Enhanced & Non-NHS Services


What is an Enhanced Service?

The new GMS / PMS Contract was introduced in April 2004. As part of the new Contract, GP Practices can opt to provide services over and above the essential/additional services normally provided to patients. These services are known as Enhanced Services and are delivered to a higher specified standard. By providing these services GPs help reduce the burden on secondary care (e.g. Hospitals) and expand the range of services to meet local need and improve convenience and choice for patients.

There are two types of enhanced service:

Directed Enhanced Service (DES) – NHS England must ensure that this service is provided for the population, e.g. child immunisation programme.

Local Enhanced Service (LES) – Locally developed services designed to meet local health needs.


Enhanced Services Provided by The Adam Practice

 Directed Enhanced Services

  • Alcohol Screening
  • Dementia
  • Extended Hours Access
  • Infectious Diseases (e.g. influenza, pneumococcal, shingles)
  • Learning Disabilities
  • Minor Surgery (e.g. Injections of muscles, tendons and joints / Incisions and Excisions)
  • Patient Participation
  • Unplanned Admissions

Local Enhanced Services

  • Clinical Commissioning
  • Complex Leg Ulcers
  • Diabetes
  • Health Checks
  • Hosting Local Services (by a Third Party)
  • Minor Surgery (e.g. Nail bed ablation, Nexplanon implant and removal)
  • Phlebotomy (blood tests)
  • Prostate Cancer Follow Up
  • Vasectomies


Non-NHS Services

The Adam Practice does not have private patients. However, some services fall outside the NHS and charges, in accordance with the British Medical Association, are made for these. Services include private medical certificates, signing applications and various medical examinations for sport, school, pre-employment, HGV licences, elderly drivers and some immunisations. 

The charges for these services are shown in reception and by following the link below, but please ask the receptionist if you require further details.

Download a list of charges for Non NHS Services

If a fee is required, payment can be made by Cash or Cheque at all of our surgeries. In addition, Hamworthy, Upton and Poole Surgeries now also offer the ability to pay via ‘chip and pin’ card reader.

Some medication (e.g. preventative drugs when travelling to areas where there is a risk of malaria) is only available on a private basis. You will be charged by the Chemist for this medication.


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