CONTRACT SERVICES

NEW GMS (GP) CONTRACT

As of 1 April 2004, primary medical services are now divided into Essential, Additional and Enhanced Services, and General Practices contract with their local NHS Board to provide certain categories of service. The contract held between each general practice and its local NHS Board provides comprehensive information on the services provided by a practice. Detailed information about this is set out in the UK document ‘Investing in General Practice: the new GMS contract 2003’, which is jointly published by the BMA and the NHS Confederation. You’ll find more information relating specifically to Scotland in the Scottish Annex to the new GMS contract. Both documents are available on the BMA website and the Scottish Executive Health Department’s Pay Modernisation website.

Gilbert Road Medical Group provides the following services:

Essential Services which cover:

a) The management of patients who are ill or believe themselves to be ill, with conditions from which recovery is generally expected, for the duration of that condition, including relevant health promotion advice and referral as appropriate, reflecting patient choice wherever practicable.
b) The general management of patients who are terminally ill.
c) The management of chronic disease in the manner determined by the practice, in discussion with the patient.

Additional Services which cover:

a) Cervical screening
b) Contraceptive services
c) Vaccinations and immunisations
d) Child health surveillance
e) Maternity services – excluding intra partum care
f) The minor surgery procedures of curettage, cautery, cryocautery of warts and other skin lesions.

Enhanced Services which cover essential or additional services delivered to a higher specified standard:

a) Extended minor surgery
b) IUD Insertion and removal
c) Contraceptive implants
d) Monitoring of certain disease-modifying drugs
e) Anti-coagulant monitoring
f) Flu immunisations
g) Drug Misuse
h) Childhood vaccinations and immunisations
i) MMR
j) Poultry workers
k) Pneumoccocal vaccinations
l) Influenza vaccinations
m) Care homes
n) Cardio-vascular disease
o) Access
p) Cancer referrals
q) Adults with learning disability
r) Carers
s) Minor injury