GP Local Enhanced Services

Local enhanced services provided by GPs, over and above the core (essential and additional) services to their patients. The aim of local enhanced services are to meet the needs of the local population, recognising and addressing gaps in the core services in order to reduce the necessity for admission to secondary care. The contracts also cover GPs with Extended Role services which, in addition to their core General Practice, a role that is beyond the scope of GP training and requires accreditation to fulfil the role and the ICB must identify a specific need for the service to be delivered at a specific practice. The following list of local enhanced services/GPwER and Additional Community Services are being offered to general practice from 01 April 2023 for a period of 3 years until 31st March 2026. Local Enhanced Services • Administration of Gonadorelin Analogues - Breast • Administration of Gonadorelin Analogues - Endometriosis • Administration of Gonadorelin Analogues for male patients - Prostate Cancer • Annual Physical Health Checks for people with Severe Mental Illness • Clopazine • General Practice Insulin Initiation • General Practice Patient Pathway Optimisation (PPO) • General Practice Minor Injuries Service • Bariatric Surgery - Primary Care Follow Up (Western Practices Only) • GP Specialised Medicines Service (Southern Practices Only) • GP Specialised Medicines Service (NEW Devon Practices Only) • Ring Pessaries • Refugee and Asylum Seeker • Monoclonal antibody of Abnormal Significance (MGUS) GPwER Services • Minor Skin Surgery/Dermatology (Rolle; Amicus, Sid Valley) • Vasectomy (Northam, St Thomas, Amicus) • Ear, Nose and Throat (Townsend House, Dartmouth) • Headache Clinic (St Thomas) • Carpal Tunnel (Amicus, Bideford) Other Additional Community Services • Microsuction (Chelston, Barton (Dawlish, Pembroke, Dartmouth) • Open Access Echo Cardiogram & Cardiology Diagnostic Services (Mayfield) • Medical Service for Homeless (Adelaide, Chilcote) • Musculoskeletal Health (Beacon Medical Practice) Additional information: The services are healthcare services falling within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but are instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77).