Welsh extended hours DES 'less onerous'

Practices in Wales will receive £1.66 per patient for the directed enhanced service (DES) for extended hours, less than the £2.95 offered in England.

However, the Welsh DES will be less onerous with flexibilities including the ability for cover to be provided by the most effective skill mix.

The position in England and Scotland is that minimum cover is to be provided by a solo GP.

Practices in Scotland are expected to be offered about £2.95 per patient, as in England.

Welsh practices which lack capacity during core hours will not have to extend hours.

The Welsh DES would replace the English DES should GPs vote to accept the government's offer.

It has more detail than the English and Scottish deals, which are still being negotiated and it will involve practices participating in plans to reduce the number of people accessing out-of-hours services and A&E.

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