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<p>Under the general practice contract, practices must provide services during core
hours, from 08:00 to 18:30 on all weekdays, except bank holidays. Out of hours services
are those provided outside of core hours, which practices are paid for via the Global
Sum Payment. Practices can opt out of providing these services with their commissioner’s
approval, and the relevant deductions will be made to the Global Sum Payments. The
amount of Global Sum funding received has been uplifted every year since 2013. Where
a practice has opted out of delivering out of hours services, the commissioner must
commission the services from an alternative provider, for that practice’s registered
patients.</p>
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