The 25/26 GP Advice and Guidance Enhanced Service Explained

• What is: A clear explanation of the improved service that compensates for practices for advice and prior orientation to reference

• Why does it matter: The rational behind this service and how it admits move attention closer to home

• Who can participate: Details about the choice and registration requirements of the practice

• When it enters into force: Key dates for implementation and registration

• How it works: The practical aspects of making and documenting the requests of A&G

• How much funds: Information on the payment of national payment and financing of £ 20 at request

• The opportunities: Benefits that this improved service contributes to practices and patients

• The challenges: Possible obstacles to consider in implementation

• Key questions: In the form of an interactive guide to help their practice to prepare for a successful implementation

Whether he is a Practice Manager, GP partner, wage gp or employee through the additional roles reimbursement scheme, this surface will help you understand what this improved service means for you and your practice.

This improved service supports the government’s commitment to bring patient attention to home through an association between consultant and GPS specialists. The NHS is aimed at increasing advice requests prior to the GP reference to four million in 2025/26 (compared to 2.4 million in 2023/24).

1. Compensate the GPS for the additional workload of the search for advice prior to the reference

2. He supports GP patients and equipment through a specialized guide

3. Make sure that references to secondary care are appropriate and high quality

All General Medical Services (GMS), Personal Medical Services (PMS) and medical service contracts for alternative suppliers (APMS) can participate.

Participation is optional, but practices must be registered through CQRs before May 27, 2025, unless otherwise agreed with the commissioner.

The practices registered will be eligible to claim the payment of A & G applications prior to the reference made since April 1, 2025.

Participating GP practices should:

• Develop protocols for the appropriate use of advice prior to the reference

• Make sure patients understand that A&G is being sought (not a secondary care event))

• Make requests led by GP to check a GP before the presentation

• Record all requests properly

• Follow the relevant orientation for requests for previous references

The advice prior to the reference may come from specialists in secondary care, community environments, primary care suppliers, interface services or references management systems. Integrated Care Boards (ICBS) will monitor the quality of GP requests and the planned specialized advice.

The practices will receive a £ 20 service rate at the request for advice and prior orientation to the reference. You can only make a claim for attention episode, regardless of or how many subsequent interactions occur for the same clinical problem.

The national financing envelope for 2025/26 is £ 80 million. To manage this budget, ICB can limit the amount of advice and guidance requests that can be claimed by practice. The practices will be notified of any CAPS and may continuously make requests above the limit, but will not collect the payment of those additional applications.

This improved service offers practices:

• Financial recognition for work that may already be happening

• Improvement of patient care through a faster specialized entry

• Improved clinical knowledge through specialized guidance

• Reduced unnecessary references

• Support to change the proper attention of hospitals to community environments

When participating, practices can contribute to more integrated care at the time that patients are guaranteed to receive care in the right place at the right time.

There are several challenges:

• Practices must develop effective protocols

• GPS must ensure that patients understand what advice and guidance for their care means

• There is additional administrative work in recording and claim

• Limits imposed with ICB can limit financial benefits for high volume practices

• Claims must be submitted within 12 days after the end of the month

For success, GP practices must establish efficient processes to identify appropriations, request advice, inform patients and claim payments, while maintaining high quality clinical interactions.

Below is a high level process as a starting point.

Click on each title to see the questions.

While the guide emphasizes that practices can claim for A&G as of April 1, it is worth thinking about how to be proactive:

Practices could consider identifying SNOMED TC codes relevant to advice and guidance activity. While exact codes may vary according to national or local orientation, early and consistent use will support future and retrospective claims.

This can also be helped by configuring templates, searches and a ‘reference record’. More coding guidance of the commissioners is expected soon.

Some LMC and practices are already in accordance with the protocols of the practice with suggested SNOMD codes. It is not yet clear if the claims will be submitted through national CQR (through the extraction of GPEs), local CQR or manually direct the commissioners, but the ICBs are working to provide practices with these finer details.

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Tom Edge -Pcn main and digital manager and transformation | North Shropshire Primary Care Network

The primary care of THC is a award -winning specialization of health consulting in the management of the Primary Care Network and the creator of the Podcast Business of Healthcare. With about 20 years in the industry, we have supported more than 200 PCN through interim management, training and consulting.

Our experience covers project management and business development in public and private sectors. Our work has been published in the London Journal of Primary Care, and we have written about 250 blogs that share ideas about primary care networks.