This toolkit has been produced by a group of ambulance providers and primary care trust commissioners together with the Department of Health to offer practical analysis, worksheets and tools to help all commissioners and providers improve urgent and emergency care services through better understanding of the factors affecting significant rises in 999 demand.
Published October 2009, 59 pages
Enhanced services are services not provided through essential or additional services, or essential and additional services delivered to a higher specified standard. They were negotiated into the GMS contract as a key tool to help PCTs reduce demand on secondary care. Their main purposes are to expand the range of local services to meet local need, improve convenience and choice, and ensure value for money. They were designed to provide a major opportunity to expand and develop primary care, and give practices greater flexibility and the ability to control their workload.
(Updated August 2007)
The Primary Medical Services (Directed Enhanced Services) (England) Directions 2007
(Updated August 2007)
Health Management Specialist Library: Demand Management, referral from primary to secondary care
NHS Costing Manual: 2006-07
The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care
Focus On Commissioning - End of Life Care: A Commissioning Perspective
Estimating health and productivity gains in England from selected interventions
Dental Commissioning and Contract Monitoring - General Commissioning
Practice Based Commissioning (PBC) Bulletin 5 – Pharmacy and PBC
Commissioning News
The NLH Health Management Specialist Library have produced this page to support demand management. The NHS Operating Framework 2006/7 includes an expectation for PCTs to have plans in place for the management of demand in three key areas: practice-based commissioning, provisions in contracts and monitoring arrangements.
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