LES – Local Enhanced Services

HNY ICB resources and guides to support general practices manage their enhanced service activity can be found on the Humber and North Yorkshire Enhanced Services Review workspace on NHS Futures (please note that an NHS Futures log in is required and staff will need to request to join the Humber and North Yorkshire Enhanced Services Review workspace).

The second phase of the local enhanced services (LES) review for 2026/27 is currently being undertaken in HNY. This is looking at the performance and spend against the 2025/26 agreed LES contracts, and any remaining LES’ across the ICB’s footprint to determine whether they are contracted in the correct way, have been superseded by national contracts, or continue to be required. The areas being reviewed include minor surgery (where a national ES is now in place, removing the need for most local contracts), frailty in one Place, and the use of DomMar and Medicines Record Charts (which are community pharmacy LES’).

In addition, a review of the phlebotomy LES is taking place with accurate data reported by practices since October better informing the costs for the coming year. The ICB have committed to retaining the funding envelope and to continuing to offer this as a LES to practices. Both Humberside and YORLMC are involved in the reviews relevant to general practice and that are locally commissioned, and are providing feedback from practices, PCN CDs and the LMC committee to the ICB. Once any provision agreement is made, this will be shared with practices. We will also be discussing an annual % uplift for the LES’ that remain unchanged.

HNY ICB have shared the following information:

“As we move forward with the training provision, for those practices that have signed up to Local Enhanced Services and indicated a need for support during the sign-up process, The Training Hub will be reaching out to practices from their email address hnyicb.traininghub@nhs.net to signpost and to seek further detail. You can find more information on the Humber and North Yorkshire Primary Care Workforce Training Hub website Local Enhanced Services (LES) Training – Training Hub or the dedicated Humber and North Yorkshire Enhanced Services Review – FutureNHS Collaboration Platform.

Following the successful sign-up of GP practices across Humber and North Yorkshire for Local Enhanced Services (LES), we are committed to ensuring a robust and supportive training offer for all participating healthcare professionals. We are working closely with the primary care workforce training hub and colleagues across the system to facilitate the delivery of this training and will provide further updates as the provision increases.

Should you have any specific questions, please direct them to the following email addresses:

• For Ardens-related queries: hnyicb-nel.icbardensqueries@nhs.net.
• For shared care enquiries: hnyicb-ny.rxline@nhs.net and hnyicb.prescribingqueries@nhs.net

We recognise the urgency surrounding this training and are working hard to deliver it as quickly as possible. In the interim, if you have any questions about the LES training offer, please do not hesitate to contact the Primary Care workforce training hub directly hnyicb.traininghub@nhs.net. Thank you for your continued engagement and collaboration.”