Network Contract DES

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Network Contract DES

The Network Contract Directed Enhanced Services (DES) forms part of a long-term, larger package of contract reform as set out in Investment and Evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan. This document also sets out the key features of the Network Contract DES.

The Network Contract DES was introduced during 2019 and will remain in place until at least 31 March 2024. For 2022/23, the Network Contract DES Directions come into force on 1 April 2022 and, following participation in the DES, the requirements on practices and primary care networks (PCNs), as outlined in the Network Contract DES, will apply from that date.  

Cancer update, October 2022

Following the publication of new guidance on Monday 26 September 2022, changes have been made to the 2022-23 Network Contract Directed Enhance Service (DES) and Impact and Investment Fund (IIF).

The changes recognise the need to support the NHS during this period of sustained significant pressure, as well as the fundamental importance of primary care in underpinning NHS services.

A variation has been issued for the CAN-01 indicator that should increase achievability. Previously, the threshold was seven days pre-referral, but it has now been updated to reflect the practicalities of referring patients on a two-week wait (2WW) pathway.

The indicator now reads as follows: “The percentage of lower gastrointestinal 2WW (fast track) cancer referrals accompanied by a faecal immunochemical test result, with the result recorded either in the twenty-one days leading up to the referral, or in the fourteen days after the referral”.