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Lancashire and South Cumbria Primary Care IntranetLancashire and South Cumbria Primary Care Intranet

LES 2026/27

Home / LES 2026/27
Dan CloughDan Clough Updated on10 April 2026 2:02 pm

Welcome to the 2026/27 Local Enhanced Service (LES) specification resource page

This page has been created as a central hub for practices, bringing together the LES specifications, FAQs, and supporting documents in one place. Our goal is to provide a structured, accessible resource to help you find the information you need quickly and easily.

Each specification section includes:

  • The full specification – outlining all requirements.
  • A dedicated FAQ – we’ve anticipated potential questions for each specification and provided answers upfront, some of which have been rolled over from the previous year.
  • Supporting documents – any additional materials that may be required to help you implement the specification effectively. These will be updated as new documents become available.

Please note that not all specifications will be uploaded to the intranet; some may be shared directly with the relevant practices.

This page also includes:

  • A general FAQ section – addressing common queries that apply across multiple specifications.
  • Key communications – any updates we share will be stored here for ease of reference.
  • Webinar recordings – any relevant webinars will be recorded and uploaded here for those who couldn’t attend live or need a refresher.

Additionally, the Business Intelligence monthly performance report will be added to this page and updated on a monthly basis for the relevant specifications, ensuring you have access to the latest data for your practice.

For any queries, we have set up a centralised mailbox where you can reach out to us directly. If you need further clarification or assistance, please don’t hesitate to contact us – lscicb.primarycareles@nhs.net  if you have any data quality queries, the team can be contacted via: MLCSU IT Service Desk: Sostenuto self-service portal / AVA Chatbot / or TEL: 0300 555 0212

This page is designed to be a practical and evolving resource to support your work. We will continue to update it with new materials as they become available.

18 March 2026 – LES update

LES webinar update 18 03 26Download

As part of the LES performance monitoring for practices across Lancashire and South Cumbria, the ICB has again worked with the business intelligence team to provide easy access for practices to review their LES activity data and performance against targets on a regular basis.

A comprehensive walkthrough guide for accessing data is available via the slides below, along with an instructional guide for navigating the data. Please note that while neither video contains audio, the walkthrough guide includes captions and there are slides with a written guide to support.

Please note: To access your practice specific data, please use the same password that was provided for the 2024/25 GPQC reports. Please ensure this password is stored securely and made accessible to relevant practice staff.

If you do not have the password to access the data, please speak to your practice manager, who should have received it last year. If needed, you can request it again via your place team using the relevant primary care mailbox

PlaceMailbox
Chorley & South Ribble  Primarycare.chorleypreston@nhs.net
Greater Preston
West Lancashire
Blackburn with Darwenpennineccgs.primarycare@nhs.net
East Lancashire
Fylde & Wyre  lscicb-bl.healthierlsc.scnlbprimary@nhs.net
Blackpool
Morecambe Bay


Please note the data will always be one month behind and may not reflect the most up-to-date information in your clinical systems. However, if practices notice significant discrepancies, they can report these to the data quality team via:

MLCSU IT Service Desk: Sostenuto self-service portal / AVA Chatbot / 0300 555 0212 

Practices are encouraged to review their data regularly in particular when tracking performance against targets.

Data set for month x – up to x. Uploaded x.

Click here to download .zip file containing the resource (right click on the downloaded file and select ‘extract all’ to access the document)

When you have downloaded the above zip file, you need to:

  1. Right-click on the downloaded folder (which will be in the ‘Downloads’ folder) and go to Properties
  2. Check the ‘Unblock’ box at the bottom and click ‘Apply’ then ‘Ok’
  3. Then open the file in the folder

The macro issue should then be resolved.

LES_Report_Video_Guide (002)Download
ICB LES Costing Summary – 2026-27Download
ML DQ Enhanced Services Claim Codes 2026-27 v1.0Download
ML DQ LSC ICB LES 2026-27 Protocol Guide v1.0Download

Click the headings below to view FAQs, specifications and services for each of the listed services.

FAQs

Specifications

LTC LES 26-27 FINALDownload

Supporting documents & Resources

High Level Delivery Plan Domain 1 implementation 26 27Download
High-Level-Delivery-Plan-Domain-3-MDT-approach-26 27Download

Please use the same template of reporting your MDT progress at 6 and 9 months, as outline in the LTC service spec.

26 February 2026 – Extra LTC cohorts

ML DQ LTC LES Guide v1.0Download

FAQs

Specifications

Care Homes 26-27 FINALDownload

Supporting documents

ML DQ Enhanced Care Home LES Guide v1.0Download

FAQs

Specifications

Complex injections 26-27 FINALDownload

Supporting documents

ML DQ Complex Injections LES Guide v1.0Download

FAQs

Specifications

Dementia 2627 FINALDownload

Supporting documents

ML DQ Dementia LES Guide v1.0Download

FAQs

Specifications

Diabetes 26 – 27 FINALDownload

Supporting documents

ML DQ Diabetes LES Guide v1.0Download

FAQs

Specifications

ECGs 26-27 FINALDownload

Supporting documents

ML DQ ECG LES Guide v1.0Download

FAQs

Specifications

PEoLC 26-27 – FINAL (1)Download

Supporting documents

ML DQ Palliative_EoL LES Guide v1.0Download

FAQs

Specifications

Meds Optimisation LES 26-27 – FINAL (1)Download

Supporting documents

ML DQ Meds Optimisation LES Guide v1.0Download

FAQs

Specifications

Phlebotomy 26-27 – FINALDownload

Supporting documents & Resources

LES 26-27- Phlebotomy Expected Activity Levels & Practice TrackerDownload
ML DQ Phlebotomy LES Guide v1.0Download

FAQs

Specifications

Post Bariatric Monitoring 26-27 FINALDownload

Supporting documents

ML DQ Bariatric Surgery LES Guide v1.0Download

FAQs

Specifications

PSA Testing 26-27 FINALDownload

Supporting documents

ML DQ PSA LES Guide v1.0Download

FAQs

Specifications

Ring Pessary 26 27 FINALDownload

Supporting documents

ML DQ Ring Pessary LES Guide v1.0Download

FAQs

Specifications

Shared Care 26-27 – FINALDownload

Supporting documents

ML DQ High Risk Drugs Shared Care LES Guide v1.0Download

FAQs

Specifications

Simple injections 26-27 FINALDownload

Supporting documents

ML DQ Simple Injections LES Guide v1.0Download

FAQs

Specifications

Spiro & FeNO 26 27 FINALDownload

Supporting documents

ML DQ Respiratory Diagnostics LES Guide v1.0Download

FAQs

Specifications

Simple Wound Care LES Service Specification 26-27 FINALDownload

Supporting documents

ML DQ Simple Wound Care LES Guide v1.0Download


Operation pressures escalation levels (OPELs)

Official sensitive (Updated: 10am 10 April 2026)

LSC System – OPEL XScore = 54/100
BTH
OPEL X
Score = 67/100
ELHT
OPEL X
Score = 47/100
LTH
OPEL X
Score = 57/100
UHMB
OPEL X
Score = 80/100

Scores calculated as per NHSE OPEL Framework 24/26
Work is ongoing to review and refine data quality since the move to the 2025/26 OPEL Framework, which in some cases is leading to artificially high scores being reported. 
Please note OPEL 4 must be formally declared by Trust executives, therefore a score of OPEL 4 on its own does not mean that the organisation is formally operating at OPEL 4.  

  1. Hilary Saunders
    Hilary Saunders on Mersey and West Lancs Hospitals: Pregnancy advisory clinic referral form4 April 2026

    Thank you

  2. Dan Clough
    Dan Clough on Mersey and West Lancs Hospitals: Pregnancy advisory clinic referral form30 March 2026

    Hi Hilary – thanks for the request for clarity. I will update the main article. I have asked the team…

  3. Hilary Saunders
    Hilary Saunders on Mersey and West Lancs Hospitals: Pregnancy advisory clinic referral form29 March 2026

    What is the Pregnancy Advisory Service? Please advise on the referral criteria to enable GPs to know when it would…

  4. Dan Clough
    Dan Clough on UPDATED – LINKS ADDED – Webinars: Increasing awareness of antimicrobial stewardship and antimicrobial resistance among pharmacy technicians16 March 2026

    Sorry Gail the bottom of the article was accidentally cut off. This is now added, hopefully in time for you…

  5. Gail Hardacre
    Gail Hardacre on UPDATED – LINKS ADDED – Webinars: Increasing awareness of antimicrobial stewardship and antimicrobial resistance among pharmacy technicians16 March 2026

    Please can you send the link to join?

© 2026 Lancashire and South Cumbria Primary Care Intranet

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