Home Menu

Requests to perform tests or procedures for “public health” purposes

Requests to perform tests or procedures for “public health” purposes


The GMS contract for practices requires us to provide services to


“patients who are, or believe themselves to be

(a)ill, with conditions from which recovery is generally expected;

(b)terminally ill; or

(c)suffering from chronic disease,

which are delivered in the manner determined by the contractor’s practice in discussion with the patient.”


The contract does not place the responsibility on General Practices to provide preventative measures, unless this is separately commissioned such as vaccination or screening.


Thus, if practices are asked to perform preventative measures for which they are not separately contracted, they should decline, or agree an extra fee for carrying out these measures.


Examples of this which frequently arise are

  • Post-exposure blood tests for patients possibly exposed to blood borne viruses
  • Immunisation for people who are contacts of infectious diseases
  • Immunisation for people at risk of infectious diseases e.g. patients with renal disease or cancers
  • Provision of anti-microbial medications for contacts of patients with an infectious disease


It is the responsibility of public health and health protection to provide these services.  So if your practice is asked to perform any of these actions you can ask the CCG health protection team to either carry out the activity, or fund your time to carry out the activity on their behalf.

Related guidance...

Bariatric Surgery- what are the practices responsibilities?

Bariatric Surgery- what are the practices responsibilities? When patients have bariatric surgery, they usually have this done at...

Certificates GPs Cannot Charge For

Bankruptcy Any individual who is able to give information about a bankrupt may be required to give evidence, for which no charge can be...

GP as Occupational Health Physician

GP Occupational Health Physician GPs are increasingly being asked to act as occupation health physicians (OHP). Patients attend the...

Eating Disorders- Responsibility to monitor physical health

Eating Disorders - Responsibility to monitor physical health Patients with severe mental illness (SMI) have higher risk of physical...

ECGs on behalf of specialists

ECG ECGs Specialists ECGs on behalf of specialists Practices are frequently asked to perform ECGs by specialists, especially from the...

Hepatitis B Immunisation

GPs are often requested to give hepatitis B immunisation covering three broad areas; for travel for occupational health lifestyle risk...


Covid funding (written by: Dr Kieran Sharrock) NHSEI have announced that £150m will be made available to general practice through the...

Safeguarding Collaborative Arrangements

Collaborative arrangements The NHS Act obliges NHS bodies to provide advice to statutory bodies in relation to social services,...

Requesting Faecal Immunochemical Testing

Faecal Immunochemical Testing (FIT) is a more sensitive measure of whether there is blood in a patients stool than tradition FOB...

Introduction of WebV for radiology requests

WebV CCG LabelTrace EMIS SystmOne Radiology Requests Lincolnshire CCG will soon be introducing a new software application for GP...