Enhanced services to be overhauled in new GP contract

The avoiding unplanned admissions enhanced service will be extended for a further year under the new GP contract for 2015/16, as negotiators agree to scrap two other enhanced services and move funding into core pay.

The alcohol DES will be scrapped, although practices will still need to identify and manage at-risk patients (Photo: UNP)
The alcohol DES will be scrapped, although practices will still need to identify and manage at-risk patients (Photo: UNP)

The avoiding unplanned admissions DES will be extended for a further year from 1 April 2015, with changes to the reporting process and payment structures. The GPC heralded the move as a 'significant reduction in bureaucratic reporting'.

Meanwhile, the GPC confirmed there would be no new QOF indicators in the 2015/16 contract, although discussions on whether to make other changes to the framework are ongoing.

The alcohol and patient participation enhanced services will end, and funding will pass into the global sum.

However, the new contract will require all practices to have a patient participation group and make reasonable efforts for this to be representative of the practice population. Practices will also need to identify newly registered patients aged 16 or over who are drinking alcohol at increased or higher risk levels.

The GPC said scrapping the two enhanced services would free up practices to engage and manage patients 'without unnecessary administration'.

No new QOF indicators

Details released by NHS Employers also revealed that 'the GPC, NHS England and NHS Employers will work together to develop more consistent guidance for the provision of enhanced minor surgery services'.

The extended hours and learning disabilities enhanced services will be extended for another year and remain unchanged.

Meanwhile, full details of the changes to the QOF for 2015/16 have yet to be released, but the GPC confirmed there would be no new indicators.

The value of a QOF point will be adjusted to take into account population growth and list size changes from 1 January 2014 to 1 January 2015. The planned threshold rises in several clinical indicators will be deferred for a second year.

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