The extended hours access DES will continue unchanged until 30 September 2017.
New conditions will be introduced from 1 October 2017 which will mean that practices who regularly close for a half day, on a weekly basis, will not ordinarily qualify for the DES. This article will be updated to reflect any further details on what happens from 1 October when they become available.
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.
For a year from 1 April 2017. Practices must agree their extended hours arrangements with commissioners and begin providing this service by 1 July 2017.
£1.90 per patient. Paid in quarterly instalments on the last day of the quarter until 31 March 2018.
Requirements for 2017/18
- 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.
You can view the full guidance on this enhanced service here. This links to 2015/16 guidance, the last time full details for this enhanced service was published, it has rolled over unchanged each year since then.