Enhanced Services are primary care services which are not covered by GP practice core NHS contracts.

As with any services, Clinical Commissioning Groups are expected to always follow procurement guidelines when commissioning enhanced services and ensure that commissioning decisions are made on the basis of quality and value for money and, where possible, support patients in making choices.

Links to the Berkshire West Community and Directed Services are available below:

Berkshire West Community Enhanced Services

Across the four West Berkshire CCGs there are 13 Community Enhanced Services commissioned from general practice the 2016-2017 financial year.

They are listed below for reference:


A shared care protocol for managing patients with a confirmed diagnosis of ADHD.

Anticipatory Care

Providing additional care planning to those patients most at risk of hospital admission.


A shared care protocol with Consultant Rheumatologists, providing treatment in primary care setting.

DMARD Near Patient Testing

A shared care protocol for the DMARD drugs used for control of rheumatoid arthritis.

End of Life

Providing an enhanced level of care to patients at the end of their life and supporting patients who wish to die at home.

Enhanced Access

Provision of additional primary care appointments outside of core hours. Insulin Conversion Provision of insulin conversion services to appropriate registered diabetic patients.

LHRH (Zoladex)

Providing prostate cancer patients with treatment in primary care setting.

Neo-Natal Checks for Home Births

GP to undertake the new born check following birth, with the aim of supporting mothers who have home births.


Provision of phlebotomy services (blood tests) within primary care. Pre-Diabetes Supporting the diagnosis and management of patients with pre-diabetes.


Supporting practices in providing a wide range of services and ensuring consistent provision of high quality care.

Rheumatology (Patients monitored on DAWN)

Patients in remission to be regularly monitored and managed in primary care. DAWN is the RBFT electronic patient monitoring system.

Berkshire West Directed Enhanced Services

As part of the move to fully delegated responsibility for the commissioning of GP services, Berkshire West CCGs are currently in the process of taking over the administration of the DESs from NHS England. These are schemes that CCGs are required to establish or to offer contract holders the opportunity to provide, these are linked to national priorities and agreements.The national DESs available to practices are:

  • Avoiding Unplanned Admissions
  • Extended Hours Access Scheme
  • Learning Disability Health Checks
  • Minor Surgery
  • Out Of Area, in hours access to urgent primary medical care