| Reference | FOI 2025/1434 |
|---|---|
| Description | Details on Local Enhanced Services and Incentive Schemes 2025/26 across Greater Manchester ICB |
| Date Requested | 28/10/2025 |
| Date Replied | 05/11/2025 |
| Category | Primary Care & Strategic Commissioning |
I’m emailing to request the following information, please:
Details on Local Enhanced Services and Incentive Schemes 2025/26 across Greater Manchester ICB
Please provide information about any local enhanced services or locally commissioned incentive schemes in place for general practice for the 2025/26 financial year, specifically:
1. Details of schemes focused on long-term condition management and respiratory conditions
1a. Payment structures and rates for these services
1b. Eligibility criteria for practices
1c. Performance metrics or outcomes required
Ideally a PDF / Document of the local scheme would be warmly appreciated.
Details of Locally commissioned enhanced services and incentive schemes for 2025/26 across Greater Manchester are provided, the relevant details including, payment rates and structures, eligibility criteria and performance metrics and outcomes, as appropriate are included within these details.
Bolton locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
Bury locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
Heywood, Middleton & Rochdale locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
Manchester locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
The Manchester diabetes LCS relates to insulin initiation in GP Practices, with payment of £300per patient initiated.
Oldham locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
Salford locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
Stockport locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
Tameside locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
Detail of LCS activity tariffs:
| Service Detail | 1 | 2 | 3 |
| Insulin Initiative | 114.48 | – | – |
| Minor Injuries | – | – | |
| Ear Syringing | 17.17 | 39.28 | 56.12 |
| Completion of episode of surgical care | |||
| Shared care protocol | 14.30 | 28.62 | 14.30 |
| Dermatoscopes | 29.76 | – | – |
| Ring pessary | 26.33 | 52.65 | – |
| Hormonal implants | 22.62 | – | – |
| IUD for non-contraception | 100.90 | 33.67 | – |
The lines where there are multiple tariffs
1 = syringing
2= microsuction one ear
3= microsuction both ears
1 = monitoring quarterly payment
2 = initiation – quarterly payments
3 = monitoring after practice initiation
Trafford locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
Note: The Spirometry specification is currently under review.
| Scheme | 2025/26 tariff |
| Care Home/Nursing Home | £215 per pt/yr |
| Near Patient Testing | Level 1 = £11 per pt/yr
Level 3 = £107 per pt/yr |
| Spirometry | Spirometry= £52.18 / test
FeNO = £20 / test |
| Phelbotomy | £4.50 |
| Minor Surgery | £44 per injection (£22 if inappropriate referral)
£89 per procedure (£43 if inappropriate referral) |
| ECG / 24 hr BP | £4 / ECG
£2 / 24hrBP |
| Anti-coagulation | £11 per pt/yr |
| High Intensity Users | £0.80 per head of population |
| MSI | £0.80 per head of population |
| GM CVD specification | As per other GM localities |
| GM AMS specification | As per other GM localities |
| GM Shared Care of Medicines Forerunner | As per other GM localities |
| GM Elective QI | As per other GM localities |
Wigan Borough locality:
**PDF documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**
| Scheme | 2025/26 tariff |
| Ring Pessary Follow-up | £50/patient |
| Antigulation | Maintenance = £50 /patient/quarter
Domiciliary visit = £5 up to 2 visits /pt/quarter (max £10 claim) |
| PCN-Led Gynaecology Service | Triage of referral = £30/pt
1st GP appointment = £105/pt Follow-up GP appointment = £105/pt DNA = £105/pt |
| GM CVD specification | As per other GM localities |
| GM AMS specification | As per other GM localities |
| GM Shared Care of Medicines Forerunner | As per other GM localities |
| GM Elective QI | As per other GM localities |
**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**