GMS Contract Agreement 2009/10
The Primary Medical Services (Directed Enhanced Services) (Wales) (Miscellaneous Amendments) Directions 2010
The Primary Medical Services (Directed Enhanced Services) (Wales) (No. 2) (Amendment) Directions 2010
The Primary Medical Services (Directed Enhanced Services - Pandemic Influenza (H1N1) Vaccination Scheme) and Directions to Local Health Boards as to the Statement of Financial Entitlements (Amendment) (No. 4) Directions 2009
GMS Contract Agreement 2008/09
1. Directed Enhanced Service for 2008-09 Guidance
The new General Medical Services (GMS) contract was implemented in Wales in April 2004. It is funded through new funding streams for essential, additional and enhanced services, modernising infrastructure and the quality and outcomes framework.
Enhanced services are, in essence, elements of essential or additional services delivered to a higher specification, or medical services outside the normal scope of primary medical services, which are designed around the needs of the local population. Enhanced services are commissioned by Local Health Boards and can be contracted from any provider, not just GMS contractors, so long as the provider can meet the service specification and provide value for money. Enhanced services provide LHBs with opportunities to develop more local and integrated services across primary and secondary care. There are three categories of enhanced services:
Enhanced services are funded from the LHB administered budget for the GMS contract. This is a ring-fenced allocation with a spending floor set by the UK Technical Steering Committee (TSC) for the GMS contract. The enhanced services floor is the minimum amount that must be spent on enhanced services although LHBs are free to spend more using other funding streams as appropriate.
Practices wishing to enquire about providing Enhanced Services should approach their LHB in the first instance.
Documents Issued December 2007
2006/07 Access to GMS - Patient Experience Survey
LES Specifications & Supporting Documents
NES Specifications & Supporting Documents
Other DES Specifications & Supporting Documents
Last updated: 17/06/2013