Decision details

Approval of Public Health Budget Spend - Primary Care Activity

Decision Maker: Strategic Director of Social Care

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


The reports sets out approval for public health budget spend in primary care.


To approve the direct award of contract for the maximum sum of £1,035,000 for mandated Health Checks, Long Acting Reversible Contraception (LARC), GP Shared Care and by a Patient Group Direction (PGD) for Emergency Hormone Contraception (EHC) Services to GPs and pharmacies located in the borough of Hammersmith & Fulham in line with service specifications of three years.


Reasons for the decision:

Primary care has an essential role in improving the health and wellbeing of Hammersmith & Fulham residents. This decision will enable public health services funded from the public health grant and provided by GPs, to continue for the next three years and in doing improve the health and wellbeing of local residents.


Alternative options considered:




Agree contract for GP and pharmacy activity


This option will enable residents to access all services in line with the Health and Social Care Act (2012) and the public health grant. Health checks are mandated and required as part of the public health grant conditions.


Do not agree  contract

This option will mean that mandated heath checks are not provided in line with the public health grant. Key public health services will also not be provided affecting women’s access to sexual and reproductive health services, services relating to the prevention of cardiovascular disease and services relating to reducing the harms associated by drugs and alcohol.


Agree spend at reduced levels

The services are activity based and ending the services if they have reached the top of the actual budget spend will result in inequitable access to services based on “first come first served”. Agreeing the budget proposed will ensure further asks to increase the amounts are not requested. Activity levels will continue to be monitored through financial monitoring processes. Any underspend from the budget areas will go into the public health reserve.



Publication date: 30/11/2022

Date of decision: 21/11/2022

Effective from: 05/12/2022

Accompanying Documents: