Primary Care Contracting
Primary Care Contracting
The information contained in this section relates to Primary Care Contracting. This includes: contracts, specifications and claim forms for the Enhanced Services and Phlebotomy Contracts. If you cannot find what you need within these pages, please contact a member of the Primary Care Team for further help
Contacts
Primary Care Team
northantsicb.primarycareteam@nhs.net
northantsicb.esclaims@nhs.net
All relevant information about Northamptonshire's ICB Primary Care Contracting can be found on these pages. This includes contracts, specifications and claim forms. If you cannot find what you need within these pages, please contact a member of the Primary Care Team for further help.
Enhanced Services Specification
The contract variation for the Enhanced Services Contract 2024/2025 is included within the below documents and includes the revised net inflationary uplift announced on 20 September, described in the NHS Operational Planning and Contracting Guidance for 2024/25 is now 3.9% (this in line with Schedule 3 of the contract).
The updated Enhanced Services Specification is included within the contract variation document.
Enhanced Services Specification Contract Variation 2024-25 Final.pdf [pdf] 624KB
Phlebotomy
During 2021 a local review took place of all the Locally Commissioned Services Commissioned via Nene and Corby CCG. The Phlebotomy service was not included in this review due to its links to other services commissioned by other providers. During 2022/23 a review of all phlebotomy services took place. A copy of this contract and specification can be found on this page. The service specification and details of claiming can be found in the downloads on this page.
A variation has been issued for 2024-25 extending the contract and uplifting the price. A copy of the variation can be found on this page.
If you have any queries about this contract, please contact a member of the Primary Care Team.
NHS Standard Contract 22-23 - Phlebotomy [docx] 115KB
NHS England Information
Core GP Contracts are the responsibility of NHS England and NHS Improvement. These contracts and policy documents are shared with ICBs, but ICBs do not have control of the version they receive. Therefore, they cannot make any changes to the national documents. A website is available for General Practice which includes all contract and policy documentation. Additionally, the website has other information for example, information on the General Practice Forward View and Primary Care Networks. The link for this website can be found here https://www.england.nhs.uk/gp/.
GP Enhanced Access Service
GP Enhanced Access Service
General Practice Enhanced Access is PCN DES service that aims to improve patient access to primary care services. This can include extended opening hours, same day appointments, telephone or video consultation and other models of care delivery.
Their goals are:
- To give patients more convenient and timely access to healthcare services.
- Cut unnecessary emergency department visits
- Improve overall health outcomes.
Extended Hours
From 1 October 2022, PCNs will need to provide Enhanced Access hours:
Monday to Friday between 6.30pm and 8pm.
Saturdays between 9am and 5pm.
These are referred to in the Network Contract DES Specification as “Network Standard Hours”
Models in place in Northamptonshire
7 PCNs in Northampton to a single hub
5 PCNs that are using multiple sites across their own PCN
4 PCNs sharing a common hub with some sub sites across the 4 PCNs.
Some subcontracting of entire service with some sub-contracting parts. Some subcontracting parts to remote providers.
Downloads – Reporting Template [xlsx] 12KB
Links — Contract specification 2024/25 – PCN requirements and entitlements 26 September 2024
Information Governance
Information Governance
Please find below links to Information Governance guidance that practices may find useful:
- The Information Commissioner’s Office gives guidance in relation to all elements of UK General Data Protection Regulation (UK GDPR) inclusive of specific sections for organisations and the public
Guide to the UK General Data Protection Regulation (UK GDPR) | ICO
- Legislation UK provides the full text of the Data Protection Act 2018
Data Protection Act 2018 (legislation.gov.uk)
- All organisations that have access to NHS patient data and systems must use the Data Security and Protection toolkit to provide assurance that they are practising good data security and that personal information is handled correctly. This is a condition (GC21) of the Standard NHS Contract.
Data Security and Protection Toolkit (dsptoolkit.nhs.uk)
DNACPR
DNACPR
All Northamptonshire DNACPR Policy
The All Northamptonshire DNACPR Policy was fully ratified in May 2019 by: NGH, KGH, NHFT, NHS Nene & Corby CCGs, Last Years of Life Board and the LMC.
After discussions with NGH, KGH and NHFT it was agreed senior nurses (that have been trained and are competent) can have delegated authority. This allows senior nurses to make decisions, endorse and document the decision regarding DNACPR. The All Northamptonshire DNACPR Policy has been amended to reflect this decision. The amendment is clearly stated in appendix 4 of the policy.
Northants DNACPR Policy 2020 v 1.3[pdf] 672KB
All Northamptonshire DNACPR Form
Audits on the completion of the DNACPR form, showed poor compliance with the documentation of the decision-making process of a person who is
deemed to lack capacity to participate in the discussion of DNACPR.
The All Northamptonshire DNACPR form has been amended to include ‘a legal requirement’ within the Capacity section of the form. This is to highlight that this section of the form is a legal requirement and must be fully filled in.
Northants Do Not Attempt Cardiopulmonary Resuscitation DNACPR Form 2020 FINAL[pdf] 291KB
Same Day Emergency Care
Same Day Emergency Care Page
Services available through Consultant Connect
All specialties are available from 9am-5pm unless otherwise stated.
NGH Specialty
- SDEC Navigation Line
- Ambulatory Care (Mon - Fri; 8am - 6pm)
- Cardiology
- Elderly Care (Mon - Fri; 1pm - 5pm)
- Gastroenterology
- General Surgery
- Gynaecology
- Obstetrics
- Paediatrics
- Respiratory Medicine
- Photo A&G for Teledermatology (Using the Consultant Connect App Only)
Access to NGH Hot Clinics
General Surgery: GPs to ring NGH switchboard (01604 634700) for the On-Call Registrar to be seen via Ambulatory Care
Vascular Surgery: GPs to ring NGH switchboard (01604 634700) for the On-Call Vascular Consultant
Paediatrics
- GPs to Contact Paediatric Assessment Unit (PAU) via Consultant Connect
- GPs can access Hot clinic/Jaundice clinic via Childrensoutpatients.ngh@nhs.net
- A&E Advice Line (Mon - Fri; 8am - 6pm, Sat - Sun; 8am - 5pm)
- Chest Pain Assessment (24/7)
- Gastroenterology
- Gynaecology
- Medical SDEC - Ambulatory Care (Mon - Sun; 8am - 10pm)
- Paediatrics
- Respiratory Medicine
- Surgical SDEC - General Surgery (Mon - Sun; 8am - 9pm)
- Photo A&G for Teledermatology (Using the Consultant Connect App Only)
Campaign Resources
Campaign Recources
We have set up this section to share assets from local and national campaigns that have significance for registered patients as well as resources that support the PCARP programme.
This section is in development and will be continually added to as more resources become available so please do check back frequently
Signposting to alternative services
This section contains assets to support messages with patients to sign-post them to alternative services.
Supporting patients
This section contains assets to campaigns that support registered patients.
Seasonal advice
This section contains assets and resources that offer seasonal advice.
Reducing bureaucracy
This section contains assets and resources that support practice teams to have more time to focus on their patients’ clinical needs.
Capacity
This section contains assets and resources that support practices to build capacity so they can offer more appointments from more staff.
Modern General Practice
This section contains assets and resources to support practices with messages to patients about where best to go for clinical support
- Blood pressure checks
- General practice team
- Oral contraception
- Pharmacy extended access
- Pharmacy first
Empowering patients
This section contains assets and resources that aim to empower patients by rolling out tools they can use to manage their own health.
- GP registration
- Letting patients know about online record access to GP records
- NHS app
- Online consultations
- Promoting online access through the NHS App
- Training