General Practice Requests for Advice and Guidance Enhanced Service – CSU Collaborative

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.

Extended Hours Access

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.