local enhanced service

local enhanced service

An enhanced service which all Local Health Boards should commission or provide to a local population of patients in the UK but which is not mandatory. Because Enhanced services are non-core general medical services (GMS), the GPs in a particular area are paid by the local primary care trust (PCT) for providing LESs over and above their salaries as GPs. Key features of Enhanced Services:
(1) Essential, additional or out-of-hours services delivered to a higher specified standard.
(2) Services not provided through essential or additional services, which include more specialised services provided by health professionals, services at the primary/secondary care interface or services meeting specific local health needs.

Local enhanced service examples
• Neonatal (24–72 hour) baby checks
• Advanced surgical work.
• Alcohol-Related Risk Reduction Scheme
• Audiology screening
• 24-hour blood pressure monitoring
• Cardiac event monitoring
• Chlamydia screening
• Complex leg ulcer management
• HPV vaccination
• INR (for anticoagulants)
• Investigations at hospital request
• IUCD contraceptive implant fitting or removal
• Minor surgery (e.g., removal of skin lesions normally referred to hospital, BCC and skin grafting, emergency suturing and trauma care, removal of sutures, planned care of secondary care wounds).
• NHS health check (cardiovascular disease risk)
• Non urgent patient transport
• Phlebotomy service
• Pre-op assessments
• Release of carpel tunnel syndrome
• Sigmoidoscopy service
• Specialised care of residential home patients
• Specialised care of nursing home patients
• Specialised care of patients with learning difficulties
• Therapeutics (e.g. Zoladex, Ritalin, managing anti-psychotics)
• Travel health clinic
• Vasectomy
• Insulin initiation
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References in periodicals archive ?
NHS Oxfordshire initially commissioned a local enhanced service for repeat pressures following the April 2009 publication of the NICE guidelines.
The Local Enhanced Service interim arrangement will end on September 30, and NHS Kirklees has written to GPs inviting them to join the Directed Enhanced Service (DES) Extended Hours Access Scheme which will start on October 1.
Any successful bid for funding for a local enhanced service will need to demonstrate specifics on how it delivers the above criteria.
Local enhanced services will be available to the successful provider in line with other Doncaster GP Practices.
The work to develop local enhanced services for cardiology is a key part of the 1,000 Lives campaign, which aims to improve patient safety and the quality of care across Welsh healthcare.
1m to provide a range of local enhanced services such as minor surgery, childhood immunisations, GPs with special interests, pain management, heart disease and more.
Generally it is independent practitioners who are building local enhanced services and engaging with the rest of the NHS.
OPTOMETRISTS WHO want to participate in newly launched or existing local enhanced services for cataract referral refinement/ post-operative follow-up can refresh their clinical knowledge with a new training module.
Katrina Venerus has played an important role in helping numerous LOCs with the development of local enhanced services in the past two years and she will use her experience in working with commissioners to assist her in her new role.
In preparation for this Optometry Wales has sought to establish good working relationships with the newly created health boards, sharing with their senior management teams how optometry can make savings to their budgets and improve services for the patient by investing in Local Enhanced Services.
The improved convergence between the revised levels 2 & 3 of QiO and Standards for Better Health should prove invaluable to those many PCTs who are increasingly seeking to link the award of contracts for local enhanced services to specific, standardised and reliable clinical governance achievements made by their optical contractors.

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