Extended hours may be enhanced service

The DoH appears to have backtracked on its plan to swap 60 clinical quality points for extended hours, saying now that services will be commissioned locally.

The GPC and NHS Employers are in negotiation about whether extended hours should be funded as an enhanced service, wiht national or directed services still as options.

Mark Britnell, director general for commissioning and system management in the NHS, told the National Association of Primary Care conference on service redesign in primary care in London last week that all services would be locally commissioned.

'It's time for PCTs to step up to the plate,' he said.

He added that practices planning to offer extended hours in exchange for daytime closure would have their hopes dashed.

'We are not expecting you to substitute hours. We are expecting you to add hours,' Mr Britnell said.

'If practices don't want to open longer, we will think about inviting others that do,' he added.

However, he was contradicted by health minister Ben Bradshaw later at the same conference who said that extended hours did not necessarily mean more hours.

Mr Bradshaw said that practices could 'close for the morning and open in the evening instead' when asked about how extended hours would be resourced.

Mr Bradshaw, who was booed after he spoke, called for GPs to show a 'positive spirit' but admitted the government would have to look 'imaginatively' at how to support GPs opening longer.

Speaking at a GPC briefing last week, GPC chairman Dr Laurence Buckman said that a national plan for extended hours could be based on existing local schemes.

tom.ireland@haymarket.com.

Comment below and tell us what you think 

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

GPs raise alarm over low uptake of COVID-19 vaccine in BAME patients

GPs raise alarm over low uptake of COVID-19 vaccine in BAME patients

GPs across England have raised concerns over low uptake of COVID-19 vaccination among...

UK COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...

COVID-19 vaccination programme widens to over-70s and clinically vulnerable

COVID-19 vaccination programme widens to over-70s and clinically vulnerable

People aged over 70 and those who are clinically extremely vulnerable will be offered...

Hoarse voice - red flag symptoms

Hoarse voice - red flag symptoms

Dr Suneeta Kochhar provides an overview into the red flag symptoms to look for in...

Epistaxis - red flag symptoms

Epistaxis - red flag symptoms

Dr Suneeta Kochhar provides an overview of red flag symptoms to look for in a patient...

Former Brexit secretary backs vitamin D supplements to beat COVID-19

Former Brexit secretary backs vitamin D supplements to beat COVID-19

The NHS should provide 10 times the current daily recommended amount of vitamin D...