Enhanced Services - information for practices
Updated: 7 days ago
Enhanced services vary across Wales, and there is no single resource describing them. Morgannwg LMC has created a summary spreadsheet (in both excel and pdf format) describing the services available in every healthboard in Wales. The information was obtained by making freedom of information requests to each healthboard and also to Welsh government. All information in the spreadsheet comes directly from these public sources.
Please use it to support your business planning and negotiations.
This project was made possible through a generous grant from GPDF. If you have any questions or suggestions please contact Morgannwg LMC.
Excel:
PDF:
Source Information (ZIP file):
Budgeting and forecasting
To help practices to calculate costs incurred in providing supplementary services, Gwent LMC have developed a useful calculator which has been included below. It is necessary to factor in human resource expenses (salary, oncosts and mandatory training) , building expenses (including insurance) and materials and fixed costs. This means including proportionally the number of clinical and admin staff involved and all the running costs such as fridges, beds, lights in minor surgery room, extra cleaning etc.
Enhanced Service Financial Calculator - Thanks to North Wales LMC
North Wales LMC have developed a calculator to aid business decisions about the viability of enhanced services for practices. It will allow additional costs such as pension, NI contributions etc to be automatically included. Just input hourly staff rates and time spent by differing members of the practice team to get an overall estimate of practice costs to complete an activity.
The calculator is an indicative aid only. Practices must check the information, assumptions, specifications and payment arrangements for themselves and use it at their own discretion and risk. It is not intended to replace practice-specific professional advice or determine whether a service should be undertaken.
Please feel free to share it with relevant colleagues or practices if you consider it useful.
How To guide here:
Calculator here:
Recent Uplift from SBUHB
Please note that MLMC were unable to reach a mutually agreeable position regarding an uplift with SBUHB. SBUHB felt that their offer of a 5% uplift was reasonable considering their financial position, but MLMC did not feel that they could endorse the offer based upon the information contained in the comparative spreadsheet.
If practices would like a further discussion about supplementary services please do not hesitate to get in touch with MLMC.
The letter from SBUHB can be downloaded below for reference:


