The 2025/26 GP contract includes expanded Enhanced Services (ES), offering new and updated funding opportunities for practices. This guide details the key Enhanced Services available, funding allocations, and what practices need to do next.
· £80m Advice & Guidance Enhanced Service
o Practices receive £20 per pre-referral request to specialists, aimed at reducing unnecessary hospital referrals.
· Weight Management Enhanced Service continues
o Practices receive £11.50 per referral for eligible patients.
· Updated Vaccination & Immunisation (V&I) Payments
o Childhood immunisation payments increase to £12.06 per dose.
Action Points:
· Identify eligible patients for Weight Management
· Implement pre-referral workflows to maximise Advice & Guidance payments.
· Ensure your vaccination and immunisation claims align with updated payments.
· Total funding for Enhanced Services increased
· More local flexibility, allowing ICBs to allocate additional ES funding based on regional needs.
Action Points:
· Review practice budgets to factor in new ES income streams.
· Work with ICBs and PCNs to optimise participation in Enhanced Services.
· Train practice teams on new Enhanced Service eligibility and claims procedures.
· Practices must meet eligibility criteria for each Enhanced Service.
· ICBs will monitor participation levels and impact of Enhanced Services on patient outcomes.
Action Points:
· Ensure your clinical system is configured to track Enhanced Service activity.
· Work with your PCN and ICB to align ES participation with wider NHS priorities.
· Monitor ICB guidance for any additional local Enhanced Service opportunities.
🗓 April 2025 – Enhanced Service changes come into effect.
🗓 Ongoing – Practices should monitor ICB announcements for local Enhanced Services.
Immediate Actions:
· Assess which Enhanced Services your practice is eligible for.
· Update practice workflows to ensure compliance with new ES requirements.
· Engage with ICBs and PCNs to explore funding opportunities.