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To include, for example:

1.Address of Premises from which Contractor will provide Services (required by Clause 6.2 of Section 2 (Conditions of Contract)).

2.Patients to whom the Contractor will provide Services (required by Clause 9.1 of Section 2 (Conditions of Contract)).76

3.Out of Hours Services to be provided

4.Other services to be provided.

6.Additional provisions relating to the Services, for example:

“The Contractor shall only be required to provide the Services during the out of hours period to a Patient if, in the reasonable opinion of the Contractor in the light of the Patient’s medical condition, it would not be reasonable in all the circumstances for the Patient to wait for the Services required until the next time at which he could obtain such services during Core Hours.”77

7.Additional provisions relating to the use of PCT premises, for example:

“(a)The PCT shall during the Contract Period permit the Contractor to use in connection with the provision of the Services the premises (“the Sites”) set out below:


(b)The Contractor shall use the Sites only in connection with he provision of the Services and shall ensure that the Contractor’s staff use the Sites only for that purpose.

75 The items listed here are only examples.  They are not intended to be exhaustive and may not all be relevant.  Please see the accompanying guidance document for further advice.

76 APMS Direction 4(b) requires the contract to specify the patients to whom the contractor is to provide services under the contract.   This could, for example, be in terms of a geographical area and/or practices with which patients are registered.   But in the latter case, PCTs will wish to be clear about the position of temporary residents and unregistered patients.

77 This wording is taken from the standard GMS contract.  It may be appropriate where the Contractor is to provide a “traditional” out-of-hours service limited to responding to needs that cannot safely be deferred until core hours, but will not be appropriate if a more comprehensive service is intended.  Either way, for clarity the Specification should set out the extent of the Contractor’s responsibility.

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