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North West nGMS/nPMS Information Session. Programme. 12.00 Registration and Lunch 12.30 Introduction 12.45 PMS Futures overview 13.30 nGMS overview 14.45 Coffee 15.00 Q & A Session 15.30 SHA/nGMS Leads – progress to date 16.15 Close. Support for nGMS.
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Programme • 12.00 Registration and Lunch • 12.30 Introduction • 12.45PMS Futures overview • 13.30nGMS overview • 14.45Coffee • 15.00 Q & A Session • 15.30SHA/nGMS Leads – progress to date • 16.15 Close
Support for nGMS • Learning Exchange Event – 14th/15th January • On line presentations • North West support following Learning Exchange Events • Helpline • Practice Toolkit • Post April support
PMS Futures Changes and Implications
Confirmation of live status by 22/10/03 Support – letters from JH and reiteration by NPDT PMS Team Deferred Pilots Growth Pilot Status PMS Wave 5B
PMS Futures • Future of PMS • Why Should PMS Continue • Flexibility / Locally Negotiated • Permanence • Right of Return • 5b last ‘wave’ of piloting • Seniority & 03/04 Uplift • Convergence of 2 contracts?
Comparable Benefits to GMS • Quality Framework – “Comparable / Equivalent” • IT • OOH • Pensions / Superannuation • Enhanced Services • Premises
Q & O Framework • PCT and practice to negotiate • Local alternative can be agreed • May choose to take on all framework • May choose to take parts or none • Additional investment in quality ‘comparable’/’equivalent’ to GMS • ‘Recycled’ monies
Q & O Framework Global Sum Equivalent/MPIG (some, but not all IoS)
Q & O Framework 500 points Global Sum Equivalent/MPIG (Some, but not all IoS) Global Sum Equivalent/MPIG
Q & O Framework 500 points 500 points Recycled Global Sum Global Sum PMS Baseline
PMS Growth • No unpicking of baselines • Growth remains part of contract value whilst in PMS • Flexible use after 1st April 2004 • No centrally held growth (or anything!!) after 1st April
Right of Return • Delay in return notice – 3 months – Less? • After 1st April – return to what? • Single performer list from 1st April • Right of return will mean a move either way
Return – Financial Implications • MPIG/GSE in GMS • Needs to be fair financial return for PMS – how? • PMS GSE/MPIG ? • Locally negotiated • Nationally calculated • Growth?
PMS Futures – New Developments • Sustaining Innovation in PMS • Specialist PMS • Commissioning by nPMS • LPS / PDS • Next Steps
Next Steps • Use of PMS to aid primary care modernisation • Maintenance of local alternative • Discussions re Q & O Framework – local or national? • Good Practice • Further Guidance – Dec and Jan