Rex Davenport Deputy General Manager Kent Primary Care Agency

1. Kent Primary Care Agency Rex Davenport Deputy General Manager Kent Primary Care Agency

2. Kent Primary Care Agency Background to the new contract, performers, contractors & payments • Introductions • Purpose of Legislation • KPCA, Performers, Contractors and Payments • New for all

3. Kent Primary Care Agency Background to Kent Primary Care Agency (1) • What is KPCA: • Family Practitioner Committee (FPC) • Family Health Services Authority (FHSA) • Kent Health Authorities Support Agency (KHASA) • Budget of £4.1m • 111 Staff (incl. vacancies) - 38% part-time What does KPCA Do? • Maintains the GP Practice Lists • Medical records transfers and issues medical cards • Breast and Cervical Screening call/recall letters • Pays GPs and Opticians • Manages Performer & Contractor lists for the four primary care contractors • Supports control of entry processes for Community Pharmacists • Probity work • Patient allocations

4. Background to Kent Primary Care Agency (2) • Who Does KPCA Support? • West Kent PCT • Eastern and Coastal Kent PCT • Medway PCT • Bexley Care Trust • Greenwich Teaching PCT

5. Kent Primary Care Agency Performers List Transitional Arrangements • Supplementary List automatically transfer to Performers List on the 1st August 2008 • Optometrist/Ophthalmic Medical Practitioners who are NOT currently on Supplementary list need to notify KPCA that they want to go onto the new Performers List before the 1st July. • Performer can only be on one PCT performers list • PCT responsible for regulating performance under the Contract After 1st August by application to PCT List via KPCA

6. Kent Primary Care Agency Performers List New Arrangements After 1st August application to KPCA to join the performers list will require: • Information about applicant • Undertakings • Declaration • Certificates • Consents • CRBs Checks Cannot work unless on a performers list somewhere else in England whilst application is being processed.

7. Kent Primary Care Agency Performers List New application – Required Documentation • Section B - Declaration for Inclusion in the Ophthalmic Performers List; • Current Certificate of Registration with the General Optical Council (for inclusion as an Optometrist or Student Optometrist); • Current Certificate of Registration with the General Medical Council and Letter from the Ophthalmic Qualifications Committee (for inclusion as an Ophthalmic Medical Practitioner); and • An up-to-date Curriculum Vitae. One of the following original documents with your application:- • A complete Enhanced Criminal Records Bureau Certificate issued in the past 12 months; • A complete disclosure application form for a Criminal Records Bureau Certificate and original identity documents required to support your Criminal Records Bureau application (see booklet for details and guidance.)

8. Performers List New application – Declaration/Undertakings (1) • To provide declarations and document, if applicable, required by Statutory Instrument 2008 No.1187; Regulation 9; • To notify the Primary Care Trust within 7 days of any material changes to the information provided in the application until the application is finally determined or, if my name is included in the performers list, at any time when my name is included in that list; • To notify the Primary Care Trust if I am included, or apply to be included, in any other list held by a Primary Care Trust or equivalent body; • To co-operate with an assessment by the National Clinical Assessment Service, when requested to do so by the Primary Care Trust; • To participate in the appraisal system provided by the Primary Care Trust (when in operation); • To supply the Primary Care Trust with an enhanced criminal record certificate, under section 115 of the Police Act 1997[22] in relation to me; • To consent to the disclosure of information in accordance with SI

9. Performers List New application – Declaration/Undertakings (2) • Not to perform any primary ophthalmic services in the area of another Primary Care Trust or equivalent body from whose ophthalmic performers list, ophthalmic list, ophthalmic supplementary list or equivalent list I have been removed, except where that removal was at my request or in accordance with Statutory Instrument 2008 No. 1187; Regulation 10(6) of these Regulations, ……, without the consent, in writing, of that Trust or equivalent body. • To comply with the requirements of Paragraph 56 of Schedule 1 to the National Health Service (General Ophthalmic Services Contracts) Regulation 2008 (gifts)(a) (for inclusion as a contractor); and • To comply with the requirements of Paragraph 56 of Schedule 1 to the National Health Service (General Ophthalmic Services Contracts) Regulation 2008 (gifts) sub-paragraph (b) (for inclusion as a performer/student optometrist).

10. Performers List After 1st August • Grounds for Refusal to Admit • Mandatory • Discretionary • Suitability • Efficiency • Fraud • National Disqualification • Removal Investigations and decisions to be taken by PCTs. KPCA will have delegated responsibility to admit to Lists

11. Kent Primary Care Agency Contracts & Payments (1) Types of Contract: • Mandatory Services – sight testing service • Additional Services – mobile services • Enhanced Services - ??? Contracts for ex-Grandfathering contractors: • Will cease from 1st August 2008

12. Contracts & Payments (2) • PCTs will issue Contracts to all current contractors subject to: • Contractor notifying PCT they want one • Not working through Grandfathering arrangements • Not suspended or contingently removed from that list • Subject to investigation as to suitability • Included on current list in error

13. Contracts & Payments (3) • Contracts will be prepared and managed by the PCTs • KPCA will continue to make payments • Payments will not be made unless there is a signed contract between the PCT and contractor by the 1st August • List of contractors will need to be provided to KPCA to enable us to pay ( no exceptions to this) • The contractor can also be a performer but these are two separate entities • New contractors will be added after 1st August by the PCT under the new arrangements for applications. • Domiciliary providers must apply for a contract with each PCT within each area they wish to work. • Contractor name must be the same as bank account name. No overseas accounts

14. Kent Primary Care Agency Contact Details for Kent Primary Care Agency Sam Harris Contracts and Information manager 01622 655126 Sam.Harris@kpca.nhs.uk Michelle Watson Contracts Administrator 01622 655130 Contracts@kpca.nhs.uk Janet Dean Contracts Administrator 01622 655127 Contracts@kpca.nhs.uk Christine Pearson Ophthalmic Payments Manager 01622 655061 Christine.Pearson@kpca.nhs.uk