Services that generate a payment

Background

CVDprevent is a national primary care audit to support professionally led quality improvement in the prevention of cardiovascular events in people with and without pre-existing CVD through the detection and management of significant risk factors, including atrial fibrillation, high blood pressure, high cholesterol, diabetes, non-diabetic hyperglycaemia and chronic kidney disease (NHS RightCare CVD Prevention Pathway). The audit will automatically extract routinely held GP data via the general practice extraction service (GPES) and there will be no additional data burden for GPs.

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 legal documents (Regulations, DES Directions and the Statement of Financial Entitlements) underpinning the GMS contract for 2021/22 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 Enhanced Service specification.

2021/22: Information about this service

Quality service start date: 1 April 2020

Quality service end date: 31 March 2023

Payment period: Annually

Collection frequency: Annually

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. Activity and achievement should be recorded monthly.

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.

Background

Find out about the childhood seasonal Influenza vaccination programme, including an overview of the service, how it is commissioned and provided, and how to get paid for providing the service.

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 2019.

Four year olds have been removed from the enhanced service and transferred to school’s programme.

Purpose and outline

This enhanced service aims to support commissioners in delivering the seasonal influenza vaccination with GP practices to lower the impact of influenza on children and lower influenza transmission to other children, adults, and those in clinical risk groups of any age.

How this service is commissioned and provided

Regional Local Offices commission this service from GP practices.

NHS England service specifications

NHS Employers Vaccination and Immunisation guidance

2021/22: Information about this service

Quality service start date: 1 September 2021

Quality service end date: 31 March 2022

Payment period: Monthly

Collection frequency: Monthly

Manual or automatic entry: Automatic

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

Co-commissioning: No

Classification: Vaccination and Immunisation programme

GP practices will receive an item of service (IoS) payment of £10.06 per dose in respect of each registered patient who attains the age of two or three (but not aged less than two or aged four or over, on 31 August 2021) and who is vaccinated using the recommended vaccine during the seven-month period from 1 September 2021 to 31 March 2022.

Service user guides

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

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 lookup tables providing appropriate Read v2 and CTV3 codes for SNOMED CT concept IDs.

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.

Background

This is an enhanced service that is agreed with the General Practitioners committee 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.

CQRS performs a check against the practice’s local learning disability register to ensure that practices cannot claim for more learning disability health checks than there are patients on their local learning disability register.

Purpose and outline

In 2018/19, GP practices will be entitled to a quarterly health check completion payment as agreed by the contractual negotiations comprising £140 for each patient aged 14 or over in the financial year on the practices agreed learning disabilities register, who received a compliant health check delivered by the practice in that quarter. Only one payment may be made as regards to any patient in any one financial year.

On CQRS, there are two inputs for this enhanced service:

LD001 input number: The number of those patients aged 14 years or over in the financial year, on the practice’s agreed learning disabilities register who received a completed health check by the practice in this quarter.

LD001 maximum: The number of patients aged 14 years or over in the financial year, on the practice’s agreed learning disabilities register

How this service is commissioned and provided

Regional Local Offices commission this service from GP practices.

NHS England service specifications

NHS Employers Guidance and Technical requirements

2022/23: Information about this service

Quality service start date: 1 April 2022

Quality service end date: 31 March 2023

Payment period: Monthly

Collection frequency: Monthly

Manual or automatic entry: Automatic data collection – however, practices are still required to manually enter their register size

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.

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.

This service enables NHS England to commission MenACWY immunisation services of sufficient quantity and quality to prevent the infections and outbreaks caused by these organisms.

Background

In February 2015, Public Health England (PHE) presented data to the Joint Committee on Vaccination and Immunisation (JCVI) on a continuing increase in MenW disease in England and Wales since 2009, with the most recent cases increasing in an accelerated manner.

JCVI agreed this constituted an outbreak situation and that population level control of MenW was required with urgency, to reduce the risk of further rapid increases in disease across the population.

JCVI advised that there should be a programme to vaccinate all adolescents aged 14-18 years. Vaccination of this cohort is expected to protect the young people themselves and to provide herd protection for the wider population.

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. The completing dose and 18 years on 31 August programmes to achieve this 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

NHS England Regional teams commission this service from GP practices.

NHS England service specifications

NHS Employers Vaccination and Immunisation guidance

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 – not all services start automatic extraction at the start of service – refer to online timetable for full details

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

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.

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.

Background

This service enables NHSE to commission MenB immunisation services of sufficient quantity and quality to prevent the infections and outbreaks caused by these organisms.

In March 2014, the Joint Committee on Vaccination and Immunisation (JCVI) recommended the vaccination of infants against meningococcal group B infection (MenB) to protect them from this strain of bacteria.

There are 12 types of Meningococci (A, B, C, E, H, I, K, L, W, X, Y and Z). B, C, Y and W are the most common types in the UK. Since the introduction of the routine MenC programme in November 1999 the number of cases of MenC have greatly reduced.

This routine programme is a 3 dose programme for babies aged two, four and 12 to 13 months of age. The two doses at two and four months constitute the primary course required to ensure optimum protection for babies ahead of peak incidence at five months. The third dose at 12 to 13 months provides longer term protection.

Practices are only paid for vaccinations carried out by the practice.

How this service is commissioned and provided

NHS England Regional teams commission this service from GP practices.

NHS England service specifications

NHS Employers Vaccination and Immunisation guidance

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

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

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.

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.

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.

Background

Investment and evolution: A 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 third year of the Network Contract DES will begin in April 2021 and the data being collected expands on of the indicators developed in 2019/20 and 2020/21 around the ARRS and the seven service specifications, covering CVD, Enhanced Health in Care Homes, Anticipatory Care, Personalised Care, Early Cancer Diagnosis, Structured Medication Reviews and Tackling Neighbourhood Inequalities.

The data collected will be to understand how the new (and existing) staff employed via the ARRS, within the Network Contract DES, are increasing capacity within General Practice and to monitor the uptake of patient interactions with these additional staff. It will also support monitoring delivery of the seven service requirements.

This data will be collected at GP practice level and then reported in CQRS at both practice and PCN level.

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 legal documents (Regulations, DES Directions and the Statement of Financial Entitlements) underpinning the GMS contract for 2021/22 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 Enhanced Service specification.

2021/22: Information about this service

Quality service start date: 1 April 2021

Quality service end date: 31 March 2022

Payment period: Monthly

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.

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.

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.

Background

The Pertussis vaccination programme was introduced in October 2012, following a recommendation from the Joint Committee on Vaccination and Immunisation (JCVI) for the implementation of a temporary Pertussis (pregnant women) vaccination programme. This was in response to an outbreak of infection that led to a number of infant deaths.

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 infections and outbreaks.

The JCVI has 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 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

Regional Local Offices commission this service from GP practices.

NHS England service specificationsNHS 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

Included in data collection: All system suppliers

Co-commissioning: No

Classification: Vaccination and immunisation programme

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.

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 IDs.

Background

NHS England and NHS Improvement is committed to leading work to ensure that “by 2020-21, 280,000 people living with SMI have their physical health needs met by increasing early detection and expanding access to evidence-based physical care assessment and intervention each year”. This equates to a target of 60% of people on the General Practice SMI register receiving a full and comprehensive physical health check across primary and secondary care. To ensure monitoring drives the right clinical behavior, it is crucial that NHSE and NHSI is able to monitor delivery of the full comprehensive health check and to collect benchmarking information on the uptake of the corresponding relevant follow-up interventions and access to national cancer screening programmes. In addition, in order to understand the impact of the health checks and provide rapid and ongoing policy evaluation, it is important to understand physical health outcomes. Patient-level information is required to monitor these outcomes.

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 legal documents (Regulations, DES Directions and the Statement of Financial Entitlements) underpinning the GMS contract for 2021/22 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 relevant Service specification.

2021/22: Information about this service

Quality service start date: 1 April 2020

Quality service end date: 31 March 2023

Payment period: Annually

Collection frequency: Annually

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. Activity and achievement should be recorded monthly.

Background

Help for general practices wishing to understand the purpose of the Pneumococcal polysaccharide vaccination programme; who it’s aimed at, how to claim for a 5 yearly dose, how it’s commissioned and how it’s provided. Also find service guides and business rules for payment count/read codes.

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’s also the most common cause of community-acquired pneumonia.

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

This programme delivers a consistent vaccination service across England for patients aged 65 or over and at-risk patients aged 2 years to 64 years. This is in line with the guidance in the Green Book, which should be used as guidance to identify qualifying patients. This service will support practices and area teams in the delivery and monitoring of this programme.

Boosters are required at five yearly intervals in people with no spleen, splenic dysfunction or chronic renal disease, as outlined in the Green Book.

Practices should contact their commissioner to reach local agreement on the re-vaccination of these patients.

Where local agreement has been reached, the commissioner can manually adjust achievement on CQRS to facilitate payment.

Claiming for a 5 yearly dose

Practices need to raise this with their RLO, who will manually adjust the payment. This is covered in the:

service specification (footnote 37, page 22)

V&I guidance

How this service is commissioned and provided

NHS England Regional teams commission this service from GP practices.

NHS England service specifications

NHS Employers – Vaccination and Immunisation requirements

Please also refer to the pneumococcal at-risk clinical codes document on this page. It shows practices where ‘at-risk’ conditions should be automatically recognised in the search. Anything other than these won’t otherwise be picked up, and will require an extra code to be counted in the collection.

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

Included in data collection: All system suppliers

Co-commissioning: No

Classification: Vaccination and immunisation programme

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.

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.

Background

Immunisation is one of the most successful and cost-effective public health interventions. High immunisation rates are key to preventing the spread of infectious disease, complications and possible early death, along with protecting the population’s health through individual and herd immunity. This service is one of a number of programmes commissioned for delivery by general practice, following recommendations from the Joint Committee on Vaccinations and Immunisations (JCVI).

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

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

Co-commissioning: No

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.

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.

Background

The seasonal flu programme is a long established vaccination programme that’s proven to save lives and deliver a cost-effective prevention programme, along with reducing pressures on NHS services during the winter.

The annual immunisation programme is a critical element of the system-wide approach for delivering robust and resilient services throughout the year.

Purpose and outline

The aim of the seasonal influenza and pneumococcal polysaccharide immunisation ES is to protect those most at risk by offering protection against the most prevalent strains of influenza virus, and against 23 serotypes of S. pneumoniae.

Where a practice agrees to participate in this ES, they are expected to deliver vaccinations to eligible patients for both the seasonal influenza and pneumococcal vaccination programmes. The arrangements to deliver this ES supersede any previous local agreements.

How this service is commissioned and provided

NHS England Regional Local Offices commission this service from GP practices.

NHS England service specificationsNHS Employers – Vaccination and Immunisation requirements

2021/22: Information about this service

Quality service start date: 1 September 2021

Quality service end date: 31 March 2022

Payment period: Monthly – first payment expected to be made in October

Collection frequency: Monthly

Manual or automatic entry: Automatic data collection

Included in data collection: All GP system suppliers

Co-commissioning: No

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.

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.

Background

In March 2010, the JCVI recommended that patients aged 70 years should be routinely offered vaccination against shingles. This programme was introduced in September 2013.

The age criteria for the routine programme are: patients who were aged 70 years on 1 September 2013 (i.e. DOB 1 September 1943) or who attained their 70th birthday between 1 September 2013 and the quality service end date (inclusive; i.e. DOB 31 March 1952). These patients will remain eligible until they have attained their 80th birthday.

The catch up programme is aimed at vaccinating patients who are aged 78 or 79 years but who have not yet attained the age of 80 years. GP practices will be entitled to a payment for each qualifying registered patient who receives shingles immunisation whilst the patient is aged 78 or 79 years old.

From April 2021 a two-dose schedule of Shingrix was offered to people aged 70-79 who have not been immunised due to being immunocompromised. Those who commence the vaccination course aged 79, but who attain the age of 80 should continue to receive the second dose.

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

Co-commissioning: No

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.

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.

Background

Obesity is a recognised risk factor for the development of several long-term conditions and serious illness including COVID-19. There is evidence that the numbers of people identified by general practice as living with obesity have fallen during the pandemic, which is not in line with the public health view on obesity numbers in England.

The aim of this enhanced service is therefore twofold:

To support practices to develop and implement a proactive approach to the identification of patients living with obesity both within the practice and with wider system partners, which is fit for purpose in a world of virtual consultations and empowers patients to actively provide and update their records with this information. For the purpose of this enhanced service, 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 individual patients living with obesity on weight management, and to support patients who are ready to make behavioural changes to do so through referral to appropriate weight management programmes.

Claims for payments for this programme should be made monthly, after the referral has been made.

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 legal documents (Regulations, DES Directions and the Statement of Financial Entitlements) underpinning the GMS contract for 2021/22 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 Enhanced Service specification.

2022/23: Information about this service

Quality service start date: 1 July 2022

Quality service end date: 31 March 2023

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.