1 / 11

MARK WILSON Associate – NHS PCC mark1wilson@yahoo.co.uk

MARK WILSON Associate – NHS PCC mark1wilson@yahoo.co.uk. Primary Medical Care. WCC functions. Assessment and planning Developing a primary care strategy that secures access to care, reduces health inequalities and improves quality. Contracting and procurement

renate
Download Presentation

MARK WILSON Associate – NHS PCC mark1wilson@yahoo.co.uk

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MARK WILSONAssociate – NHS PCCmark1wilson@yahoo.co.uk

  2. Primary Medical Care

  3. WCC functions • Assessment and planning • Developing a primary care strategy that secures access to care, reduces health inequalities and improves quality. • Contracting and procurement • Implementing robust primary care contracts secured through impartial procurement processes as required. • Performance managementand review • ensuring compliance with contract deliverables and assessing best value. • Relationship management • Keeping everybody happy!

  4. Developing strategy Identify gaps in both access to services and performance • Demography and geography • Health inequalities • Quality (eg. QOF) • Resource distribution • Infrastructure

  5. Implementing strategy Operating plan should: • Deliver statutory responsibilities • Translate strategic intentions into service delivery • Translate health priorities into contract deliverables and performance measures • Offer choice – of provider, setting, treatment, to self-care • Procure effectively & fairly

  6. Best value • Is the PCT achieving best value across all its primary medical care contracts? • Robust contracts that comply with Regulations • Performance management processes that support high quality delivery of care • Financial arrangements that secure value for money • Compliance with existing contract does not necessarily deliver best value • As a nationally negotiated contract, GMS sets the benchmark for best value - distorted by MPIG

  7. Financial reviews • What are we comparing - primary care cost, total resource cost? • Key issue is to compare on a like for like basis • Funding streams • Demography • Services • Timescale • Other eg premises, community nursing provision • Objective is not necessarily to deliver equity but to question and understand reasons behind variations

  8. Funding streams • Take account of differences in treatment of funding streams (if any): • Seniority • QOF • Enhanced services • Opt-outs (ooh/additional services) • Other eg premises, superannuation

  9. Demography • Take account of differences in patient need • Compare by weighted patient • Use appropriate weighted patient methodologies for relevant services • Carr–Hill for primary care • Prescribing – ASTRO-PU/local budgets • HCHS – York formula/PBC budget setting

  10. Other considerations • Services • Range of service provision • Opt-outs - additional services, ooh • Enhanced services • Timescale • Expect time-limited contracts to cost more • Premises • Inclusive/exclusive of maintenance • Community nursing provision on site

  11. DDRB • 2.7% increase to global sum payments But • For individual practices, equal and opposite reduction in correction factor payments - except that correction factor payments cannot be less than zero • Most GMS practices net zero increase – only those very few practices with low or zero correction factor will benefit. • Overall 0.2% increase across whole of GMS

More Related