This page has details of the agreed DES changes for the General Medical Services (GMS) contract from 2008/09 to 2012/13.
Directed enhanced services 2012/13
In 2012/13 the Extended Hours DES will be extended by one year, in England, to 31 March 2013. The Patient Participation DES which was introduced in April 2011 for two years and will continue in 2012/13.
The following existing DESs are to be re-commissioned by PCTs, in England, for the twelve-month period ending on 31 March 2013:
- the alcohol reduction scheme, and
- the learning disabilities health check scheme.
The requirements for these clinical DESs remain the same and the payment scheme will mirror the payment scheme at the same rate that applied for the period 1 April 2011 to 31 March 2012.
The Osteoporosis DES will no longer be available from 1 April 2012 in England, Scotland and Northern Ireland. The GMS portion of the funding from the DES will be reinvested in the global sum with no corresponding increase to correction factor payments. Any money released through reductions in correction factor payments are reinvested back into the global sum.
Directed Enhanced Services 2011/12
In 2011/12 the Extended Hours DES was extended by one year, but with a reduction in the detailed requirements and cost. The Extended Hours monies was reinvested to fund a new Patient Participation DES to ensure patients are more involved in decisions affecting the services they receive. Three of the clinical DESs were rolled forward for a further year: the alcohol reduction scheme; the learning and disabilities health check scheme; and the osteoporosis diagnosis and prevention scheme.
Directed Enhanced Services 2010/11
In 2010/11 the Extended Hours Access DES and four clinical DESs were continued for a further year.
Directed Enhanced Services 2009/10
In 2009/10 the heart failure DES formed part of the Quality and Outcomes Framework. The four remaining clinical DESs and the Extended Opening Hours Access DES continued.
Directed Enhanced Services 2008/09
In 2008/09 five new clinical DESs and the Extended Opening Hours DES were introduced. Practice eligibility to receive one-off payments under the IM&T DES continued.
Legislation
The legislation underpinning these DESs is set out in the DES Directions and the Statement of Financial Entitlements Directions