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Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside

Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside. Topics. Who are P&CFS What we do How do we do it Key successes Top priorities & opportunities Q&A. Practitioner & Counter Fraud Services. One of six NSS strategic business units

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Practitioner & Counter Services NSS Involving People Event 5 th March 2014 Canderside

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  1. Practitioner & CounterServicesNSS InvolvingPeople Event5th March 2014Canderside

  2. Topics • Who are P&CFS • What we do • How do we do it • Key successes • Top priorities & opportunities • Q&A

  3. Practitioner & Counter Fraud Services • One of six NSS strategic business units • Scottish Health Service Centre • Counter Fraud Services • Practitioner Services

  4. Conference and event organisation • 6 suites ranging from10 to 110 delegates • Conference centre located at Western General, Edinburgh • Full range of conference facilities, audio visual, catering, registration and delegate management • More info on http://www.shscctc.scot.nhs.uk • Event organisation throughout Scotland, webinars • More info on http://www.shscevents.co.uk • National Committee Services • Supporting national committees, e.g. National Appeals Panel, Scottish Dental Practice Board

  5. Primary Care • 25 million GP consultations • 5.5 million patients registered with a GP • 1.9 million eye examinations • 4.5 million dental registrations • 5.5 million dental courses of treatment • 100 million prescription items • 1 in 10 patients see GP weekly • 80% of patients see their GP at least once a year • GP “footprint” across whole system

  6. Primary care • 82% of all patient interactions with the NHS are in a primary care setting

  7. Core services • Paying primary care service providers • 20% of NHS Scotland budget • General medical practice £770m • Dentists £380m • Community pharmacy £1200m • Optometry £90m • Managing patient registrations • Community Health Index, dentistry, minor and chronic ailment services

  8. Core services • Medical records services • Paper and electronic GP record management • Dental patient services • Approval of complex/expensive treatment plans • Independent quality examination reports for dental treatment provided • Payment verification • Verification and audit of £2.2bn payments • Data analysis and practice visits • Investigations • Reporting and working with NHS Boards

  9. How we do it • Resources • 600+ staff across 4 sites • Administrative and clinical • £25m revenue funding • £5-8m project funding • Operating at scale • High volume transactions including scanning • Multi-skilling • Shared/common information technology platforms, systems and processes • ISO accredited processes

  10. Key successes • New GP contract • Electronic medical record transfer • Electronic and tooth specific dental claims • ePharmacy • Free eye examinations • Free prescription charges

  11. Top priorities & opportunities • Health & Social Care integration • 2020 vision • Shifting balance of care • Positive patient identification in secondary care • Eyecare integration and e-payments

  12. Top priorities & opportunities • Unique perspective across all of primary care • Scale, capacity and capability • “Institutional” knowledge and skill • Reuse, sharing and learning • Increasing health impact • Exploitation and joining up for patient health benefit

  13. Questions

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