This Section is designed for healthcare professionals and GP Practice staff.

For public information, please visit the Brighton and Hove CCG public home page.

Locally Commissioned Services

Locally Commissioned Service GP Practice Contract

Locally Commissioned Services (LCS) were previously known as Local Enhanced Services, or LES.

LCSs are commissioned by the Brighton and Hove CCG (BHCCG) and Brighton and Hove City Council (BHCC) Public Health Directorate, and apply to the provision of services not included in the NHS Standard Contract.  This new contract is underpinned by an outcomes framework. This contract is available to general practices working in clusters.

For information on the NHS Standard Contract, please see the NHS England website

LCS Service Specification

This specification lays out the changes BHCCG and BHCC would like to see in the delivery of care in General Practice, and the outcomes these changes will help to deliver.

Appendix 1: Outcomes Framework

Please see the table below for the new LCS Outcomes Framework

Appendix 2: Evidence and Guidance

In the table below you can find a summary of all the Evidence and Guidance papers, as well as individual Evidence and Guidance papers for services managed by NHS Brighton and Hove CCG, and for services managed by Brighton and Hove City Council.

Appendix 3: Public and Patient Engagement

Patient and Public Engagement is central to the new LCS contract.  Please see the table below for guidance on Patient and Public Engagement

Appendix 4: Quality Standards

General Practice and Clusters will be required to provide services that should be centred around the Quality Standards held in the table below.

LCS Claim Form

You can find an LCS Claim Form for the current quarter in the table below.

Services Managed by Brighton and Hove City Council

Please see the Locally Commissioned Services Managed by Brighton and Hove City Council page for Service Specifications of the LCSs managed by Brighton and Hove City Council.  

Services Managed by NHS Brighton and Hove CCG

Please see the table below for Evidence and Guidance documents for Locally Commissioned Services managed by NHS Brighton and Hove:

  • Cancer  
  • Children and Young People's Health 
  • Chronic Obstructive Pulmonary Disease (COPD)  
  • Diabetes  
  • End of Life Care  
  • Injectable Medicines
  • Mental Health 
  • NHS Health Check
  • Phlebotomy
  • Serious Mental Illness
  • Supporting Carers  
  • Wound Care 
  • Rabies 
  • Ambulatory Blood Pressure Monitoring
  • Drug Monitoring in Primary Care
  • Community Dermatology

Locally Commissioned Services for Community Optometrists

Services Managed by NHS England

Service Specifications for the following Direct Enhanced Services can be found on the NHS England Website.

  • MenB
  • MenACWY (Patient Group Directions for this vaccine)
  • Childhood seasonal influenza vaccination programme
  • Seasonal influenza and pneumococcal polysaccharide vaccination programme
  • Meningococcal - freshers vaccination programme
  • Pertussis (pregnant women) vaccination programme
  • Shingles (catch up) vaccination programme
  • Learning Disabilities

Interpractice Referrals

Please see the table below for an Interpractice Referral Form for Locally Commissioned Services.

Archived Locally Commissioned Services

Please follow the link for Archived Locally Commissioned Services.  

Please contact us if you have any queries about Locally Commissioned Services

LCS End of Year Report Form 2017/18

The LCS End of Year Report Form 2017/18 is for use by practice colleagues.

If you have any queries about this document, please contact us

LCS Training Template

The LCS Training Template is for use by practice colleagues. 

If you have any queries about this document, please contact us.

Locally Commissioned Service Specification


The Locally Commissioned Service Specification is for use by practice colleagues

If you have any questions about this document, please contact us.

Appendix 1: Locally Comissioned Service Outcomes Framework

Appendix 1: Locally Comissioned Service Outcomes Framework is for use by practice colleagues, patients and the public.

If you have any questions about this document, please contact us.

Appendix 2: Evidence and Guidance Summary Paper

Appendix 2: Evidence and Guidance Summary Paper is for use by practice colleagues, patients and the public.

If you have any questions about this document, please contact us.

Appendix 3: Patient Participation Guidance


Appendix 3: Patient Participation Guidance for the New LCS Contract is for use by practice colleagues, patients and the public.

If you have any questions about this document, please contact us.

Appendix 4: Quality Standards


Appendix 4: Quality Standards is for use by practice colleagues, patients and the public.

If you have any questions about this document, please contact us.

Cancer Evidence and Guidance for LCS


Cancer Evidence and Guidance for LCS is for use by practice colleagues, patients and the public.

You can find resources for the delivery of this LCS on the Cancer LCS Resources page

If you have any questions about this document, please contact us.

Children and Young People's Health Evidence and Guidance for LCS

Children and Young People's Health Evidence and Guidance for LCS is for use by practice colleagues, patients and the public.

If you have any questions about this document, please contact us.

Chronic Obstructive Pulmonary Disease (COPD) Evidence and Guidance for LCS


Chronic Obstructive Pulmonary Disease (COPD) Evidence and Guidance for LCS is for use by practice colleagues, patients and the public.

If you have any questions about this document, please contact us.

Diabetes Evidence and Guidance for LCS

Diabetes Evidence and Guidance for LCS is for use by practice colleagues, patients and the public.

If you have any questions about this document, please contact us.

End of Life Care Evidence and Guidance for LCS


End of Life Care Evidence and Guidance for LCS is for use by practice colleagues, patients and the public.

If you have any questions about this document, please contact us.

Injectable Medicines Evidence and Guidance for LCS


The Injectable Medicines Evidence and Guidance for LCS is for use by practice colleagues.

If you have any questions about this document, please contact us.

Mental Health Evidence and Guidance for LCS


Mental Health Evidence and Guidance for LCS is for use by practice colleagues, patients and the public.

If you have any questions about this document, please contact us.

NHS Health Check Evidence and Guidance for LCS


NHS Health Check Evidence and Guidance for LCS is for use by practice colleagues, patients and the public.

For information about the NHS Health Check, please see the NHS Health Check Information For Clinicians page.

If you have any questions about this document, please contact us.

Phlebotomy LCS Service Specification

The Phlebotomy LCS Specification is for use by practice colleagues.

If you have any questions about this document, please contact us

Serious Mental Illness Evidence and Guidance for LCS


The Serious Mental Illness Evidence and Guidance for LCS is for use by practice colleagues.

If you have any questions about this document, please contact us.

Wound Care Evidence and Guidance for LCS


The Wound Care Evidence and Guidance for LCS is for use by practice colleagues.

You can find resources for the delivery of this LCS on the Wound Care LCS Resources page.

If you have any questions about this document, please contact us.

Rabies Evidence and Guidance for LCS

The Rabies Evidence and Guidance for LCS is for use by practice colleagues.

If you have any questions about this document, please contact us.

Ambulatory Blood Pressure Monitoring Evidence and Guidance for LCS


The Ambulatory Blood Pressure Monitoring Evidence and Guidance for LCS ispractice colleagues.

If you have any questions about this document, please contact us.

Drug Monitoring in Primary Care Evidence and Guidance for LCS

The Drug Monitoring in Primary Care Evidence and Guidance for LCS is for use by practice colleagues.

If you have any questions about this document, please contact us.

Community Dermatology Evidence and Guidance for LCS (under review)

The Community Dermatology Evidence and Guidance for LCS (under review) is for use by practice colleagues.

If you have any questions about this document, please contact us.

Practices Providing the Dermatology LCS


Practices Providing the Dermatology LCS is for use by practices.

If you have any questions about this document, please contact us

Interpractice Referral Form for LCS

The Interpractice Referral Form for LCS is for use by clinicians.

If you have any questions about this document, please contact us

LCS Claim Form Quarter 2 2018-19


The LCS Claim Form Quarter 2 2018-19 is for use by practice colleagues.

Please return this form to bhccg.gpreimbursements@nhs.net by 22 October 2018.

If you have any questions about this document, please contact us.