NHS Primary Medical Services Directions

These directions set out the legal framework under which General Practitioners operate specific services and the associated payments.

Part of:

General practice management (Sub-topic)

First published:

8 April 2020

Last updated:

14 October 2025

Directions

The Primary Care (Contracted Services: Outpatients Waiting Lists First Appointment Scheme) Directions and Specification 2025

14 October 2025 Legislation
The directed supplementary services directions and specification for people living with severe frailty in their own homes 2025

30 September 2025 Legislation
The Primary Medical Services (Type 2 Diabetes Mellitus Care Scheme for Adults (Directed Supplementary Service) (Wales) (Amendment) Directions 2025

13 August 2025 Legislation
The Primary Medical Services (Intra-Periarticular Injections) (Directed Supplementary Services (Wales) Directions 2025

19 May 2025 Legislation
The Primary Medical Services (Minor Surgery) (Directed Supplementary Services (Wales) Directions 2025

22 December 2025 Legislation
The directed supplementary services directions and specification for complex multi-morbidity and frailty 2024

19 December 2024 Legislation
The Local Health Board Medical Services (Wales) Directions 2024

3 December 2024 Legislation
The Alternative Provider Medical Services (Wales) Directions 2024

5 July 2024 Legislation
The Primary Medical Services (Type 2 Diabetes Mellitus Care Scheme for Adults) (Directed Supplementary Service) (Wales) Directions 2024

13 August 2025 Legislation
The Primary Medical Services (Antivirals for Prophylaxis of Seasonal Influenza in Care Home Outbreaks) (Directed Supplementary Service) (Wales) Directions 2024

24 June 2024 Legislation
The Primary Medical Services (Hormone Treatment Scheme for Adult Transgender Patients) (Directed Supplementary Service) (Wales) Directions 2024

24 June 2024 Legislation
The Primary Medical Services (Oral Anti-coagulation with Warfarin) (Directed Supplementary Services) (Wales) Directions 2024

24 June 2024 Legislation
The Primary Medical Services (Influenza and Pneumococcal Immunisation Scheme) (Directed Supplementary Service) (Wales) Directions 2024

24 June 2024 Legislation
The Primary Medical Services (Pertussis Immunisation for Pregnant and Post-Natal Women) (Directed Supplementary Services) (Wales) Directions 2024

24 June 2024 Legislation
The Primary Medical Services (Directed Supplementary Services) (Wales) Directions 2024

24 June 2024 Legislation
The Primary Medical Services (Provision of Essential General Medical Services over the Christmas and New Year Period during the COVID 19 Pandemic) (Directed Enhanced Service) (Amendment) Directions 2020

16 December 2020 Legislation
The Primary Medical Services General Practice Seasonal Influenza Additional Immunisation Scheme Directed Enhanced Service) (Wales) Directions 2020

2 December 2020 Legislation
The Primary Medical Services (Provision of Essential General Medical Services over the Christmas and New Year Period during the COVID-19 Pandemic) (Directed Enhanced Service) Directions 2020

1 December 2020 Legislation
The Primary Medical Services (Directed Enhanced Services) (Wales) (Amendment) (No. 2) Directions 2020

28 October 2020 Legislation
The Primary Medical Services (Directed Enhanced Services) (Wales) (Amendment) Directions 2020

18 September 2020 Legislation
The Primary Medical Services (COVID-19 Care Homes) (Directed Enhanced Services) (Wales) Directions 2020

1 July 2020 Legislation
The Primary Medical Services Easter weekend and bank holiday provision of essential general medical services during the COVID 19 pandemic) (directed enhanced service) Directions 2020

8 April 2020 Legislation
Primary Medical Services (Mental Health) (Directed Enhanced Services) (Wales) Directions 2017 (2017 No.13)

11 April 2017 Legislation
The Primary Medical Services (Care Homes) (Directed Enhanced Services) (Wales) Directions 2017 (2017 No.9)

11 April 2017 Legislation
The Primary Medical Services (Directed Enhanced Services) (Wales) (Amendment) (No.2) Directions 2016 (2016 No.23)

3 August 2016 Legislation
The Primary Medical Services (Directed Enhanced Services) (Wales) (Amendments) Directions 2015 (2015 No.19)

25 June 2015 Legislation
The Primary Medical Services (Directed Enhanced Services) (Wales) (Amendments) Directions 2014 (2014 No.14)

16 June 2014 Legislation
The Primary Medical Services (Directed Enhanced Services) (Wales) (Amendment) Directions 2013 (2013 No.4)

28 March 2013 Legislation
The Primary Medical Services (Directed Enhanced Services) (Wales) (Amendment) Directions 2012

13 December 2012 Legislation
The Primary Medical Services (Directed Enhanced Services) (Wales) (Miscellaneous Amendments) Directions 2010 (2010 No.33)

27 July 2010 Legislation
The Primary Medical Services (Directed Enhanced Services) (Wales) (No.2) (Amendment) Directions 2010 (2010 No.24)

1 July 2010 Legislation

Directions

First published

Last updated

Part of

Share this page