FOI 2025/1377

Under the Freedom of Information Act 2000, I would like to request the following information relating to GP practices in the Greater Manchester area (all places such as Bolton, Bury, Manchester, Oldham, Rochdale, Salford, Stockport, Tameside & Glossop, Trafford, Wigan):
1. Copies of the current and previous (from 1 April 2024) service specifications, payment schedules, claim forms, templates, and annexes for schemes/LCS/LES/shared-care arrangements covering:
a. Injectable ADT administration (e.g. goserelin, leuprorelin, triptorelin, degarelix) carried out in primary care;
b. PSA monitoring and/or stable prostate cancer follow-up delivered in primary care.
2. For each scheme by place and by financial year (2024/25 and 2025/26), the tariffs and units of payment, such as:
o £ per ADT injection administered;
o £ per PSA blood test;
o £ per clinical review/episode;
o £ per patient per quarter or per year;
o Any setup, retainer, or annual fees;
o Clarification whether drug costs are reimbursed separately (for example via FP34D or equivalent) or are included in the tariffs.
3. Any coding or template requirements (EMIS/SNOMED etc.) which are conditions for payment in these schemes.
4. Details of any changes to rates since 1 April 2024, with effective dates.
5. Data for 2024/25 showing activity and spend (by place if available), including:
o Number of ADT injections paid;
o Number of PSA tests paid;
o Number of clinical reviews paid;
o Total amount (£) paid to GP practices under each relevant scheme.
If available, please supply the data in Excel or CSV format. If some information is publicly available elsewhere, I would be grateful if you could send me links and the specific pages/sections.

1. **Documents were sent to the requester with this response.  If you require a copy of the full response, together with the documents, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**

2. Please refer to the specifications provided in response to question 1 and the spreadsheet provided in the response to questions 4 & 5.
3. There are no coding or template requirements (EMIS/SNOMED etc.) which are conditions for payment in these schemes. However, in previous years quarterly data was submitted for practices across 7 out of 10 of the GM localities to the GM Cancer Alliance, to enable monitoring the Prostate element of the Early Cancer Diagnosis PCN DES.  This was also to support practices with the Prostate Van scheme to enable them to invite the correct cohort of patients.  The coding specification applicable to these previous searches is provided below along with a link to the National Disease Registration Service (NDRS) website and SNOMED codes for primary diagnoses.

**A word document was sent to the requester with this response.  If you require a copy of the full response, together with the document, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**

Appendix A: SNOMED codes for primary diagnoses – NDRS

Questions 4 & 5.

**An excel sheet was sent to the requester with this response.  If you require a copy of the full response, together with the excel sheet, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**