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Extended hours enhanced service requirements 2016/17

A summary of what is involved in the extended hours access ES for England.

Practice opening hours must be in line with patient preference (Picture: SPL)
Practice opening hours must be in line with patient preference (Picture: SPL)

This ES has not changed from 2016/17.

Purpose

For practices to provide appointments at times outside of core contracted hours to allow patients to attend appointments at a time when it is more convenient for them.

Applies

For a year from 1 April 2016. Practices must agree their extended hours arrangements with commissioners and begin providing this service by 1 July 2016.

Payment

£1.90 per patient. Paid in quarterly instalments on the last day of the quarter until 31 March 2017.

Requirements for 2016/17

  • Clinical sessions are provided outside of core contracted hours (8am-6.30pm for GMS practices and the hours set out in PMS contracts).
  • Opening hours must be in line with patient preferences either established through the GP patients survey, patient participation groups, the Friends and Family Test or other feedback.
  • The amount of extended access is the same as for this ES last year - 30 minutes per 1,000 registered patient using the following formula: additional minutes = a practice's CRP/1,000 x 30
  • Routine appointments must be provided in continuous periods of at least 30 minutes and in line with patient preferences, this can include face-to-face, telephone consultations, using other technology or a mix.
  • Extended hours access must be provided on a regular basis in full each week.
  • When a practice provides out-of-hours services it must not limit access to any of these clinical sessions to patients it would have been obliged to see under out of hours arrangements.
  • Practices can deliver the ES for their own practice or it can be offered as a group of practices.
  • NHS England will not pay PMS or APMS practices under this ES for any period of extended hours currently covered by the core hours in their contract.
  • The practice must cooperate with NHS England in reviewing its arrangements to ensure additional hours meet the needs of patients.
  • There should be arrangements for how NHS England will monitor performance and delivery of this service.
  • The practice should make patients aware of the availability of extended access.
  • Special clinics cannot be counted as extended access.
  • Practices should not use extended access sessions to deliver non-NHS work.

Further information

You can view the full guidance on this enhanced service here. This links to 2015/16 guidance, which is referred to in this year's contract documentation. Information related to coding also refers to the 2015/16 guidance.

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