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TPBC DES. 2006 (one year only?). Two Components. Aspiration and Achievement. Component One (95p). Agreeing a plan with PCT and implementing it (Template in Appendix A of DES). Practice Plan. Choose clinical areas for attention Describe achievable objectives Redesign certain areas
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TPBC DES 2006 (one year only?)
Two Components Aspiration and Achievement
Component One (95p) • Agreeing a plan with PCT and implementing it (Template in Appendix A of DES)
Practice Plan • Choose clinical areas for attention • Describe achievable objectives • Redesign certain areas • Reduction in referrals • Reduction in emergency admissions • Engagement in design of new provision
TPBC Plan Template(Appendix A DES specification) • Named Clinical Lead • Agreed scope of services covered by indicative budget + links to LDP • Description of areas for redesign or plan to reduce hospital usage • Agreed baseline of referrals • Objectives to trigger component 2 • Odd quality assurance phrase
PCT Tasks (1) • Benchmarking • Referral Rates • Admission Rates • First OPD Rates • OPD Follow up Rates • Supply PCT Strategic Plans
PCT Tasks (2)Activity and Financial Data • Elective Data (IP and Day Case) • Non-Elective Admissions (inc. length of stay) • First OPD and Follow ups • Use of diagnostic tests • Consultant to Consultant referrals • A&E and WIC Attendances • Prescribing • Community and Mental Health Services • GMS/PMS costs
Component Two • Paid if plan objectives achieved • 95p or 70% savings whichever is the larger to reinvest in patient care, premises included