1 / 17

Successful Implementation New GMS and PMS

Successful Implementation New GMS and PMS. Rob Webster Director, contract implementation. Context. GP most respected public figure Primary Care highest satisfaction rate Primary care internationally admired Quality is improving PCTs as inclusive organisations

teva
Download Presentation

Successful Implementation New GMS and PMS

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. Successful ImplementationNew GMS and PMS Rob Webster Director, contract implementation

  2. Context • GP most respected public figure • Primary Care highest satisfaction rate • Primary care internationally admired • Quality is improving • PCTs as inclusive organisations • New contracts mean we are in the verge of a renaissance in Primary Care

  3. Scope [England] • c300 million consultations • c1m specialist attendance • 6 million NHS D calls • 6 million on-line hits • over 7 million OOHs calls • c1 million WiC attendances • 600 million items dispensed

  4. Timetable • October 2003 - first payments • November 2003 - finance exercises • December 2003 - guidance, SFE, Model contract, regulations, IAU/ICB tools • February 2004 - main allocations • March 2004 - contracts signed • April 2004 - new legislation, 1st payments • Dec 2004 - OOHs changes complete

  5. PCT/Practice actions • Strategy for commissioning primary care • 1st Jan: offer 2003/04 access & QUiP DES • End Jan: reviewed additional services commissioning & contractor intentions • 1st Feb: commission violent patients DES • End Feb: drawn up initial plans for commissioning enhanced services; agree quality aspiration • before 5 March: agreed practice areas, open/closed status, discussed normal hours, offered 3 DES, agreed early additional service opt-outs, signed contracts • 7 March: offer default contract where necessary • Apr: set up assessment panels & proposals for assignments if need be

  6. Conditions for satisfaction [1] • All GMS practices have signed contracts or have been offered the default contract by 7 March • All PMS practices have begun discussions on amendments to their contracts around QoF, OOHs etc

  7. How? • Central programme management • SHA role in PCT management • MA role in support • PCTs • Practices • Confederation networks • GPC support and LMCs

  8. Primary Care Quality (What Patients’ Value) • Availability and Accessibility • Technical Competence • Communication Skills • Interpersonal Attributes of Care • Continuity of care • Range of On-Site Services

  9. Conditions for satisfaction [2] • Patient values are supported • Patient services are improved

  10. How? • Patient services guarantee with new provider options • Patient experience aspects of QoF • More information for patients • Guaranteed investment

  11. Strategic Vision • Universal, fast and convenient access • by informed patients • to an extended choice and range of high quality services • delivered in modern primary care settings • by suitably trained and qualified professionals

  12. Conditions for satisfaction [3] • Contracts support the strategic development of primary care • Primary care is at the heart of strategic development in the NHS • GPs and their teams morale improves

  13. How? • 9 strategic tests for PCTs • MA support programme • Investment • Relationships

  14. GP opinion: 2001 • Longer consultations • Smaller lists • A quarter want to leave within 5 years • Half will retire before 60 • A fifth find stress “unmanageable” • two thirds see morale at a low

  15. Conditions for satisfaction [4] • GP opinion changes! • Morale and recruitment and retention

  16. How? • Implementation of contract in spirit which it was agreed • Two way relationships • Inclusive PCTs

  17. Summary • Alignment - principles, vision, values • Positive Context, Huge Scale • Operations, patient care, strategy, GPs • Primary Care at the centre of NHS reform • Contracts deliver that strategy

More Related