FUNDING FOR CHANGE

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FUNDING FOR CHANGE
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HOT TOPICS
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GP Referral Reports - trends

• GP Elective referrals have increased by 11 in
  the last 12 months. This report, produced after
  each month end, allows Practice to see their own
  referral rates for individual specialties.
• Here, this Practice had a period when referral
  rates were higher than those for its neighbours.
  

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Practice Information Dashboard

• The new Information Dashboard will replace the
  Excel Quarterly Packs sent to Practices, and
  re-present much of the information available in
  Ardentia in a more usable way.
• It will serve as a tool to communicate a
  Practices PBC performance, co-ordinate messages
  and actions, and act as a supported gateway to
  all available PBC information.

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RISC patient stratification

• RISC reports an identifiable list of patients at
  risk of unscheduled chronic admission for a
  Practice. (PARR is unidentifiable and needs to be
  decrypted into Excel by the PCT).
• The clinician can quickly filter this list by
  demographics and clinical condition.

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RISC patient profile

• One click takes the clinician to all the clinical
  data (Acute and GP) concerning that patient
• By comparison, PARR provides only an NHS number
  on a spreadsheet that the clinician must then go
  and research from other systems (Ardentia or GP
  system).

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SOMERSET ACUTE CARE EYE SERVICE (ACES) PATHWAY
DRAFT
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PRESCRIBING

• AIMS
• To improve and maintain the health of Somerset
  residents through cost effective and safe
  prescribing
• To make best use of the prescribing budget to
  provider further freed up resources for member
  practices to invest in patient care
• To ensure as new clinical care pathways are
  developed making best use of medicines within
  them that budgets are adjusted to reflect this.

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PRESCRIBING

• BENEFITS
• It is an opportunity to empower GPs more
• Provide the potential for increasing net FUR
  available for practices
• Enables GPs to be more involved in the local
  prescribing strategy and formulary development
• Increased control over practices prescribing
  savings (vs PCT control)
• Involvement in setting relevant, achievable
  prescribing targets with associated worthwhile
  incentives for practices
• The opportunity to ensure that prescribing issues
  were fully considered in the re-design of care
  pathways
• That the combination of the prescribing and the
  secondary care activity budget would allow for a
  comprehensive debate concerning increased
  prescribing reducing hospital admissions
• We can create an environment of it not being
  something been done to us, but something that we
  can do.

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PRESCRIBING

• PROCESS
• Practice engagement
• Development of a service level agreement between
  WH.C and the PCT Medicines Management Group
• Development of a prescribing incentive scheme.