local enhanced service
local enhanced serviceAn 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
• Insulin initiation