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At the heart of general practice since 1960

National enhanced services pay rates

 · Access ­ £8,750 per average practice (including £3,750 quality pay) except Scotland: total allocation £12m plus £7.6m over next three years

 · Childhood immunisations ­ average £2,655 for 70% uptake, £7,965 for 90%

 · Flu immunisation ­ new fee of £6.80 for at-risk under-65s in England and Scotland; all other rates unchanged

 · Quality information preparation ­ £1,000-£5,000 per average practice

 · Violent patients ­ annual retainer £2,000 plus £2,500 per year infrastructure payment and £40-£80 per in-hours consultation/£50-£100 per out-of-hours consultation

 · Minor surgery ­ £150-£350 per session

 · Alcohol misuse ­ annual retainer £1,000 plus £200 annual payment per patient

 · Anticoagulant monitoring ­ £6 to £120 per patient sample/visit depending on service level

 · IUCD fitting ­ £75 per insertion plus £20 per patient

 · Specialised depression care ­ annual retainer £1,000 plus annual payment £80-£100 per patient

 · Drug misuse ­ annual retainer £1,000 plus £500 withdrawal per patient per year and £350 maintenance per patient per year

 · Intermediate and first-response care ­ annual retainer £1,200-£1,500 plus £60-£90 per in-hours call/£120-£150 per out-of-hours call

 · Enhanced homeless care ­ annual retainer £1,000 plus annual payment £100 per patient

 · Intrapartum care ­ £200 per patient plus £50 per neonatal check

 · Minor injury services ­ annual retainer £1,000 plus £50 per patient episode

 · Sexual health ­ annual retainer £2,000 plus £200 per HIV-positive patient and £100 per other patient

 · Multiple sclerosis care ­ £90-£140 per patient per year

 · Near-patient testing ­ £6-£120 per patient sample/visit

Most rates increased 3.225 per cent in 2004/5 and 2005/6

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