аЯрЁБс>ўџ ;=ўџџџ:џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС @ јПЌbjbjqфqф 8 ŽŽЌ џџџџџџˆ       . 6 6 6 6 R . Њ‚r ˆ ˆ ˆ ˆ ˆ vў $")++++++$,R~КO 6ˆ ˆ 66O  ˆ ˆ d№№№6R ˆ  ˆ )№6)№№V‰@  Mˆ f €Ч?ЗШ6 ˆ:Щ )z0Њеx8 Т8 M. .     8  Mм66№66666OO. . Фђ Dк. . ђ Appendix 1 NEGOTIATORS’ REPORT Interim Guidance on Extended Opening Hours DES -– Department of Health Interim Guidance The Department of Health has issued interim guidance on Extended Access arrangements which is intended to help PCTs implement arrangements for practices to extend their opening hours, and arrangements for monitoring progress. The Statement of Financial Entitlement (SFE) is in the process of being drafted and will be finalised in a series of lawyer-to-lawyer meetings. Until then, we do not expect any further guidance on the DES to be issued by the GPC or DH. The guidance can be found at the following link -  HYPERLINK "http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_084333" www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_084333 GPs should be doing one of the following: a LES (which can begin immediately as a LES is not dependent on DES directions); waiting to see what the DES looks like (it is not know when it will be available); or not offering extended hours at all if they do not wish to. Delays in changes to the SFE are not unprecedented and should not be of concern to those who require a flexible LES, as we have details of what the DES will include. Aspiration Payments The statement below was sent to PCTs by the Department of Health. This is to clarify that aspiration payments will automatically be amended by QMAS once the revised SFE has been finalised and that PCTs should not increase these payments manually. This means that practices will have to wait until this point to receive their full aspiration payments due. We appreciate this is frustrating for practices and will do all we can to ensure the SFE is signed off as soon as possible. "The negotiated agreement is that aspiration payments should be increased to 70% to deal with cash-flow issues arising from the extension to the deadline for achievement payments until the end of June. However the increased aspiration payments are not legally due unless and until the Statement of Financial Entitlements has been amended accordingly. When the SFE is amended QMAS will increase aspiration payments to 70% and will calculate arrears of aspiration payments for the period of the 08/09 financial year prior to the new SFE coming into force. PCTs should not make any local payments to bring aspiration payments up to 70% as there will be a one-off national catch-up which cannot take account of such payments." Patient Experience Survey The results of this year’s survey will be published on 16 July although the payment data will be sent to PCTs on 22 May. The full data set will only be released to ministers and GPC 24 hours before publication to prevent any leaks. Attempts were made to get the data out earlier as GPs will want to understand why they have been given a particular amount, but this has not been possible. 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