Services that do not generate a payment

Alcohol Related Risk Reduction Scheme

Purpose and outline

The government is committed to addressing the issue of physical and mental illness associated with increasing alcohol consumption. This service is a key component to delivering this.

Under the contract, all practices are required to identify newly registered patients aged 16 or over who are drinking alcohol at increased or higher risk levels (using one of the two shortened versions of the World Health Organisation (WHO) Alcohol Use Disorders Identification Test (AUDIT) questionnaire; Fast Alcohol Screening Test (FAST) or Alcohol Use Disorders Identification Test – Consumption (AUDIT-C).

How this service is commissioned and provided

This service is a contractual requirement.

NHS England Service Specifications

NHS Employers – GMS Guidance and Technical Requirements

Information about this service

Quality service start date: 1 April 2021

Quality service end date: 31 March 2022

Payment period: Not applicable – contractual requirement with no funding attached

Collection frequency: Annually

Manual or automatic entry: Automatic

Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)

Service type: Contractual agreement

Service user guides

Our service guides describe how to participate, manually enter and declare achievement for this service. Activity and achievement should be recorded on a monthly basis.

Friends and Family Test

Purpose and outline

The NHS Friends and Family Test (FFT) is a feedback collection system for providers of NHS funded services. The FFT uses a simple question with a range of possible responses from ‘extremely likely’ to recommend, to ‘extremely unlikely’ to recommend.

Providers are required to ask at least 1 follow-up free-text question. Providers are not required to submit the free-text to NHS England. The free text identifies good practice and opportunities to make improvements to patient experience.

Providers are allowed to choose their collection mode, such as postcards, websites, phone calls, SMS etc, and are encouraged to use a range of collection modes.

It’s been a requirement of GPs to implement the FFT since 1 December 2014. Implementation requires monthly data submissions to NHS England from each GP practice, setting out the number of responses received in each response category, and through each collection mode.

NHS England publishes the results each month.

There is no payment attached to this service.

How this service is commissioned and provided

This service is commissioned by NHS England.

For more information, visit the NHS England website.

Information about this service

Quality service start date: 1 April 2021

Quality service end date: 31 July 2022

Payment period : No payment

Collection frequency: Monthly

Manual or automatic entry: Manual

Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)

Co-commissioning: No

Service type: Core contract

GMS/PMS Core Contract Data Collection

Background

Named GP and the service for the identification and management of patients with frailty are combined in this quality service (QS). It is a contractual requirement for all patients to have an accountable GP. The GP is responsible for the care package the patient receives.

Practices are also contractually required to identify moderate and severe frailty for patients aged 65 years and over on an annual basis.

For the frailty service practices will be required to use an appropriate tool, for example the Electronic Frailty Index (eFI), to identify patients aged 65 and over who are living with moderate and severe frailty.

Changes to the GP contract in 2017/2018 introduced routine frailty identification for patients who are 65 and over. It targets a small number of key interventions (falls assessment, medicines review and promotion of the additional information in the summary care record) at those most at risk of adverse events including hospitalisation, nursing home admission and death. Early identification coupled with targeted support can help older people living with frailty to stay well and live independently for as long as possible.

Purpose and outline

This quality service supports NHS England to ensure that practices are meeting the requirements agreed as part of the contract. This will also be an important reporting tool to demonstrate that patients are receiving a quality service from their GP practice and identify to commissioners and practices any patient that has not been allocated an accountable GP.

For those patients identified as living with severe frailty, the diagnosis must be recorded in the patient’s record. For those patients identified as living with moderate frailty, clinical judgement will be required to determine whether or not the result should be recorded in the patient record.

For those patients identified as living with severe frailty, practices will be required to:

deliver a clinical review, including providing an annual medication review and where clinically appropriate discuss whether the patient has fallen in the last 12 months, and

provide any other clinically relevant interventions, and

promote to patients without an enriched Summary Care Record (SCR) the benefits of it, seeking informed patient consent to activate the enriched SCR

How this service is commissioned and provided

NHS England regional teams commission this service from GP practices.

NHS England GP Contract Information

Information about this service

Quality service start date: 1 April 2021

Quality service end date: 31 March 2022

Payment period: N/A – contractual requirement with no funding attached

Collection frequency: Quarterly

Manual or automatic entry: Automatic

Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)

Co-commissioning: No

System type: Core contract.

Seasonal Influenza and COVID-19 Manual Service

Background

As part of the 2021/22 Seasonal Influenza Vaccination Programme, primary care contractors (general medical services, pharmaceutical services, general dental services and general ophthalmic services) and their frontline in clinical and non-clinical patient-facing roles will be eligible for an NHS flu vaccination.

The Enhanced Service includes a requirement for general practice to return to the commissioner (NHSE), by no later than the 31 January 2022 and 30 April 2022 respectively, data on the number primary care staff that they have vaccinated.

Additionally, indicators on the vaccination status of general practice staff for COVID-19 and seasonal flu are being collected via this service.

With regards to general practice staff COVID-19 vaccination status, this is to support the vaccination as a condition of deployment regulatory change being introduced from April 2022 for all patient-facing general practice staff.

2021/22: Information about this service

Quality service start date: 1 September 2021

Quality service end date: 31 March 2022

Payment period: Annual

Collection frequency: Quarterly

Manual or automatic entry: Manual data collection

Included in data collection: All GP system suppliers

Classification: Vaccination and immunisation programme

Service user guides

The Calculating Quality Reporting Service (CQRS) describe how to participate, manually enter and declare achievement for this service. Activity and achievement should be recorded monthly.

Indicators No Longer In QOF (INLIQ)

Purpose and outline

As part of the contractual agreement for 2020/21, it was agreed to continue collecting information relating to indicators no longer in QOF.

The reporting is essential as DHSC, PHE and other healthcare groups have indicated that the information linked to these indicators are essential for their work and wider healthcare programmes.

Not all the indicators that are no longer in QOF will continue to be extracted, only those where it is felt that continued data would be useful.

For future years, further retirements would be considered for ongoing collections and the indicators in this collection would also be reviewed to check for appropriateness of continuing to collect the data.

How this service is commissioned and provided

This service is provided by regional local offices from GP practices.

There is no service specification and no technical requirements, other than the business rules. For more information, please visit this section on the NHS Employers website.

Information about this service

Quality service start date: 1 April 2021

Quality service end date: 31 March 2022

Payment period: N/A – contractual requirement with no funding attached

Collection frequency: Annually

Manual or automatic entry: Automatic

Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)

Co-commissioning: Yes

System type: Retired QOF QS report

Service user guides

The Calculating Quality Reporting Service (CQRS) user guides describe how to participate, manually enter and declare achievement for this service. This particular service runs from 1 April 2019 to 31 March 2020. Activity and achievement should be recorded monthly.

Payment count/clinical codes

No payments associated.

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.