Background
Obesity is a risk factor for the development of several long-term conditions and serious illness including COVID-19. There’s evidence the number of people living with obesity have fallen during the pandemic, which is not in line with the public health figures.
The aim of the Enhanced Service is:
To support practices to develop and implement a proactive approach to identify patients defined as obese. Obesity is defined as a BMI >= 30 or >= 27.5 for those of Black, Asian and other minority ethnic groups.
To reward practices for engaging with patients on weight management and to support those who are ready to make behavioural changes to do so through referral to weight management programmes.
Claims for payments for this programme 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. ”
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/commissioning/gp-contract
- The requirements for this Service are covered by the Enhanced Service specification.
2023/24: Information about this service
- Quality service start date: 1 April 2023
- Quality service end date: 31 March 2024
- Payment period: Monthly
- Collection frequency: Monthly
- Manual or automatic entry: Manual data collection
- Co-commissioning: Yes
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.
Background
This vaccine boosts protection against Hib disease and protects against meningococcal disease caused by type C Neisseria meningitidis bacteria. It is given at 12-13 months in the UK schedule. The Hib/MenC vaccine was introduced in 2006 as a result of studies which showed that protection against Hib provided by the 5-in-1 vaccine given in the first year waned during the second year of life. It is a combination vaccine, which reduces the number of injections a child needs.
This childhood vaccination programme commissioned from GP practices. Currently there is no standard payment tool to support this programme and therefore has previously required local solutions which puts additional workload burdens on both the GP practice and NHS england local teams.
By creating a manual payment portal on CQRS, we provide a single national solution that will reduce the burden and deliver a solution which links to the national payment solutions.
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
This is a GMS contract additional service included in the core GP contract.
The requirements for this programme are set out in the Statement of Financial Entitlements: https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013
Clinical guidance can be found in the relevant chapter of the Green Book: https://www.gov.uk/government/collections/immunisation-against-infectious-disease-the-green-book
2022/25: Information about this service
- Quality service start date: 1 April 2022
- Quality service end date: 31 March 2025
- Payment period: Monthly
- Collection frequency: Monthly
- Manual or automatic entry: Automatic data collection
- System type: Vaccination and Immunisation programme
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 do not 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. Activity and achievement should be recorded monthly.
NHS England, guidance and technical requirements will be published here: https://www.england.nhs.uk/commissioning/gp-contract/
The legal documents (Regulations, DES Directions and the Statement of Financial Entitlements) underpinning the GMS contract for [year] can be found here: https://www.gov.uk/government/publications/gp-contract-directions-2019-to-2020
The requirements for this Service are covered by the SFE.
Your Regional Local Offices (RLO) have the option of using CQRS to manage this service or to continue to use local process. If your RLO decides to administer the service via CQRS, your practice will receive an offer message through CQRS.
Payment count/clinical codes
Commissioners and practice should refer to our supporting business rules for information on management information counts and clinical codes.
Further information to support users can be found on the SNOMED CT Implementation in Primary Care site, including Codes to support Technical Requirements 18-19 – a document providing appropriate Read v2 and CTV3 codes for SNOMED CT concept ID.
Purpose and outline
The seasonal flu programme is a long, established vaccination programme that is proven to save lives and deliver a cost-effective prevention programme. High levels of flu immunisation is one of the most effective interventions that can be made to reduce harm from flu and pressures on health and social care services during the winter. Flu is a key factor in NHS winter pressures. It impacts on both those who fall ill and the NHS services that provide direct care and on the wider health and social care system that supports people in at-risk groups. The annual immunisation programme is a critical element of the system-wide approach for delivering robust and resilient health and care services throughout the year, helping to reduce unplanned hospital admissions and pressure on A&E.
The current 2021/22 seasonal influenza programme has now been expanded to include a new cohort for frontline primary care staff and enables the vaccination of some eligible cohorts regardless of whether they are registered with the GP practice. The cohorts that can be vaccinated by any practice are:
frontline health and social care staff employed by:
- a registered residential care/ nursing home
- a voluntary managed hospice provider
- those living in:
- long-stay facilities
- nursing homes
- other long-stay health or social care facilities
- a house bound Patient (defined in the ES specification)
locum GPs
primary care contractors (primary medical services, pharmaceutical services, primary dental services or general ophthalmic services) and their frontline staff, including locums, involved in the patient-facing frontline provision of NHS primary care services and non-clinical staff who play an integral part in patient-facing care on a day-to-day basis
For those patients who are unregistered with the GP practices will need to recorded with Immediate Necessary Treatment status and coded as needs influenza vaccination.
GP practices receive an item of service (IoS) payment of £10.06 per dose administered of each patient eligible for seasonal flu vaccination.
How this service is commissioned and provided
NHS England Regional Local Offices commission this service from GP practices.
NHS England service specifications
Information about this service
- Quality service start date: 1st September 2021
- Quality service end date: 31st March 2022
- Payment period: One off –payment expected in May 2022
- Collection frequency: Annual – One off
- Manual or automatic entry: Automatic
- Included in data collection: All system suppliers (Cegedim, Emis and TPP)
- Co-commissioning: No
- Classification: Vaccination and immunisation programme
- Payment count/clinical codes
Commissioners and practice should refer to the supporting business rules for information on management information counts and clinical codes.