Skip to main content

Osteoporosis: Health Services

Volume 495: debated on Monday 29 June 2009

To ask the Secretary of State for Health what progress has been made in implementing the osteoporosis diagnosis and prevention scheme provided for in the Primary Medical Services (Directed Enhanced Services) (England) (Amendment) Directions 2009. (282131)

The two-year clinical Directed Enhanced Service (DES) for Osteoporosis was brought in to cover the period April 2008 to March 2010 following agreement reached between the British Medical Association (BMA) and NHS Employers (on behalf of the Government) and announced in September 2008. Subsequently, joint guidance was issued to general practitioner (GP) practices and primary care trusts (PCTs) in the same month to enable GP practices choosing to take up the DES to begin working on delivering the agreed specification, with the Directions amending GP contractual arrangements issued in February 2009. These arrangements were supported by further guidance issued jointly by the BMA and NHS Employers in the same month.

Financial data from PCTs indicate that PCTs have made some achievement payments in 2008-09 against the delivery by general practice of this DES, with greater reward available against achievement expected in 2009-10. Discussions about contractual arrangements applying to GP practices for 2010-11 and beyond are currently ongoing.