Non-Essential and Enhanced Services
Accepting inappropriate and un-resourced work that is being shifted from other providers risks undermining the quality of patient care in general practice.
Commissioners have a duty to make sure that the quality of patient care is not compromised by the unjustified shifting of services that are not appropriate to be delivered in the community. Accepting inappropriate work from elsewhere risks undermining the quality of care for patients. If practices do act to reduce this work, they must make every effort to ensure that measures are in place to ensure that patients are not placed at medical risk and that their treatment is not unacceptably delayed.
See attachment for examples of inappropriate work that are, in the opinion of DDLMC, outside GP essential services (as defined in GMS Contract and PMS agreements).