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 ?
"Finally, a Local Enhanced Service was set up in 2014 which enabled Primary Care to support the clinical review process of the longest waiting patients.".
Firearms instructor Steve Denney is an ex-cop who tends to win local Enhanced Service Revolver matches with his favorite competition gun, the S&W Model 625 .45 revolver.
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.
examples of areas that could be considered by the alliance for future delivery include further a & e activity, gp streamer, and primary care local enhanced service for extended access.
NHS Oxfordshire initially commissioned a local enhanced service for repeat pressures following the April 2009 publication of the NICE guidelines.
The local enhanced service is being adopted in other parts of Wales.
Any successful bid for funding for a local enhanced service will need to demonstrate specifics on how it delivers the above criteria.
this value does not include payment for enhanced services such as extended hours and local enhanced services.
There is an abundance of opportunities post-qualification, whether it begins with becoming more involved in local enhanced services, such as the Minor Eye Conditions Service qualification, or completing courses to further clinical skills.
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.
Developments that will now go forward include pounds 1.2m to improve access to hospital services and pounds 1.1m to provide a range of local enhanced services such as minor surgery, childhood immunisations, GPs with special interests, pain management, heart disease and more.
Local enhanced services will be available to the successful provider in line with other Doncaster GP Practices.

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