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Directory Results for PCAM20124 - Primary Medical Services Directed Enhanced Services Scotland Directions 2012 Advises Health Boards that the Directions which provide the legal framework for Directed Enhanced Services in Scotland have been revised The Directions to PCAM20126 - The Primary Medical Services directed enhanced services Scotland 2012 This guidance summarises the arrangements for the new Palliative Care Directed Enhanced Service in Scotland which came into effect from 1 April 2012