Decision details

Uplift in payments for delivery of public health services in primary care - JAN23/CMDN/66

Decision Maker: Cabinet Member for Adult Social Care, Health and Public Health

Decision status: Recommendations Approved

Is Key decision?: No

Is subject to call in?: Yes


Stop smoking, NHS Health Checks and Long-Acting reversible contraception services are delivered in primary care. This CMDN seeks approval for an uplift in the price paid for each unit delivered.

Reasons for the decision:

Since 2013 there have not been any inflationary uplifts for commissioned Public Health Services. A benchmarking exercise has been undertaken for the Public Health contracts through securing information from Public Health commissioners from across the East of England. In addition the COVID-19 pandemic has impacted on the capacity of GP practices to deliver public health services.


Alternative options considered:

•The alternative is to commission additional activity from the Lifestyle Services, but this would not secure the enough Health Checks as there is reliance on GP data

•Also, there is evidence that GPs are effective in influencing smokers to make a quit attempt

Interests and Nature of Interests Declared:

There were none.

Background Documents:

Office for Health Improvement and Disparities Public health profiles - OHID (

Publication date: 06/01/2023

Date of decision: 06/01/2023

Effective from: 12/01/2023

Accompanying Documents: