Public Health Services in Primary Care

Lot 1: Stop Smoking – GP The following service lot is available to General Practices GP’s are commissioned to provide stop smoking support to smokers living in Swindon. GP’s are reimbursed for each individual smoker that they support to quit. Payment is by activity for each smoker. Estimated budget for stop smoking service (GPs and Pharmacies) for 3 years and 9 months is £187,500 plus two potential 12 month extensions (£50,000 per annum), potential 5 years and 9 months is £287,500.

Lot 2: Stop Smoking – Pharmacy The following service lot is available for Pharmacies Pharmacies are commissioned to provide stop smoking support to smokers living in Swindon. Pharmacies are reimbursed for each individual smoker that they support to quit. Payment is by activity for each smoker. Estimated budget for stop smoking service (GPs and Pharmacies) for 3 years and 9 months is £187,500 plus two potential 12 month extensions (£50,000 per annum), potential 5 years and 9 months is £287,500.

Lot 3: NHS Healthchecks – GP The following service lot is available for General Practices Practices are commissioned to provide NHS Health Checks to eligible patients aged 40 -74 registered at their practice. GP’s are reimbursed at a fixed cost per NHS Health Check undertaken. This cost increases with the percentage of the eligible population screened. Payment is by activity for each patient registered with the practice. Estimated budget for the NHS Health Checks service (GPs and Pharmacies) for 3 years and 9 months is £412,500 plus two potential 12 month extensions (£110,000 per annum), potential 5 years and 9 months is £632,500.

Lot 4: NHS Health Checks – Pharmacy The following service lot is available for Pharmacies Pharmacies are commissioned to provide NHS Health Checks to eligible patients aged 40 -74. Pharmacies are reimbursed at a fixed cost per NHS Health Check undertaken. Payment is by activity for each patient. Estimated budget for the NHS Health Checks service (GPs and Pharmacies) for 3 years and 9 months is £412,500 plus two potential 12 month extensions (£110,000 per annum), potential 5 years and 9 months is £632,500.

Lot 5: Drug Services: Shared Care The following service lot is available for General Practices Practices are commissioned to deliver the joint participation of specialists and GP’s (and other agencies as appropriate) in the planned delivery of care for patients with drug misuse problems, informed by an enhanced exchange of information beyond routine referral and discharge letters. Estimated budget for 3 years and 9 months is £37,500 plus two potential 12 month extension periods (£10,000 per annum), potential 5 years and 9 months is £57,500.

Lot 6: Drug Services: Drug Services: Needle and Syringe Exchange The following service lot is available for Pharmacies Pharmacies are commissioned to protect heath and reduce the rate of blood-borne infections and drug related deaths among services users and protect the wider Swindon population by reducing the rate of sharing and other high-risk injecting behaviours. This is by providing sterile injecting equipment and other support as well as by promoting safer injecting practices. Estimated budget for the service for 3 years and 9 months is £225,000 plus two potential 12 month extension periods (£60,000 per annum), potential 5 years and 9 months is £345,000.

Lot 7: Drug Services: Supervised Consumption The following service lot is available for Pharmacies Pharmacies are commissioned to supervise the consumption of prescribed medicines to ensure that the dose has been administered to the patient. This is an enhancement to normal instalment dispensing. Examples of medicines which may have consumption supervised include methadone and other licensed medicines used for the management of opiate dependence. Estimated budget for the service for 3 years and 9 months is £225,000 plus two potential 12 month extension periods (£60,000 per annum), potential 5 years and 9 months is £345,000.

Lot 8: Long Acting Reversible Contraceptive (LARC) Services The following service lot is available for General Practices GPs are commissioned to provide specialist LARC contraceptive services to women living in Swindon. Practices are reimbursed in line with the national tariff for each contraceptive injection (Depo-Provera), the insertion and removal of contraceptive implants (Nexplanon), Intrauterine Devices (IUDs) and Intrauterine Systems (IUSs) prescribed for contraceptive use only. Payment is by activity for each patient registered by the practice. Estimated budget for service for 3 years and 9 months is £322,500 plus two potential 12 month extension periods (£86,000 per annum), potential 5 years and 9 months is £494,500.