£50m DES for services wanted in quality framework

The DoH has agreed to pay practices to carry out the clinical services the GPC fought to be included in the 2008/9 quality framework.

But instead of being included in the contract, they have been packaged as five clinical directed enhanced services (DESs) worth £50 million, the DoH announced this week. 

The areas covered are:

  • using beta-blockers for heart failure
  • treatment of osteoporosis
  • annual health checks for people with learning disabilities
  • better data recording to improve care for people from black and ethnic minority groups
  • increased support to overcome harmful drinking.

GPC chairman Dr Laurence Buckman said all five clinical areas were discussed in contract negotiations and have evidence to back their value. 

But details of how the new clinical areas will be costed and carried out out have yet to be thrashed out following the current dispute over the Doctors’ and Dentists’ Review Body (DDRB) pay decision. 

‘We need to talk to the government about how this will work,’ said Dr Buckman. 

Heart failure and osteoporosis were two of the three areas the GPC pushed for inclusion in the 2008/9 quality framework.


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