Does the Directed Enhanced Service under the GMS contract fall part of core GMS/PMS and are therefore excluded from the PBC budget setting process?
Answer The first step in setting practice budgets is to set out a practice’s share of the entire PCT allocation. The practice and PCT will then agree which parts will form the practice’s indicative budget. Although the PBC DES falls outside of core primary medical services allocations, it does constitute practice income and as such is appropriate to be excluded from an indicative budget. A similar area would be notional rent payments.