NHS Primary Care Practitioners wishing to perform (and get paid for) surgical procedures under the Minor Surgery Directly Enhanced Service  (“the Minor Surgery DES”) must submit evidence of appropriate ongoing training, including confirmation that a Direct Observation of Procedural Skills (DOPS) Assessment has taken place.The course includes a DOPS Assessment, which will be noted on your Certificate of Completion. This can then be submitted to your local/regional commissioners,  so that you can remain accredited to perform these procedures under the Minor Surgery DES. This training usually needs to be renewed every 2-3 years.