04 / 04 / 2011
It is a two-year DES which is effective from 1 April 2011 until 31 March 2013. The DES applies to England only.
This document provides primary care trusts (PCTs) and practices with information to support implementation of the patient participation directed enhanced Service (DES). It is a two-year DES which is effective from 1 April 2011 until 31 March 2013. The DES applies to England only.
This guidance should be read in conjunction with the Primary Medical Services (Directed Enhanced Services) (England) Directions 2011 (the DES Directions) and the Statement of Financial Entitlements (SFE).
Indicators relating to access are no longer included in the Quality and Outcomes Framework (QOF). However, it is expected that the quality of access currently provided by the practice in respect of obtaining an appointment within two working days and the ability to book ahead should be maintained unless there is clear evidence to support a change.