Why are targets still included in vaccinations and immunisations?
A The Government would not accept our position that childhood vaccinations could be subject to the same exception reporting requirements that apply to the rest of the Quality and Outcomes Framework. That is why vaccinations are handled in this way. We have tried to exclude targets from the rest of the contract, but could not do so here. We will continue to press the Government to revise its position. Enhanced Services For further information about Enhanced Services, please see the GPC guidance note. Q How can the profession ensure that the enhanced services guaranteed floor is actually spent on enhanced services particularly given the lack of awareness in many PCTs that the money was already in their 2003/04 allocations? A There will be an absolute requirement on PCOs that this money will be spent where it was intended and nowhere else. We are working with the NHS Confederation and the government to ensure that PCOs do not renege on their responsibilities in this area. PCOs that claim