Change of https://www.gov.uk/government/publications/primary-medical-services-directed-enhanced-services-directions

Change description : 2026-03-31 16:19:00: Added: ‘The Primary Medical Services (Directed Enhanced Services) Directions 2026’. Removed: ‘The Primary Medical Services (Directed Enhanced Services) (Amendment) Directions 2025’ and ‘The Primary Medical Services (Directed Enhanced Services) Directions 2025’. [Guidance and regulation]

Showing diff : 2025-08-07 22:47:53.888808708 +00:00..2026-03-31 15:23:44.109628446 +00:00

Statutory guidance

Primary Medical Services (Directed Enhanced Services) Directions

Directions for the NHS from the Secretary of State for Health and Social Care governing the provision of Directed Enhanced Services (DESs) in general practice.

From:
Department of Health and Social Care
Published
31 March 2023
Last updated
31 MarchJuly 20262025 — See all updates

Applies to England

Documents

The Primary Medical Services (Directed Enhanced Services) (Amendment) Directions 20262025

PDF, 226179 KB, 1 page

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The Primary Medical Services (Directed Enhanced Services) Directions 2025

PDF, 228 KB, 9 pages

Details

The Primary Medical Services (Directed Enhanced Services) Directions set out the legal framework governing the provision of Directed Enhanced Services (DES) in general practice.

Primary Medical Services (DES) Directions no longer in force are published for public reference.

Updates to this page

Published 31 March 2023
Last updated 31 MarchJuly 20262025 + show all updates

  2. Added 'The Primary Medical Services (Directed Enhanced Services) (Amendment) Directions 2025'.

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Update history

2026-03-31 16:19
Added: ‘The Primary Medical Services (Directed Enhanced Services) Directions 2026’. Removed: ‘The Primary Medical Services (Directed Enhanced Services) (Amendment) Directions 2025’ and ‘The Primary Medical Services (Directed Enhanced Services) Directions 2025’.

2025-07-31 15:34
Added ‘The Primary Medical Services (Directed Enhanced Services) (Amendment) Directions 2025’.

2025-03-28 11:57
Updated to add and remove directions from the page. Added: ‘The Primary Medical Services (Directed Enhanced Services) Directions 2025’. Removed: ‘The Primary Medical Services (Directed Enhanced Services) Directions 2024’ and ‘The Primary Medical Services (Directed Enhanced Services) (Amendment) Directions 2024’.

2024-09-30 09:30
Added ‘The Primary Medical Services (Directed Enhanced Services) (Amendment) Directions 2024’.

2024-03-28 09:30
Added: ‘Primary Medical Services (Directed Enhanced Services) Directions 2024’. Removed: ‘Primary Medical Services (Directed Enhanced Services) (Amendment) (No.2) Directions 2023’; ‘Primary Medical Services (Directed Enhanced Services) (Amendment) Directions 2023’; ‘Primary Medical Services (Directed Enhanced Services) Directions 2023’

2023-06-02 15:41
Added ‘The Primary Medical Services (Directed Enhanced Services) (Amendment) (No.2) Directions 2023’ document.

2023-04-27 16:53
Added The Primary Medical Services (Directed Enhanced Services) (Amendment) Directions 2023.

2023-03-31 15:13
First published.