Shingles Vaccination Programme

Purpose and outline

In 2019 JCVI recommended the replacement of Zostavax with Shingrix and expansion of the cohorts in the Shingles Vaccination Programme. Replacement of Zostavax with the 2-dose Shingrix vaccine to the routine 70-79 year old cohort and a catch-up is being introduced for individuals from 65 years of age. Stocks of the Zostavax vaccine are still available and will therefore be used up before NHSE remove the relevant count from this service. For Shingrix, immunocompetent individuals will remain eligible until they attain the age of 80 years for first doses and 81 years for second doses. The changes also include the expansion of the immunocompromised cohort to include individuals aged 50 and over. There is no upper age limit for this cohort. The recommendations from JCVI will be implemented from September 2023. Practices are only paid for vaccinations carried out by the practice or sub-contracted by the practice, not for those given by other providers.

How this service is commissioned and provided

Region’s commission this service from GP practices.

NHS England service specifications

2023/24: Information about this service

  • Quality service start date: 1 September 2023
  • Quality service end date: 31 August 2024
  • Payment period: Monthly
  • Collection frequency: Monthly
  • Manual or automatic entry: Automatic data collection
  • Included in data collection: All system suppliers (TPP, Cegedim 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.

Weight Management Referral enhanced service

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.

Quality and Outcomes Framework (QOF)

Overview

QOF payments

CQRS uses information collected by General Practice Extraction Service (GPES) on behalf of NHS England about General Practice (GP) achievement under the Quality and Outcomes Framework (QOF). The information is used by CQRS to calculate GP achievement payments values for the current financial year, and to set aspiration payment values for the following year. QOF reporting collections are run throughout the year, but these are not used to calculate the payment made at the end of the financial year.

Reporting collections

QOF reporting collections run throughout the year, with the information made available in CQRS afterwards. This allows practices to check it against the information in their clinical systems throughout the year and address potential issues in advance of the year end period.

If collected information appears incorrect:

  • contact your clinical system supplier to check what information was collected
  • gather evidence to demonstrate correct information
  • contact your commissioner

We advise keeping CQRS final QOF achievement submission reports for future reference. QOF information is kept on CQRS for at least 5 years.

Check with your GP practice system supplier to investigate if they will be sending an automated QOF extract for your practice for 31 March that will correctly reflect the state of your GP practice before the closure, split or merge. If an automated collection is being sent, no further actions are required beyond the standard year-end actions.

If an automated extract will not be supplied by your GP practice system supplier, you will need to manually enter your QOF achievement data.

For a step-by-step guide, refer to the Full Manual Entry Guide.

Quality and Outcomes Framework (QOF) Year End Checklist

This guide describes the actions required from GP practices in preparation for the year-end data extract for Quality and Outcomes Framework (QOF).

Check your practice’s QOF performance on your clinical system.
If necessary, take action to improve before submitting.
If required, ask your commissioner to submit updated Contractor Registered Population (CRP) for your practice to the CQRS Service Desk.
If you already have a CQRS log in, check that you can log in to the system and ensure your password and security questions are up to date.
If not already set up, ask your Commissioning Organisation to register a member of staff as a CQRS user/administrator, for example your practice manager.
Ask your user/administrator to set up logins for all staff members submitting QOF.
Ask all staff members submitting QOF to check that they can log in.
Participate in QOF 2023/24 on CQRS before 31st March 2024.
For a step-by-step guide, refer to Module 4 and Module 5 in our CQRS Training area
Contact your commissioning organisation if you have not received an offer of participation.
The QOF 2024/25 Service has now gone live in CQRS for practice’s to participate in.
Manually enter your QOF data if it will not be automatically extracted. Your Commissioning Organisation will advise if you are required to do this.

Related links

For further information visit the GP Contract page on the NHS England website.

Calculating Quality Reporting Service (CQRS) training is available. Log in details are not required.

The training provides a step-by-step guide for performing key processes in CQRS. This includes a guide to submitting and declaring achievement for payment for each of the Enhanced Services currently available on CQRS.

Quality and Outcomes Framework (QOF) Frequently Asked Questions (FAQs)

This page features Frequently Asked Questions (FAQs) about the Quality and Outcomes Framework (QOF).

The national average practice list size used for the 23/24 achievement calculation is 9639.
The value of a QOF point for 2023/24 is £213.43
Manual entry of indicators is required for the following indicators in 2023/2024, unless you are one of the small number of organisations that must enter data manually for all indicators.

QI013
The contractor can demonstrate continuous quality improvement activity focused upon workforce and wellbeing as specified in the QOF guidance

QI014
The contractor has participated in network activity to regularly share and discuss learning from quality improvement activity focused on workforce and wellbeing as specified in current QOF guidance. This would entail attending two primary care network meetings, at the start and towards the end of QI activity. If a practice is not within a PCN, the expectation is that two meetings would be held locally with other practices

QI016
The contractor can demonstrate that it has in place a recognised and validated approach to understanding demand/activity, capacity and appointment data and has made improvements to data quality to better reflect practice work.

QI017
The contractor can demonstrate that it has utilised demand and capacity data to inform operational decisions and plan for demand and capacity matching .

QI018
The contractor has participated in network activity to review the smart cards of all staff employed under the Additional Roles Reimbursement Scheme (ARRS), to ensure that the staff role assigned on their smart card aligns with the role they are employed under within the ARRS.

QI019
The contractor can demonstrate improvement in reducing avoidable appointments by
1. Using BI tools, if available and practice collected data where not, to understand the practice activity including variations over the days of the week, time of day and time of year.
2. Developing an understanding of the telephone queue either by extracting data from their cloud-based telephony system or asking staff to collect data over a period.
3. Using that data to understand their peaks of activity and better matching their capacity to their demand by, for instance, reviewing rotas.
4. Using improvement techniques described in the Primary Care Transformation Team’s webinar series on Demand and Capacity which provides practical advice and guidance.
5. Referencing the Royal College of General Practitioner’s 6 steps to start to improve delivering continuity of care from their Continuity Toolkit for those who need it and adapting to suit the needs of the practice.
Practices that need to manually enter QOF information include:
shared practices: practices sharing a clinical system need to separately enter their achievement manually as CQRS only collects automatically for one practice

If an automated extract will not be supplied by your GP practice system supplier, you will need to manually enter your QOF 2023/24 data.
If your GP practice is closing before 31 March, please perform the following actions:

Check the GP practice closure date on CQRS. If it is not correct, contact your commissioning organisation, who will need to update this via PCSE. If it has been updated.

Check that your participation in QOF ends on the same date that your GP practice closes. If not, please contact your commissioner.

Manually enter data for QOF achievement. Ensure that you set the date in CQRS for the period that you are entering data for. This should be the same as the practice closure date.
CQRS will not be provided with the information to correctly calculate QOF achievement for the merged or split section of a GP practice.

CQRS will calculate QOF achievement as if the GP practice has not undergone a split or merge.

Your commissioning organisation will need to manually determine the impact of the merge/split on the QOF payments and apply these through the PCSE system.
No. The aspiration payment for any practices that we have achievement data for will be calculated following the QOF achievement calculation and release of payment files. The exact payment date will depend on local arrangements.
Standard aspiration payments will be applied where practices have fully completed entry of data. This includes:
– Where all information has been extracted and no manual entry is required
– Where data has been extracted and required manual entry has been completed
– Where all data has been manually entered. Practices where automated data is available and manual indicators have been entered where necessary.

Estimated aspiration payments

Estimated aspiration payments will be available where data in CQRS is incomplete.
This includes:
– Practices where automated data is available from GPES, but the manual indicators have not been entered
– Practices where the automated data is not available for the year end extract from GPES but have entered data for the four required manual indicators
– Practices for which no data is available, from GPES or manual.
Once all required QOF data is supplied, the standard aspiration will be calculated, and an adjustment made.
Before undertaking any action, contact your commissioning organisation for advice – they may have an established process in place.
There is some reconciliation work required to ensure that practices are paid the appropriate aspiration which takes into account the QOF achievement for patients that merged into the practice during the QOF year.

To complete the reconciliation:
– provide updated CRP figures to the CQRS team so that CQRS can be updated to reflect the new practice list size including the merged patients

– the extract for QOF year-end will produce an interim achievement figure. This will be an inflated figure as it includes the new patients. Do not declare this figure.

– CQRS will calculate an interim aspiration figure – this will also be an inflated figure due to the list size adjustment

– the practice will need to go through and balance the achievement by checking each indicator and removing the counts for the patients that belonged to the closed practice up to the closing date of the practice. Once the counts for the patients that belong to the closed practice have been removed, the practice can evidence this to the commissioning organisation and declare the achievement.

Please note that adjustments applied as part of income protection do not need to be amended.
– aspiration payments will then be adjusted for the rest of the financial year to ensure that the right amount is paid. This is likely to be less than the initial payments.
From the 6 April 2024, you will be able to:
– log in to CQRS
– select the Reports Tab (it should default to Achievement)
– select the report Achievement Summary

Then, select the parameters:
– select the Financial Year option and set the achievement year
– select the Quality Service option and set to Quality and Outcomes Framework for the relevant year
– select the achievement date 31/03/2024
– select the option to Run Report

The QOF achievement data for your GP practice should then be displayed. Initially this will show the domains, the total achievement, any adjustments, CPI calculation and Contract duration. You can then access further information within each domain by clicking on it. This will display the Indicator Groups. Clicking in each of the indicators will display further information, including how the QOF achievement has been calculated.
The contractor population index (CPI) adjustment has been included in the QOF calculation since 2004. A description can be found in the Statement of Financial Entitlements (SFE) and in all previous versions available on the government’s website. The CPI calculation was performed on all historical QOF payments on the QMAS system, and now CQRS, in accordance with the details in the SFE.

https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013
CPI adjustment is calculated on the practice list size divided by the national average
Two reports are available for commissioners under the Data Entry tab.

1. Data Entry Quality Service Data Complete
Select the Quality Service relevant to QOF for the achievement year and click Run Report. The report will list all GP practices within your commissioning area who are participating in QOF for that year and have completed their manual indicators.

2. Data Entry Quality Service Data Missing
Select the Quality Service ‘QOF’ and click Run Report. The report will list all GP practices within your commissioning area who are participating in QOF but have not completed their manual indicators
Achievement data will start becoming visible in CQRS from 6 April 2024. Some practices may see this data a few days later if their data is collected via additional extractions.
In line with previous years, once the achievement payment has been approved, CQRS will adjust the standard aspiration as required to reflect the actual QOF achievement.
If your practice disagrees with the achievement payment values calculated in CQRS:
– assemble evidence in support of the disagreement and inform your commissioning organisation
– if the numerator, denominator or exceptions are incorrect, contact your GP system supplier and obtain the relevant evidence
– provide full evidence to your commissioning organisation. They will be required to review the evidence and negotiate an adjustment
The CQRS team cannot resolve disputes or update your data in CQRS. Amendments to data as a result disputes and queries are actioned by your commissioning organisation.
The calculated figure is based on the data extracted from your GP system. The calculation in CQRS is rigorously tested and we are confident that the calculation method is correct. If it is not what you are expecting to see, then you need to query this with your GP system supplier in the first instance.
The calculation includes several factors, so it is unlikely that a locally calculated figure will match the figure in the system.
Indicator calculation:
Actual achievement/Maximum potential achievement x Points available for indicator x Value of a QOF point x Adjustment prevalence (patient set/CRP)/National prevalence (average prevalence)
GPs are encouraged to retain clinical system audit reports. This supports any post verification work and assists reconciliation against the final CQRS report. CQRS will retain QOF data for five years.

Network Contract DES

Network Contract DES (NCD) Payments 24/25

Background

Investment and evolution: The five-year framework for GP contract reform to implement The NHS Long Term Plan, published in January 2019, describes significant investment in Primary Care Networks (PCNs) through the Network Contract Directed Enhanced Service (DES). As part of the Network Contract DES, investment is being made to support expansion of the primary care workforce and the implementation of seven national Network Service Requirements between 2019/20 and 2023/24 through the Additional Roles Reimbursement Scheme (ARRS).The sixth year of the Network Contract DES began in April 2024 and the data being collected expands on the indicators developed since 19/20 around the ARRS and the seven service specifications, covering CVD, Enhanced Health in Care Homes, Proactive Care, Personalised Care, Early Cancer Diagnosis, Structured Medication Reviews and Tackling neighbourhood Inequalities.

Purpose and outline

The purpose is to support NHS England (NHSE) by providing the relevant data/information that is used by PCNs/GP practices and commissioners to acknowledge achievement and ultimately ensure payment is accurate and in line with the enhanced service specification.

How this service is commissioned and provided

NHS England service specification, guidance and technical requirements will be published here: Network Contract DES 2024/25 Specification. The service is commissioned by Integrated Care Boards (ICB).

2024/25 Information about this service:

  • Quality service start date: 1 April 2024
  • Quality service end date: 31 March 2025
  • Payment period: Anually
  • Collection frequency: Monthly
  • Manual or automatic entry: Automatic data collection
  • Co-commissioning: No

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.

Network Contract DES (NCD) 24/25 Frequently Asked Questions (FAQs)

The below features Frequently Asked Questions (FAQs) about the Network Contract DES (NCD) 2024/25.

The value of the NCD £ per point will be confirmed in the specification when it is published by NHS England.
Data is collected monthly by the data suppliers who extract data from clinical systems.
The Commissioner is to report this to ODS who will send us the PCN end date. Once received, this will automatically end the participation of the service for the practice and no further action is required by the Commissioner. Failure to follow this process will result in incorrect calculations at year end. Commissioners are not to apply service end dates within CQRS.

For more information about Network Contract Directed Enhanced Service (DES), please visit the NHS England website.

PCV Hib/Men C Vaccination Programme

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.

    Pertussis in Pregnant Women Vaccination Programme

    Purpose and outline

    The purpose of the service specification is to enable NHS England to commission pertussis in pregnant women immunisation services of sufficient quantity and quality to prevent the infections and outbreaks caused by these organisms

    The JCVI advised that pertussis in pregnant women vaccination programme should be extended for at least 5 years. JCVI considered that immunisation could be offered at one of the routine antenatal appointments and that immunisation within weeks 16 to 32 of pregnancy is likely to be optimal. Immunisation within weeks 16 to 38 of pregnancy may ensure greater overlap between the period of maximal antibody levels in the pregnant woman and the period of trans placental antibody transfer. Offering immunisation from 28 weeks would provide some protection to infants born prematurely who may be particularly vulnerable to complications from pertussis.

    How this service is commissioned and provided

    Regions commission this service from 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.

    Pneumococcal Polysaccharide Vaccination (PPV) Programme

    Purpose and outline

    The pneumococcal vaccines protect against pneumococcal infections caused by the bacterium Streptococcus pneumonia. The pneumococcus is one of the most frequently reported causes of bacteraemia and meningitis and it is the commonest cause of community-acquired pneumonia.

    Invasive pneumococcal disease is a major cause of morbidity and mortality and can affect anyone. However, it particularly affects the very young, the elderly and those with impaired immunity or chronic conditions.

    This programme delivers vaccinations for patients aged 65 or over and at-risk patients aged 2 years to 64 years inclusive.

    PPV is the only vaccine recommended for the patients eligible under this programme (PCV if for smaller children) and only one dose is required per patient which provides life-time cover. For a small number of at-risk patients, vaccination every five years is required.

    Practices are only paid for vaccinations carried out by the practice, not for those given by other providers.

    How this service is commissioned and provided

    Regions commission this service from 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.

    Rotavirus Vaccination Programme

    Purpose and outline

    Following a recommendation by the JCVI, from 1 July 2013, vaccination against rotavirus was introduced to the national childhood immunisation programme to protect infants against rotavirus. The purpose of this collection is to calculate, report and pay for activity undertaken in line with contractual agreement.

    Practices are only paid for vaccinations carried out by the practice not for those given by other providers.

    How this service is commissioned and provided

    Regions commission this service from 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.

    Seasonal Influenza Vaccination Programme

    Background

    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. 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

    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. 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. For 2023/24 seasonal flu will continue to allow vaccinations of both General Medical Service-registered (covers GMS, PMS and APMS practices) and INT-registered patients.

    How this service is commissioned and provided

    Region’s commission this service from GP practices.

    2023/24: Information about this service

    • Quality service start date: 01 September 2023
    • Quality service end date: 31 March 2024
    • Payment period: Monthly
    • Collection frequency: Monthly
    • Manual or automatic entry: Automatic data collection
    • Included in data collection: All system suppliers (TPP, Cegedim 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.

    MMR Vaccination Programme

    Background

    We require an automated payment service for the following patient groups receiving MMR vaccination:

    • Children 0-5 years
    • Children 6-15 years
    • Adults 16 years and over
    • Children aged 0-5 years

    Each MMR vaccine delivered to a child in this cohort will accrue an item of service fee of £10.06. We will also require an end of year count to evaluate cohort coverage in those aged 2 years and those aged 5 years.

    Children aged 6-15 years

    Each MMR vaccine delivered to a child in this cohort will accrue an item of service fee of £10.06.

    Adults aged 16 years and over

    GP practices who vaccinate patients at the age of 16 and over who were previously unvaccinated, can claim reimbursement of an IoS fee of £10.06. Practices are only paid for vaccinations carried out by the practice, not for those given by other providers.

    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 Regional team commissions this service from GP practices.
    • NHS England service specifications
    • NHS Employers Vaccination and Immunisation requirements
    • 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
    • Included in data collection: All GP system suppliers
    • Classification: Vaccination and Immunisation programme

    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.

    Meningococcal B (MenB) Infant Vaccination Programme

    Purpose and outline

    This service enables NHS England to commission MenB immunisation services to effectively prevent infections and outbreaks caused by meningococcal bacteria.

    This routine immunisation programme consists of a three-dose schedule: the primary course includes two doses at 2 and 4 months, to ensure optimum protection for babies before the peak incidence at five months and a booster dose at 12 to 13 months providing long term protection.

    Practices are only paid for vaccinations administered by the practice not for those given by other healthcare providers.

    How this service is commissioned and provided

    Regions commission this service from 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.

    Hepatitis B (Newborn Babies) Vaccination Programme

    Background

    Babies whose mother has Hepatitis B are at increased risk of contracting the disease. This programme is intended to identify these newborn babies and ensure they receive vaccination at birth (in hospital or during home births and by GP’s by exception), the second dose at 1 month and a completing dose at the age of 1 year.

    GP practices are required to carry out a heel prick test and update the infant’s records with the result of the test to confirm whether the baby is positive for Hepatitis B infection.

    In addition, where the vaccine status of a baby is incomplete or there has been significant delay, practices may opportunistically complete the administration of the required doses as clinically appropriate and claim for payment.  This means there is no end date for when the vaccine might be delivered.

    Practices must claim within 6 months of the vaccination in line with the SFE.

    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

    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 (V&I)

    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.

    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.

    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.

    HPV Vaccination Programme

    Purpose and outline

    The HPV vaccine is routinely provided by schools. However, some students may miss the schools programme and present to their GP practice for vaccination. Vaccination is to be provided opportunistically or on request for those aged 14 up to, but not including the age of 25 years if the patient has missed the schools provision. On 5 August 2022 JCVI recommended a move from a two-dose, to a one dose schedule for the routine adolescent programme up to, but not including the age of 25 years. This change will align general practice provision with the school’s programme implemented from 1 September 2023. The change will not apply to those individuals who are known to have a HIV status or who are known to be immunocompromised who should be offered a three-dose schedule.

    How this service is commissioned and provided

    Regions commission this service from 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.

    Immediate Necessary Treatment – Seasonal Influenza Vaccination Programme

    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.

    Learning Disabilities Health Check Scheme

    Purpose and outline

    GP practices are entitled to a monthly health check completion payment as agreed by the contractual negotiations comprising £140.00 for each patient aged 14 years or over in the financial year on the practice’s QOF Learning Disability register who received a compliant health check delivered by the practice in that month. Only one payment may be made as regards to any patient in any one financial year. This service is an enhanced service that is agreed with General Practitioners committee England of the BMA. This service will support delivery and payment of the service. It will also provide important activity data which will support future commissioning decisions made by NHS England

    How this service is commissioned and provided

    This service will be offered to GP Practices by their Commissioner.

    Information about this service

    • Quality service start date: 1 April 2024
    • Quality service end date: 31 March 2025
    • Payment period: Monthly
    • Collection frequency: Monthly
    • Manual or automatic entry: Automatic data collection
    • Included in data collection: All GP system suppliers
    • Co-commissioning: Yes
    • Classification: Enhanced service (co-commissioned)
    • Service user guides

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

    Meningococcal ACWY (MenACWY) Vaccination Programme

    Purpose and outline

    The purpose of the service is to enable NHS England to commission MenACWY immunisation services of sufficient quantity and quality to prevent the infections and outbreaks caused by these organisms.

    The JCVI advised that there was an outbreak of Meningococcal W in 2016 and a vaccination programme of all 14-18 year old patients was agreed. To achieve this the completing dose and those aged 18 years on 31 August programmes have now been combined in to one programme for those who attained the age of 14 years but not yet attained 25 years who have not been vaccinated under the schools programme.

    The conjugate vaccine (ACWY) will be provided by central supply for all patients in this cohort.

    How this service is commissioned and provided

    Regions commission this service from 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
    • 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.

    Childhood 6-in-1 Vaccination Programme

    Background

    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.

    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 Regional team commissions this service from GP practices.

    NHS England service specifications

    NHS Employers Vaccination and Immunisation requirements

    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

    Included in data collection: All GP system suppliers

    Classification: Vaccination and Immunisation programme

    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.

    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.

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

    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 2023) who is vaccinated using the recommended vaccine from 1 September 2023 to 31 March 2024.

    How this service is commissioned and provided

    Regional Local Offices commission this service from GP practices.

    NHS England service specifications

    2023/24: Information about this service

    Quality service start date: 01 September 2023

    Quality service end date: 31 March 2024

    Payment period: Monthly

    Collection frequency: Monthly

    Manual or automatic entry: Automatic data collection

    Included in data collection: All system suppliers (TPP, Cegedim 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.