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Mental Health Collaborative . PAYMENT BY RESULTS BRIEF UPDATE. Update London Health Programme . Demographic work - Public health intelligence analyst LHP . Cluster data quality poor Matching MH Trust clusters to borough needs (Sense test ) Using ICD 10 coding
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Mental Health Collaborative PAYMENT BY RESULTS BRIEF UPDATE
Update London Health Programme • Demographic work - Public health intelligence analyst LHP. • Cluster data quality poor • Matching MH Trust clusters to borough needs (Sense test ) • Using ICD 10 coding • Costing Exercise (tendering stage) • To map the range and cost of services currently being commissioned by MH commissioners including difference between boroughs. • Comparing the quantum cost within each reference cost with the quantum of funding that local care clusters and volumes represent • Compare prices across commissioners in London to identify where prices look anomalous. Start date January 2012
LHP update cont 3. Clinical Lead Post: • Validation of care cluster and cluster accuracy across the Region. • Deep dive cluster analysis to understand issues related to cluster accuracy across London boroughs. • To develop a methodology to evaluate the reliability of clustering data Time scale : currently being advertise , interview date 4th January
PbR Time line • 15th December – PbR National Guidance will be published. • 31st December - MH providers to cluster all their WAA and OPS . • By 1 April 2012: Providers should have agreed local prices with their commissioners for 2012/13, based on the cost of the care clusters. They should also have negotiated agreements for 2012/13 that include how any financial risks will be managed and shared to ensure that overall there is a cost-neutral impact for 2012/13. • During 2012/13: Providers and commissioners will need to carefully monitor the initial cluster costs and prices. Providers should work with all their commissioners to agree a single local trust price for each cluster for use in 2013/14. They will also need to make progress in other areas to ensure that the data to support mental health PbR in future years is as accurate as possible.
MHMDS - What information is published? • Routine Quarterly MHMDS reports • Service Performance Indicators • Mental Health Activity • Organisation level data quality reports • Annual Mental Health Bulletin • National and org level data tables • Report • MHMDS On-line Special Feature on Cluster data in MHMDS
USES OF MHMDS DATA • By commissioners, for contract monitoring • By the DH for service performance monitoring • By the CQC for quality and risk profiles and general monitoring • By the DH for the service usage element of the capitation weighted formula for the allocation of budget to PCTs (from 2011/2012) • by researchers …
Did you know… Commissioners could be using now… • Commissioner level data extracts – available on request. • NHS commissioner level annual data tables, e.g. rates of access to services per 100,000 population rates of access to inpatient care, per 100 service users • Annual data.gov file, by provider, by Commissioner activity counts
Commissioners extracts for v4 from Q1 2011/12 • Download extracts from Open Exeter portal • Apply for access by completing BSP data user certificate • Free
Why access MHMDS? • MHMDS is the most comprehensive and authoritative source of data for Payment by Results, providing, for each patient: • MHCT Assessments • Start and End Dates of periods on Cluster • All demographics • Service activity, CPA, Mental Health Act, diagnosis, HoNOS • Providers know it will be available to you!
PbR Training Package • We have been asked developed a package of training materials related to Payment by Results (PBR) in Mental Health. • This training package is aimed at Commissioners, PCT Contractors, Clinical Commissioning Groups and others • A collection of materials to strengthen participants’ knowledge and understanding of key elements of mental health PbR.
Objectives • Describe the background to the development of MHCT • Explain the rules and principles of rating the MHCT • Understand how clinicians allocate patients to Care Clusters. • Cluster transition points and protocols. • An understanding of National PbR Guidance • Initial Assessment and funding. • Contracting issues including Data quality and Implication to commissioners & Providers • Risk Sharing - MOU
Training pack overview • The training pack is in two levels: • Level 1 It is a PbR quiz to check your basic understanding of PbR, it equates to a 30 minutes training time. • Level 2, It provides a broad overview of key PbR issues this can be delivered in 30 minutes up to 2 hr session. • We are currently engaged with two London Clusters supporting the delivery of the training pack. • If you want to know more or want training delivered contact anyone of us via email or phone.
PbR Steering Group • The group is meeting this week on 8th Dec • Lead rep from all London Cluster • CEO MH trust rep. • London Medial Lead • London Memorandum Of Understanding is on the agenda for this group.
Next steps • Contracting workshop in January 12th • New standard Contract • MHMDS V4 • A consultation for the Information centre , what else? ANY QUESTIONS