The Advice and Guidance Enhanced Service ended on 1 April 2026. There is no sign up and no £20 per request fee. Using Advice and Guidance is now a core contract requirement, with the funding folded into the global sum and delivery moving onto e-RS during the year. This is what changed, what to expect from secondary care, and what your practice and PCN should do now.
If you want it shorter for a tighter card (around 30 words):
From April 2026 the Advice and Guidance Enhanced S