Seasonal Vaccination Service (COVID-19 and Flu)

Purpose and outline

The aim of the Seasonal vaccination (COVID-19 & flu) service is to protect individuals at highest risk from serious illness or death from COVID-19, flu and to protect the NHS by reducing the risks of hospitalisation and critical care admission.

COVID Vaccination Programme

Purpose and outline

The COVID-19 vaccination part of the service is a targeted offer for those at higher risk of severe COVID-19 disease and is predominantly 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. . If no data is manually inputted these indicators will default to 0 automatically. 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 this 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)

Seasonal Vaccination Programme

More information to be confirmed Summer 2026

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

General Practice Requests for Advice and Guidance Enhanced Service – 2025-2026

Purpose and outline

The aim of the Enhanced Service is to support the Government’s commitment to move more care from secondary care into community settings. It will help ensure patients receive care in the right place at the right time via the use of specialist advice and guidance by general practice whilst also supporting elective recovery. It will also recognise the workload implications for general practice.

Claims for payments for this service are made monthly, after the referral. Practices are required to enter the number of referrals each month within 12 days of the end of the month when the referral was made. 

How this service is commissioned and provided

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

NHS England service specifications

2025/26: Information about this service

Quality service start date: 1 April 2025

Quality service end date: 31 March 2026

Payment period: Monthly

Collection frequency: Monthly

Manual or automatic entry: Manual data collection

Service user guides

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

Zoladex

Purpose and outline

Zoladex (also known as Goserelin) is a type of hormone therapy . It can be used to treat some cancers.

Information about this service

Local incentive scheme.

Example components for this service

Number of Gonadorelin injections administered.

Declaration.

WAF Security Funding

Information about this service

Local incentive scheme.

Example components for this service

WAF training sessions – face to face training or remote training.

Number of staff attending WAF training sessions.

Declaration.

Wrist Splinting

Purpose and outline

Wrist splinting is often used to help with conditions such as carpel tunnel syndrome and involves the patient wearing a support to keep the wrist in a neutral position to relieve pressure. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of patients requiring wrist splints.

Number of patients referred to secondary care for wrist splints.

Declaration.

Young People’s Sexual Health Clinic

Information about this service

Local incentive scheme.

Example components for this service

Number of clinics held.

Number of patients attending clinics.

Declaration.

Treatment Room

Information about this service

Local incentive scheme.

Example components for this service

Treatment Room – Complex Dressing – Core Searches.

Treatment Room – Complex Dressings – Per Patient Core.

Treatment Room – ECGs – Core Searches.

Treatment Room – ECGs – Per Patient Core.

Treatment Room – Injections – Core Searches.

Treatment Room – Injections – Per Patient Core.

Treatment Room – Minor Injury – Core Searches.

Treatment Room – Minor Injury – Per Patient Core.

Treatment Room – Post Op Dressings – Core Searches.

Treatment Room – Post Op Dressings – Per Patient Core.

Treatment Room – Ring Pessaries – Core Searches and Register.

Treatment Room – Ring Pessaries – Per Patient Core.

Declaration.

Ultrasound

Purpose and outline

Ultrasound scan is used to see images of the inside of a patient’s body and is usually performed in hospitals or clinics. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of ultrasounds conducted (all types).

Declaration.

Urethral Stricture

Purpose and outline

A Urethral Stricture is a narowing of the urethra, the tube that carries urine from the bladder out of the body.

Information about this service

Local incentive scheme.

Example components for this service

Number of self-catheterisation training and monitoring sessions.

Number of patients attended sessions.

Declaration.

Urgent Care

Information about this service

Local incentive scheme.

Example components for this service

Number of Urgent Care GP led consultations.

Number of Urgent Care nurse led consultations.

Declaration.

Ukrainian Refugee Health Check Assessment

Purpose and outline

A health check assessment for Ukrainian refugees arriving in the UK to identify pre-existing conditions, assess mental health, and help patients access healthcare services. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Ukrainian Refugees registered at practice.

Declaration.

Vasectomy

Purpose and outline

A Vasectomy is a permanent contraceptive procedure usually carried out under local anaesthetic. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Per Patient (Practice Registered).

Per Patient (Referred).

Per Patient (referred, consultation no procedure).

Declaration.

Warfarin

Purpose and outline

Warfarin is medication that helps to prevent blood clots.

Information about this service

Local incentive scheme.

Example components for this service

Number of warfarin injections given.

Declaration.

Venesection

Purpose and outline

Venesection is a procedure that removes some of a patient’s blood and is used to treat conditions such as haemochromatosis. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of venesection treatment and monitoring sessions.

Declaration.

Violent & Vexatious Scheme

Information about this service

Local incentive scheme.

Example components for this service

Number of patients on the scheme.

Retainer payment.

Declaration.

Violent Patients DES

Information about this service

Local incentive scheme.

Example components for this service

Number of patients on the scheme.

Retainer payment.

Declaration.

Teenage Health Clinic

Information about this service

Local incentive scheme.

Example components for this service

Number of clinics held.

Number of patients attended clinics.

Declaration.

Tissue Viability

Purpose and outline

Tissue Viability is a specialist clinical service relating to wound prevention and healing aimed at those with non-healing wounds.

Information about this service

Local incentive scheme.

Example components for this service

Number of patients supported at practice.

Number of patients referred to secondary care.

Declaration.

Transcutaneous Electrical Nerve Stimul (TENS)

Purpose and outline

Transcutaneous Electrical Nerve Stimul (TENS) is a treatment that gives temporary pain relief. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of TENS sessions conducted.

Number of TENS machines provided to patients.

Declaration.

Translation Fees

Information about this service

Local incentive scheme.

Example components for this service

Number of GP consultations requiring translation services.

Number of nurse consultations requiring translation services.

Total hours of translations services used during all consultations.

Declaration.

Travelling Families

Purpose and outline

Travelling families have the same rights to register with a GP and access NHS services.

Information about this service

Local incentive scheme.

Example components for this service

Travellers Scheme Upfront Fee.

Number of patients registered for travellers scheme.

Declaration.

Training Fee Reimbursements

Information about this service

Local incentive scheme.

Example components for this service

Costs of training and placements.

Declaration.

Skin Cancer

Purpose and outline

Skin Cancer is a cancer of the skin. Non-melanoma skin cancer can often be easily treated. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of initial diagnoses and referrals to secondary care.

Number of follow up consultations.

Declaration.

Severe Mental Health Illness (SMI) Health Checks

Purpose and outline

The Severe Mental Illness (SMI) health check is an annual check to identify or address potential health problems. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of SMI health checks.

Declaration.

Spirometry

Purpose and outline

A spirometry test measures how much air you can breathe out in one breath. It is used to check how well lungs are working. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of spirometry tests.

Number of spirometry reversibility tests.

Declaration.

Student Placements

Information about this service

Local incentive scheme.

Example components for this service

Number of new student placements in practice.

Declaration.

Suture Removal

Purpose and outline

Suture removal is a routine procedure to remove stitches following a medical procedure or injury and can be peformed by a practice nurse at a GP surgery.

Information about this service

Local incentive scheme.

Example components for this service

Number of sutures removed.

Declaration.

Rehabilitation Bed Scheme

Purpose and outline

Rehabilitation Bed Scheme refers to short term care to help people recover after a hospital stay, illness or fall.

Information about this service

Local incentive scheme.

Example components for this service

Number of practice patients in rehabilitation beds.

Declaration.

Removal of Cervical Polyps

Purpose and outline

The removal of cervical polyps is procedure normally undertaken at an out-patient clinic.

Information about this service

Local incentive scheme.

Example components for this service

Number of procedures performed.

Number of post procedure consultations.

Declaration.

Rheumatology

Purpose and outline

Rheumatology relates to the diagnosis, investigation and management of musculoskeletal conditions. Rheumatoid arthritis is a long term health condition that causes pain, swelling and stiffness in joints. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of new patient diagnoses.

Number of follow up appointments.

Declaration.

Risperidone (Injectable)

Information about this service

Local incentive scheme.

Example components for this service

Number of new patient injections.

Number of registered patient injections.

Number of follow up appointments.

Declaration.

Ring Pessary Service

Purpose and outline

A ring pessary can help manage pelvic organ prolapse and the service can be provided through GP practices. A ring pessary is a device inserted into the vagina to provide support to pelvic organs.

Information about this service

Local incentive scheme.

Example components for this service

Number of ring pessaries inserted.

Number of ring pessaries changed.

Number of ring pessaries removed.

Declaration.

Safeguarding

Information about this service

Local incentive scheme.

Example components for this service

Safeguarding report creation (adults).

Safeguarding review meeting attended (adults).

Domestic Homicide report creation (adults).

Domestic Homicide review meeting attended (adults).

Safeguarding report creation (children).

Safeguarding Protection Case Conference meeting attended (children). 

Declaration.

Seafarers

Information about this service

Local incentive scheme.

Example components for this service

Number of medicals performed.

Declaration.

Secondary Care Initiated Drugs

Information about this service

Local incentive scheme.

Example components for this service

Number of initial monitoring consultations.

Number of follow up monitoring consultations.

Declaration.

Secondary Care Investigations

Purpose and outline

Secondary care investigations are referred by primary care providers to diagnose, treat and manage more complex or specialised health conditions.

Information about this service

Local incentive scheme.

Example components for this service

Number of procedures referred from Secondary Care conducted.

Declaration.

Shared Care

Information about this service

Local incentive scheme.

Example components for this service

Number of meetings to discuss Shared Care protocols.

Declaration.

Sigmoidoscopy

Purpose and outline

Sigmoidoscopy is a medical procedure to examine the lower part of the large intestine using a thin, flexible tube with a camera at the end.

Information about this service

Local incentive scheme.

Example components for this service

Number of sigmoidoscopy procedures.

Number of follow up consultations.

Declaration.

Referral Management

Information about this service

Local incentive scheme.

Example components for this service

Number of referral meetings.

Number of referrals made.

Declaration.

PSA Monitoring

Purpose and outline

A Prostate-specific-antigen (PSA) is a blood test to check for prostate conditions.

Information about this service

Local incentive scheme.

Example components for this service

Prostate Scheme inhouse Urology First Appointment.

Prostate Scheme inhouse Urology Follow-up Appointment.

Prostate Scheme inhouse Urology in-house First Appointment and Domiciliary Visit.

Prostate Scheme inhouse Urology in-house Follow-up Appointment and Domiciliary Visit.

Declaration.

Oestrodial

Purpose and outline

Oestrial is the brand name for oestrogen tablets, patches, gel and spray used as a type of hormone replacement therapy (HRT). Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of diagnostic blood tests.

Initial prescribing and review appointment.

Follow on monitoring appointments.

Declaration.

Out of Area Registration (OOAR) ES

Information about this service

Local incentive scheme.

Example components for this service

Number of patients registered.

Declaration.

Osteoporosis

Purpose and outline

Osteoporosis is a condition that weakens bones making them fragile and more likely to break. A GP may refer patients to have a bone density scan. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of identification and Assessment appointments.

Number of consultations for treatment initiation.

Number of follow on appointments.

Referrals to secondary care.

Declaration.

Palliative Care

Purpose and outline

Palliative Care refers to end of life care given to patients, family and carers. GP and primary care healthcare professionals may be involved in end of life care. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of hospice referrals.

Declaration.

Patient Engagement

Information about this service

Local incentive scheme.

Example components for this service

Number of meetings to discuss Patient Engagement improvement methods.

Time in hours spent on creating engagement systems and analysis.

Declaration.

Phlebotomy

Purpose and outline

Phlebotomy relates to the drawing of blood using a needle. It is a common procedure undertaken in GP practices for diagnostic testst.

Information about this service

Local incentive scheme.

Example components for this service

Total number of samples taken.

Total number of clinics cancelled.

Total number of clinics held.

Total number of patients seen at each clinic.

Declaration.

Post Operative Care

Information about this service

Local incentive scheme.

Example components for this service

Number of suture removals performed.

Number of wound dressings applied.

Number of one off injections administered.

Declaration.

Pre Operative Care

Information about this service

Local incentive scheme.

Example components for this service

Number of Examinations / Tests.

Number of GORH Agonist treatments administered.

Number of blood samples taken.

Number of urine tests conducted.

Number of blood pressure checks.

Declaration.

Prescribing Incentive Scheme

Information about this service

Local incentive scheme.

Example components for this service

Number of meetings.

Prescribing targets met.

Declaration.

Primary Care Offer

Information about this service

Local incentive scheme.

Example components for this service

Number of services offered.

Declaration.

Prostate Cancer

Purpose and outline

Prostate Cancer is a cancer of the prostate. Various tests help identify prostate cancer. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Prostate Scheme inhouse Urology First Appointment.

Prostate Scheme inhouse Urology Follow-up Appointment.

Prostate Scheme inhouse Urology in-house First Appointment and Domiciliary Visit.

Prostate Scheme inhouse Urology in-house Follow-up Appointment and Domiciliary Visit.

Declaration.

Proactive Healthcare

Information about this service

Local incentive scheme.

Example components for this service

Prevention consultations with nurse practitioner.

Prevention consultations with GP.

Declaration.

NPT Antipsychotics

Purpose and outline

NPT Antipsychotics refers to medications sometimes prescribed to manage neuropsychiatric symptoms.

Information about this service

Local incentive scheme.

Example components for this service

Number of consultations for newly prescribed patients.

Number of follow on appointments.

Declaration.

Non-contraceptive LARC Fitting Service

Purpose and outline

Fitting service for long-acting reversible contraception (LARC).

Information about this service

Local incentive scheme.

Example components for this service

Number of LARC fittings.

Follow up appointments with patients.

Declaration.

Nerve Conduction Studies

Purpose and outline

Nerve Conduction Studies are a diagnostic test to assess the function of peripheral nerves.

Information about this service

Local incentive scheme.

Example components for this service

Number of procedures conducted – Test 1.

Number of procedures conducted – Test 2.

Follow up appointments with patients.

Declaration.

National Enhanced Service (NES) Immediate Care / First Response Care

Purpose and outline

The National Enhanced Service (NES) Immediate Care/First Response Care refers to a service that provides rapid, skilled medical assistance in emergency situations. It augments the ambulance service.

Information about this service

Local incentive scheme.

Example components for this service

Specialised ICFR training for GPs – in hours.

Number of incidents at practice.

Declaration.

MS-Curettage

Purpose and outline

MS Curettage is a medical procedure that uses a curette, a spoon shaped instrument, to remove tissue for biopsy.

Information about this service

Local incentive scheme.

Example components for this service

Number of initial procedures carried out.

Number of follow up procedures carried out.

Declaration.

Multiple Sclerosis

Purpose and outline

Multiple Sclerosis (MS) is a condition that affects the brain and spinal cord. A GP can refer patients to a brain and nerve specialist. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of newly diagnosed patient support consultations.

Number of Disease Modifying Therapy (DMT) management appointments.

Declaration.

Near Patient Testing

Information about this service

Local incentive scheme.

Example components for this service

Number of level 1 patients seen.

Number of level 2 patients seen.

Number of home visits.

Declaration.

Nepalese Registrations

Purpose and outline

GP registrations relating to patients from Nepalese orgin.

Information about this service

Local incentive scheme.

Example components for this service

Number of Nepalese patients at a practice.

Number of hours of translator services used.

Declaration.

Medicals for Children in Care

Information about this service

Local incentive scheme.

Example components for this service

Number of medicals carried out (practice).

Number of medicals carried out (out of practice).

Declaration.

Medicines Management

Information about this service

Local incentive scheme.

Example components for this service

Number of patient consultations.

Declaration.

MGUS CLL LES

Information about this service

Local incentive scheme.

Example components for this service

Number of monitoring appointments.

Declaration.

Micro-Suction of Ear Service

Purpose and outline

Micro-suction of the ear is a procedure to remove earwax using a gentle suction device and a microscope.

Information about this service

Local incentive scheme.

Example components for this service

Ear Irrigation Procedures – Own Patients.

Ear Irrigation Procedures – Other Practice Patients.

Declaration.

Minor Illness

Information about this service

Local incentive scheme.

Example components for this service

Number of patient consultations.

Declaration.

Minor Injury

Information about this service

Local incentive scheme.

Example components for this service

Number of Advice and Referrals.

Number of Treatments.

Declaration.

Minor Surgery

Information about this service

Local incentive scheme.

Example components for this service

Number of Excisions.

Number of Incisions.

Number of Asperations.

Number of Injections.

Declaration.

Minor Surgery Removal of Sutures

Information about this service

Local incentive scheme.

Example components for this service

Number of suture removals.

Number of follow on appointments.

Declaration.

MRSA

Purpose and outline

MRSA is bacteria that can cause serious infection that needs immediate treatment with antibiotics. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of screening tests.

Number of patients referred to hospital.

Declaration.

Monitoring of Toxic Drugs

Information about this service

Local incentive scheme.

Example components for this service

Number of patient consultations.

Number of blood tests.

Declaration.

IUCD Mennorrhagia-Fitting

Purpose and outline

An Intrauterine device (IUCD) can be used for the treatment of heavy periods.

Information about this service

Local incentive scheme.

Example components for this service

Number of patients who have had removal and fitting of a LNG-IUD (Mirena) (For gynaecology purposes).

Number of patients who have had fitting (or a failed fitting) of a LNG-IUD (Mirena) (For gynaecology purposes).

Number of patients who have had removal of a LNG-IUD (Mirena) (For gynaecology purposes).

Declaration.

Joint Injection

Information about this service

Local incentive scheme.

Example components for this service

Number of minor surgery joint injections.

Declaration.

Laryngoscopy

Information about this service

Local incentive scheme.

Example components for this service

Total number of Laryngoscopy Procedures undertaken.

Total number of Referrals made.

Declaration.

Leg Ulcer

Purpose and outline

Leg Ulcer is a long-lasting sore which causes pain, itching and swelling in the affected leg. A GP will diagnose the condition through examination and may carry out other tests. Leg Ulcers are treated by wound care and compression. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

First Assessment.

Follow-up Appointments.

Reassessments.

Declaration.

LHRH/GNRH Injections

Purpose and outline

Luteinizing Hormone Releasing Hormone (LHRH) and Gonadotropin Releasing Hormone (GnRH) are a type of hormone therapy used to suppress the production of estrogen and testosterone and can be used for the treatment of prostate cancer.

Information about this service

Local incentive scheme.

Example components for this service

Number of Injections administered.

Declaration.

Locum Reimbursement

Purpose and outline

A locum is a person who temporarily fulfils the professsional duties of another such as doctors, nurses or other healthcare professionals.

Information about this service

Local incentive scheme.

Example components for this service

Locum Reimbursement – Parental Leave Cover.

Locum Reimbursement – Prolonged Study.

Locum Reimbursement – Sickness.

Locum Reimbursement – Suspension.

Locum Reimbursement – Maternity Leave.

Declaration.

Low Vision Aids

Information about this service

Local incentive scheme.

Example components for this service

Number of patients assessed for LVAs.

Number of patients referred for LVAs.

Declaration.

Long Term Conditions (LTC) Case Management

Information about this service

Local incentive scheme.

Example components for this service

Assessment of patients – initial LTC care plan.

Number of LTC patient appointments.

Declaration.

Inclusion Health

Purpose and outline

Inclusion Health refers to planning, developing and improving health services for people who are in inclusion health groups. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Inclusion Health – Core Searches. 

Inclusion health element one – BBV Testing Positive result. 

Inclusion Health Element One – Declaration. 

Inclusion Health Element One GP Training. 

Inclusion Health Element One HCA Training. 

Inclusion Health Element One Health Assessments. 

Inclusion Health Element One Nurse Training. 

Inclusion Health Element One Per Patient. 

Inclusion Health Element One Safe Surgery Toolkit. 

Declaration.

Heart Failure (BB)

Purpose and outline

Heart Failure is when the heart is unable to pump blood around the body because the heart has become too weak or stiff. Some support is needed to help it work better. It is a long term condition that needs to be controlled with lifestyle changes, medicine, devices and potentially surgery. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Blood Tests undertaken.

Number of Electrocardiograms (ECG) undertaken.

Number of Breathing Tests undertaken.

Number of X-Rays undertaken.

Declaration.

Hormone Replacement Therapy (HRT)

Purpose and outline

Hormone Replacement Therapy (HRT) can help with menopause symptoms. The loss of oestrogen and progesterone hormones during menopause can affect your body. A GP can prescribe HRT. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of blood tests undertaken.

Declaration.

Implanon

Purpose and outline

Implanon is a type of contraceptive implant that is inserted into the skin of the upper arm to provide long term contraception. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Implants fitted.

Number of Implants removed.

Number of Sexual Health Screening undertaken.

Number of Follow-up Appointments.

Declaration.

Improving Access Psychological Therapies (IAPT)

Purpose and outline

Improving Access to Psychological Therapies (IAPT) is an NHS programme that provides evidence-based talking therapies for people with anxiety or depression. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Initial Consultations using the Questionnaire.

Total number of Referrals to CBT.

Declaration.

Intermediate Care Beds

Information about this service

Local incentive scheme.

Example components for this service

Number of Intermediate Care Beds.

Declaration.

GP Retention

Information about this service

Local incentive scheme.

Example components for this service

Retained GP – 1. 

Retained GP – 1 – PES (Annual). 

Retained GP – 2. 

Retained GP – 2 – PES (Annual). 

Retained GP – 3. 

Retained GP – 3 – PES (Annual). 

Retained GP – 4. 

Retained GP – 4 – PES (Annual).

Declaration.

Gynaecology

Purpose and outline

Gynaecology focuses on the health of female reproductive system. Read more on the NHS website.

Information about this service

Local incentive scheme

Example components for this service

Number of patients who have had removal and fitting of a LNG-IUD (Mirena) (for gynaecology purposes) for PCN registered patients.

Number of patients who have had fitting (or a failed fitting) of a LNG-IUD (Mirena) (For gynaecology purposes) for PCN registered patients.

Number of patients who have had removal of a LNG-IUD (Mirena) (For gynaecology purposes) for PCN registered patients.

Declaration.

 

Gastroscopy

Purpose and outline

Gastroscopy is a test that checks the inside of a throat, food pipe and stomach. It can also remove tissue for testing and treat some conditions such as stomach ulcers. Read more on the NHS website.

Information about this service

Local incentive scheme

Example components for this service

Total No. of Gastroscopy Referrals

Declaration

Glucose Tolerance Test

Purpose and outline

A Glucose tolerance test (GTT) is a blood test used to diagnose diabetes or gestational diabetes by measuring how well your body processes glucose after consuming a sugary drink.

Information about this service

Local incentive scheme

Example components for this service

Glucose Tolerance Testing – Interpretation of Results

Declaration 

GTT Test Non Practice Patient

Purpose and outline

Gestational diabetes is high blood sugar that develops during pregnancy, often in the second or third trimester, and usually disappears after giving birth. Read more on the NHS website.

Information about this service

Local incentive scheme

Example components for this service

Glucose Tolerance Testing – Interpretation of Results

Declaration 

Ethnicity

Information about this service

Local incentive scheme.

Example components for this service

Number of patients with Ethnicity Recorded in previous quarter.

Declaration.

Extended Hours Access 2020-2023

Background

The extended hours access payment will be payable from the start of the month in which the PCN has been approved by the commissioner.

The above payments will be payable on a monthly basis by no later than the last day of the month in which the payment applies and taking into account local payment arrangements.

There is no GPES extract or manual data entry required for this service.

Purpose and outline

The purpose is to calculate, report and pay for activity undertaken in line with contractual agreement.

How this service is commissioned and provided

NHS England service specification, guidance and technical requirements will be published here:

https://www.england.nhs.uk/long-read/local-enhanced-service-commissioning-through-gp-contracts/

The legal documents (Regulations, DES Directions and the Statement of Financial Entitlements) underpinning the GMS contract can be found here:

https://www.gov.uk/government/publications/gp-contract-directions-2019-to-2020

2022/23: Information about this service:

  • Quality service start date: 1 April 2020
  • Quality service end date: 31 March 2023
  • Payment period: Monthly
  • Manual or automatic entry: Automatic
  • Payment frequency: Immediate
  • Collection frequency: N/A
  • Classification: Direct Enhanced Services

Service user guides

Explore the service user guides in our Training area.

Falls Management

Purpose and outline

Patients who are worried about falls or at risk of falls can see a GP who will check the patient’s balance. They may refer the patient to a specialist falls service. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Clinical review undertaken in Primary Care (one review per patient).

Declaration.

Enhanced Care Homes

Information about this service

Local incentive scheme.

Example components for this service

Number of patients residing in a CQC registered Care Home.

Declaration.

Electrocardiogram (ECG) – 12 Lead / 24 Hour

Purpose and outline

Electrocardiogram (ECG) is a test that records the electrical activity of a heart including the rate and rhythm.

Information about this service

Local incentive scheme.

Example components for this service

Number of 12 Lead ECGs undertaken (practice registered patients).

Number of 12 Lead ECGs undertaken (patients referred by other practices).

24 Hour Electrocardiogram (ECG) (practice registered patients).

24 Hour Electrocardiogram (ECG) (patients referred by other practices).

Declaration.

Endometrial Biopsy

Purpose and outline

Endometrial biopsy is a procedure where a small sample of tissue is taken from the lining of the uterus for further testing. It can be used to diagnose various conditions.

Information about this service

Local incentive scheme.

Example components for this service

Number of biopsy’s carried out.

Declaration.

Diabetes

Purpose and outline

Diabetes is a condition that causes your blood glucose (sugar) level to become to high. There are different types of diabetes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

BMI – Key Care Processes – Per Patient. 

Healthier You – Core Searches & Audit.

Healthier You – Per Patient. 

Healthier You – Training. 

Key Care processes – Core Searches. 

Treatment Targets – Audit. 

Treatment Targets – Training. 

Urinary ACR – Key Care Processes Per patient. 

Declaration.

Diabetes – Insulin Initiation

Purpose and outline

Diabetes is a condition that causes your blood glucose (sugar) level to become to high. There are different types of diabetes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Insulin initiation.

Insulin initiation – review.

Declaration.

Diabetes – Ongoing Care

Purpose and outline

Diabetes is a condition that causes your blood glucose (sugar) level to become to high. There are different types of diabetes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Total number of patients seen within a 12 month period.

Declaration.

Diabetes Specialist Nurse

Purpose and outline

Diabetes is a condition that causes your blood glucose (sugar) level to become to high. There are different types of diabetes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Total Annual Reviews undertaken with all checks complete.

Declaration.