7. Offers new services to meet the long-term NHS plan commitments. The scale of investment in basic health care under this agreement has been guaranteed for the gradual and full implementation of all relevant commitments in the NHS long-term plan. The annual increase in funding for the supplementary role reimbursement program depends on the agreement on seven national network service specifications and their subsequent availability. Each will include standard processes, metrics and expected quantified benefits for patients. The specifications are developed with GPC England as part of the annual contract negotiation and are agreed as part of the confirmation of annual funding. Five of the seven will begin in April 2020: structured drug evaluations, improved health in nursing homes, forecasting supplies (municipal services), personalized care and 6 support cancer screening. The other two will begin in 2021: the search for cases of cardiovascular disease and measures to combat locally agreed inequalities. A review of vaccination and vaccination rules and results under the family doctor contract will take place in 2019 and will also cover screening. A new network dashboard, available until 2020, will showcase progress in network metrics covering population health, urgent and proactive care, hospital prescribing and use. Metrics for the seven new services will be included. A national fund for network investment and impact will come into force in 2020 and is expected to reach $300 million in 2023/24. The goal is to help networks make faster progress towards the goals of the NHS scoreboard and long-term plan.

A portion of the Investment and Impact Fund will be devoted to the use of the NHS, which could cover the following topics: (i) visits to the emergency services; (iii) discharge from a hospital; (iv) outpatient; and (v) prescription. The fund will be performance-related and its project will be agreed with GPC England and the government. We assume that access to the Fund will become a national network right with national rules and locally agreed elements. Networks, with their integrated system of care, will approve how they spend the Fund`s funds. CcGs are expected to report annually to CMLs so they can monitor local investments in general practice. The important role of LDCs in the treaty document as a whole is also highlighted. NHS England and Improvement has published an agreement on the exchange of submission data and an agreement on the processing of Model 8 data. Gives five years of clarity and security for practice. Funding for primary and medical services will increase by more than $4.5 billion by 2023/24 and increase as a percentage of the overall NHS budget.

This agreement now confirms the share of national legal rights envisaged for general practice in the context of network practice and contracts. GPC England and NHS England have agreed that we will not expect additional national funding for applications for practical or network contracts by 2024/25. Funding for the practice contract has now been agreed for each of the next five years and will increase by $978 million in 2023/24. Therefore, the DDRB will not make any recommendations on the net income of GP partners.