GP enhanced services contracts

• The five suppliers that won the most GP enhanced services contracts took 3% of them (15 of 584).
• The median contract, £63k, is 40% below the median across healthcare contracts (£106k).
• Yorkshire and The Humber had the most contracts: 209, or 36% of the total.

1. 1NHS South Yorkshire Integrated Care Board207 contracts—
2. 2Betsi Cadwaladr University Health Board122 contracts£977k
3. 3NHS Coventry and Warwickshire Integrated Care Board118 contracts£17.8m
4. 4NHS Lincolnshire Integrated Care Board106 contracts£9.6m
5. 5NHS North East and North Cumbria Integrated Care Board6 contracts£816k
6. 6NHS Essex Integrated Care Board3 contracts£20k
7. 7NHS North West London ICB2 contracts£16.0m
8. 8NHS Nottingham and Nottinghamshire Integrated Care Board2 contracts£15.8m
9. 9NHS South East London Integrated Care Board2 contracts£1.0m
10. 10NHS Mid and South Essex Integrated Care Board1 contract£6.0m

1. 1Llanfairfechan Group Practice4 contracts£30k
2. 2Richmond Medical Centre3 contracts£125k
3. 3Barnsley Road Surgery3 contracts—
4. 4Oughtibridge Surgery3 contracts—
5. 5Nottingham and Nottinghamshire GP Practices2 contracts£15.8m
6. 6GP Primary Choice2 contracts£6.2m
7. 7Bourne Galletly Medical Practice2 contracts£332k
8. 8Central Surgery2 contracts£290k
9. 9Heart of Lincoln Medical Group2 contracts£279k
10. 10Horncastle Medical Group2 contracts£252k

Latest

• Primary Care Enhanced Services (official notice, opens in a new tab)

  £127k

  NHS Lincolnshire Integrated Care Board to Horncastle Medical Group · Awarded 2 October 2026

• Edoxaban Review Service W91615 (official notice, opens in a new tab)

  Value not published

  Betsi Cadwaladr University Health Board to supplier not published · Awarded 1 October 2026

• Edoxaban Review Service W91044 (official notice, opens in a new tab)

  £1k

  Betsi Cadwaladr University Health Board to supplier not published · Awarded 22 September 2026

• South Hambleton and Ryedale Emergency / Urgent Care Practitioner Service (official notice, opens in a new tab)

  £1.5m

  NHS Humber and North Yorkshire Integrated Care Board to South Hambleton and Ryedale Primary Care Network Limited · Awarded 18 September 2026

• North West London Primary Care Enhanced Community Services (official notice, opens in a new tab)

  £16.0m

  NHS North West London ICB to West London Mental Health · Awarded 17 September 2026

• Edoxaban Review Service W91019 (official notice, opens in a new tab)

  £2k

  Betsi Cadwaladr University Health Board to supplier not published · Awarded 17 September 2026

• Edoxaban Review Service W91032 (official notice, opens in a new tab)

  £2k

  Betsi Cadwaladr University Health Board to supplier not published · Awarded 24 August 2026

• Denosumab Therapy Outpatients (Short-term agreement) and provision of Shared Care Documentation to Primary Care (official notice, opens in a new tab)

  £20k

  NHS Essex Integrated Care Board to Cora Health · Awarded 18 August 2026

• Edoxaban Review Service W91624 (official notice, opens in a new tab)

  £2k

  Betsi Cadwaladr University Health Board to supplier not published · Awarded 11 August 2026

• Edoxaban Review Service W91021 (official notice, opens in a new tab)

  £9k

  Betsi Cadwaladr University Health Board to supplier not published · Awarded 11 August 2026

Largest

• Primary Medical Services Local Enhanced Services (official notice, opens in a new tab)

  £15.5m

  NHS Nottingham and Nottinghamshire Integrated Care Board to Nottingham and Nottinghamshire GP Practices · Awarded 9 February 2026

• Primary Enhanced Service (PES) (official notice, opens in a new tab)

  £6.0m

  NHS Mid and South Essex Integrated Care Board to GP Primary Choice · Awarded 20 January 2026

• Provision of Primary Care Networks (PCN) Neighbourhood Surge Hubs for NHS Herefordshire and Worcestershire Integrated Care Board (ICB) (official notice, opens in a new tab)

  £2.3m

  NHS Herefordshire and Worcestershire Integrated Care Board to supplier not published · Awarded 4 March 2026

• Denosumab Services Bromley SEL (official notice, opens in a new tab)

  £975k

  NHS South East London Integrated Care Board to Bromley GP Alliance · Awarded 5 December 2025

• Primary Care Enhanced Services - Trinity Court Surgery (official notice, opens in a new tab)

  £442k

  NHS Coventry and Warwickshire Integrated Care Board to Trinity Court Surgery · Awarded 1 April 2026

Additional clinical services that ICBs and health boards commission from GP practices, primary care networks and community providers on top of the core contract, such as phlebotomy, treatment room care, DVT assessment, anticoagulation and shared-care drug monitoring with near-patient testing, ECG and spirometry.

• Local enhanced services (LES) and locally commissioned services (LCS) contracts
• Phlebotomy, treatment room, leg ulcer and wound care in practice
• DOAC, warfarin and specialised drug monitoring and shared care prescribing
• DVT assessment, ECG, spirometry and FeNO
• Hormone injections and ring pessaries
• Physical health checks for people with severe mental illness
• PCN enhanced clinical programmes
• DVT assessment and management with D-dimer testing
• Non-complex INR anticoagulation monitoring
• PSA monitoring in primary care

• Core GP practice contracts (hlt.primary.gp-practice-contracts)
• Community pharmacy local services (hlt.primary.community-pharmacy-services)
• Standalone population wound care or continence services (hlt.comm.community-specialist-nursing)
• GPwSI and Tier 2 community clinics (hlt.comm.community-specialist-clinics)
• Council public health services delivered in practices (hlt.comm.nhs-health-checks-healthy-lifestyle, hlt.comm.sexual-health-services, hlt.comm.drug-alcohol-treatment)
• Flu and other vaccination programmes (hlt.comm.immunisation-services)
• Standalone community and domiciliary phlebotomy (hlt.diag.community-phlebotomy)
• Echocardiography and Holter services by physiologists (hlt.diag.physiological-measurement)
• GP cover for care homes (hlt.primary.care-home-and-inpatient-gp-cover)

• Minor ailments scheme
• NHS dental services
• Orthodontic services
• Community eye care

• End of life care
• Community elective services