Enhanced Access and Extended Access | Primary Care Guide

Enhanced Access and Extended Access Service

Enhanced and Extended Access That Works – Governed, Scalable, PCN-Aligned

  • Improved patient access for healthcare services outside core hours which are 8am-6:30pm Monday-Friday
  • Reduced pressure on core GP capacity and urgent demand routes
  • Fully managed delivery aligned with PCN and Practice, Federation or INT
Medication management and medication reconciliation

Core Prescribing Solutions delivers Enhanced Access and Extended Access through a fully managed, governance-led operating model designed to support the safe, consistent, and sustainable delivery of access across primary care.

Core Prescribing Solutions provides a fully managed Enhanced Access Service and Extended Access Service for PCNs, GP practices and GP federations.

We support safe, consistent appointment capacity outside core GP hours, with workforce planning, clinical governance and operational oversight built into delivery.

Our enhanced access primary care support is designed for organisations that need a reliable, governed model rather than short-term or ad-hoc staffing.

Enhanced Access is the current term generally used for PCN and practice-led additional appointment capacity outside core GP hours. It supports routine primary care appointments delivered through coordinated local models, often across evenings, weekends, hubs or shared network sites.

Extended Access is still used by some organisations as legacy or local terminology for primary care services delivered outside standard opening hours. Some commissioners, PCNs and local teams may still refer to an Extended Access Service, even where the current model is aligned with Enhanced Access requirements.

Our Enhanced Access Service is suitable for primary care organisations that need reliable, governed support for appointment capacity outside core hours.

We work with:

  • Primary Care Networks
  • GP practices
  • GP federations
  • Practice groups
  • Local primary care providers
  • Teams delivering evening or weekend access models
  • Organisations needing pharmacy-led access or prescribing support

Whether your organisation refers to this as Enhanced Access, Extended Access, enhanced access primary care delivery or extended access primary care support, we can help create a safer and more reliable service model.

We deliver Enhanced Access and Extended Access through a fully managed service model, supporting mobilisation, workforce planning, rota structure, governance, reporting and operational oversight.

Our approach helps PCNs, federations and practice groups deliver reliable access services without depending on reactive cover or inconsistent short-term staffing.

  • Service Mobilisation and Setup: We support planning through to live delivery, including service model design, onboarding, workflow planning and launch.
  • Workforce Model and Rota Structure: We help build stable workforce models for Enhanced Access Service delivery, and  cover planning where required.
  • Integration with Practice and PCN Systems: Services are designed to work within existing practice, PCN and hub workflows, so access delivery feels connected to core primary care.
  • Governance, Clinical Supervision and Escalation: We support clear accountability, clinical oversight, supervision structures and escalation pathways to keep services safe and consistent.
  • Reporting and Service Visibility: We provide operational oversight and reporting so PCN and practice leaders can monitor activity, utilisation and service performance.
  • Standardised Delivery Across Networks: Shared workflows and consistent processes help reduce variation across practices, hubs and network sites.
Additional Roles Reimbursement Scheme supporting Primary Care Networks with clinical pharmacists pharmacy technicians and multidisciplinary healthcare roles

Our Enhanced Access Service and Extended Access Service can support a range of access requirements depending on your local model, workforce needs and clinical governance arrangements.

A doctor is giving a presentation to a group of people.

This may include:

  • Routine and planned  medicines related appointments outside core GP hours
  • Additional patient access across PCNs, practices and network sites
  • Medicines and prescribing workload support where appropriate and clinically governed
  • Pharmacy-led clinical capacity within access sessions where suitable
  • Evening, weekend or locally agreed appointment models
  • More consistent access delivery across multiple practices
  • Clearer oversight for PCN and practice leadership teams

Flexible Delivery Models:

  • PCN-Wide Delivery: We support access delivery across multiple practices within a PCN, helping create a consistent model for patients and practice teams.
  • Hub or Shared-Site Delivery: Where access is delivered through a hub or shared site, we support mobilisation, workforce planning, rota structure and governed clinical delivery.
  • Practice Group Delivery: For practice groups operating across multiple sites, we help build a structured model that supports consistency, reporting and operational reliability.
  • Remote or Hybrid Delivery: Where appropriate and clinically governed, we can support remote or hybrid delivery, particularly where medicines, prescribing or clinical pharmacy workload forms part of the service.

Struggling with Enhanced Access Demand? We Deliver the Solution – Get Started Today

Contact Core Prescribing Solutions

Phone: 01274 442076
Email: info@coreprescribingsolutions.co.uk

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