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.
Each Practice opting in to participate in the service must:
Accept the offer in CQRS by 2 February 2026 for the commencement of the Spring 2026 programme; and
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
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 ID
Eligible Activity
COV001
Standard COVID-19 vaccination activity delivered during the Spring/Summer (April to June) campaign
COV002
Standard COVID-19 vaccination activity delivered during the Autumn/Winter Campaign (September–January)
COV003
Vaccination 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 ID
Eligible 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.
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 Period
Automated Payment Indicators
Manual Payment Indicators
Spring/Summer Campaign (April–June)
COV001
COVM001, COVM003, COVM005
Autumn/Winter Campaign (September–January)
COV002
COVM002, COVM004, COVM006
Outside Main Seasonal Campaigns (February, March, July and August)
COV003
COVM001, 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)
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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
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:
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).
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.
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.
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.
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.