Network Contract Directed Enhanced Service from April 2023

NHS England (NHSE) has today published an updated Network Contract Directed Enhanced Service (DES) Specification which takes effect from 1 April 2023.

This implements the arrangements set out in the letter of 6 March 2023 which set out the requirements of General Practice and PCNs, with the goal of improving patient experience and satisfaction.

The updated specification introduces these principal changes to the following areas:

  • the Investment and Impact Fund (IIF) – streamlined to 5 key clinical indicators, with funding repurposed to support patient access and experience; and
  • the Additional Roles Reimbursement Scheme (ARRS) – given further flexibility, and with two new reimbursed roles.

The full list of documents are available here and covers the following areas.

This page contains all the information for the 2023/24 Network Contract Directed Enhanced Service (DES).


First Published
4 April 2023
Updated On
4 April 2023
Due to be Reviewed
31 March 2024
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