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FOI 2025/1434

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

  • Ear wax removal

1 = syringing

2= microsuction one ear

3= microsuction both ears

  • Shared care

1 = monitoring quarterly payment

2 = initiation – quarterly payments

3 = monitoring after practice initiation

  • Ring pessary – An item of service fee of £26.33 will be paid for recorded interventions when carried out within the practice and £52.65 when carried out during a home visit.
  • IUCD non-contraception – An item of service fee of £100.90 per patient will be paid which covers insertion, ongoing management and removal.  The removal may be of an existing IUD prior to a replacement or at a later date for an IUD inserted under a previous LCS within Tameside. An item of service fee of £33.67 per patient will be paid for the removal of an IUD that was inserted by secondary care or a practice outside of Tameside when no replacement is required.

 

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**

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