Dear Colleague,

Further to the announcement of the new GMS Contract 2019-20 in June, please find attached a joint letter from Frances Duffy, Judith Paget and Phil White, announcing that the final guidance relating to the new Quality Assurance and Improvement Framework (QAIF), Access Standards and Partnership Premium have now been agreed and published.

As you are already aware, the Health Board has organised 3 GMS Evening Seminars to discuss these contract changes. Details of these are below. If you haven’t already, please register to attend.

Many thanks


Victoria Taylor
Head of Primary Care


The paediatric department have launched the Connect – Health Weight, Healthy Families scheme – a Level 3 Child and Young person weight Management Service. (0 to 16 yrs old). The team comprises of a Consultant Paediatrician, Specialist Dietician, Clinical Psychologists, Nurses & a Therapy Assistant. 

Referral Criteria:
Age: 0 - 2
Weight > 98th Centile
Age: 2 < 16yr
BMI > +3.33SD Centile
Or BMI >98th Centile and comorbidities/at risk of developing these (full details are attached in our Leaflet for Professionals)

Agreement has been made that referral via letter would be acceptable and we would suggest using the referral form as a guidance to the degree information required within this letter. 

e- Growth charts are available via ABUHB Clinical Workstation – details of how to access & use are available below.

Mary Craig the ABUHB Macmillan Cancer lead has previously presented to the LMC the use of FIT testing in patients with Amber GI symptoms and this Pilot will be launched next week in ABUHB.

As a reminder, there are 3 groups of patients 

i) Truly asymptomatic - undergo screening with FIT test

ii) USC – red flags for lower GI Ca

iii) Amber patients – no rectal bleeding 

  1. <60 yr old with changes in bowel habit
  2. >50 yr old with unexplained abdominal pain or weight loss 
  3. >60 yr old with any non-IDA anaemia

these patients will have a FIT test & if >10 as a cut off will go straight to colonoscopy.

All pathways & flyers & referral forms have been sent to practices already.

We would congratulate Mary on an excellent piece of work across many directorates of the HB & will invite her to present the evaluations going forwards.