmission of the infection, thereby contributing to the protection of vulnerable patients who may have a suboptimal response to their own immunisations.

In order to reduce the impact of influenza on children and lower influenza transmission to other children, adults and those in clinical risk groups of any age, GP practices are required to proactively identify all those for whom influenza immunisations are indicated and to compile a register of those patients for whom influenza immunisation is recommended.

GP practices will receive an item of service (IoS) payment of £10.06 per dose in respect of each registered patient who is aged 2 and 3 years of age (but not aged less than 2 or aged four or over on 31 August 2025) who is vaccinated using the recommended vaccine from 1 September 2025 to 31 March 2026.

How this service is commissioned and provided

Regional Local Offices commission this service from GP practices.

NHS England service specifications

2025/26: Information about this service

Quality service start date: 01 September 2025

Quality service end date: 31 March 2026

Payment period: Monthly

Collection frequency: Monthly

Manual or automatic entry: Automatic data collection

Included in data collection: All system suppliers (TPP, Medicus and Emis)

System type: Vaccination and Immunisation (V&I)

Service user guides

The below links to user guides describe how to participate, manually enter, and declare achievement for this service:

Viewing, accepting and rejecting a Quality service offered in CQRS National

Manually inputting Achievement data

Declaring an achievement for payment

Cardiovascular Disease Prevention Audit 2020-2029

Purpose and outline

CVD prevent is a national primary care audit to support professionally led quality improvement in the prevention of cardiovascular events in people with and without pre-existing CVD through the detection and management of significant risk factors, including atrial fibrillation, high blood pressure, high cholesterol, diabetes, non-diabetic hyperglycaemia, and chronic kidney disease (NHS RightCare CVD Prevention Pathway). The audit will automatically extract routinely held GP data via the general practice extraction service (GPES) and there will be no additional data burden for GPs.

Information about this service:

  • Participation only in CQRS
  • Quality service start date: 1 April 2020
  • Quality service end date: 31 March 2029
  • Collection frequency: Annually

Childhood 6-in-1 Vaccination Programme 2025-2028

Purpose and outline

This Service is for the following patient groups receiving the Hexavalent DTaP/IPV/Hib/HepB vaccination: 

Children aged 8 weeks who have not yet attained 10 years old: 

Each 6-in-1 vaccine delivered to a child in this cohort will accrue an item of service fee.

Children aged 3 years 4 months who have not yet attained 10 years old:

Each DTaP/IPV or dTaP/IPV vaccine delivered to a child in this cohort will accrue an item of service fee.

Patients aged 10 years and over: 

GP practices, who vaccinate patients from 10 years old and over, who present with incomplete or uncertain vaccination history, can claim reimbursement of an IoS fee.  

This collection is not a proxy for appropriate clinical delivery and should be used just for payment purposes.

How this service is commissioned and provided

Regions commission this service for GP practices.

NHS England service specifications

2025/28: Information about this service

Quality service start date: 1 April 2025

Quality service end date: 31 March 2028

Payment period: Monthly

Collection frequency: Monthly

Manual or automatic entry: Automatic data collection

Included in data collection: All system suppliers (TPP, Medicus and EMIS)

System type: Vaccination and Immunisation (V&I)

Service user guides

The Calculating Quality Reporting Service (CQRS) user guides describe how to participate, manually enter and declare achievement for this service. Activity and achievement should be recorded monthly.