Mword Issue 77 - STOP PRESS: Further update following this morning’s Mword

4 December 2020

• You have until 23.59, 7 December (Monday) to make an informed decision as to whether to sign this contract and agree to be bound by its terms.
• Once signed, this contract becomes an extension of your core GMS contract (as with all national ESs).
• Once signed, you cannot exit the contract without giving 42 days’ notice.
• Practices must consider signing this Enhanced Service on an individual basis. However, it must be delivered within a group of participating practices who together sign a Covid-19 Collaboration Agreement, which describes the way in which practices will work together to deliver services either at the Designated Site, or at care and residential homes.
• With joint agreement, this service might be partially or wholly subcontracted.
• The specification of this Enhanced Service cannot be altered locally, although it can be varied by NHSEI nationally. This may affect wastage, notice periods and payments to practices.
• Various accompanying documents remain unpublished or yet to be determined.
• CCGs can provide additional discretionary support.
• The Enhanced Service specification can be modified over time, and this is likely to relate to changes in vaccine characteristics and supplies, and manufacturers' data.

Dr Michelle Drage MBBS FRCGP
CEO, Londonwide LMCs