PEC Development 2006

1
PEC Development 2006

• Task feedback

2
Task outline

• Use of common themes from development session 7th
  February 2006
• Wouldnt it be great to..
• Response rate 60
• Honesty? - some very frank comments, thank you

3
Patient involvement

• Think more broadly and differently
• Use of national direction, projects and targets
  to raise this issue up everybodys agenda
• Practices contribution - how well they monitor
  their contribution to reduce health inequalities
  and patient satisfaction
• Exhibiting preventative care provision and
  demonstrating effectiveness

4
Quality performance

• Practices use of improvement planning
• Use of powers clout appropriately, e.g.,
  penalty
• Include independent contractors (non-GP) in
  quality and performance monitoring in PCT
• Zero tolerance on any poor practice, with
  examples
• Use of existing measures more effectively,
  including patient input

5
Staffing - morale/uncertainty

• Dialogue and communication
• Role clarity in new structure
• Stability and reduced personnel change
• Were not that bad!

6
Premises

• Effective use of monies
• The effect of buildings on secondary care service
  shift how many as a performance measure
• Follow through with existing plan

7
Clinical engagement

• Improved effectiveness of PEC members time
• Measure effectiveness by how much activity has
  moved to primary care
• Improve communication of PEC members and
  respective constituencies
• Reduce bureaucracy
• Local management with money

8
Time/re-organisation

• Staying as HoB crucial
• Be aware of effects on members and increase
  reflection opportunities
• PEC inter-active/website communication
• Use of focus to improve effectiveness
• Protected time for clinical PEC members to do the
  job properly

9
PBC infrastructures

• Good strong LMTs with effective clinical
  leadership going towards independence
• Devolution of decision-making
• Conflicts of interest handled well
• Improved data availability (including public
  health)
• If its working, dont change it

10
Financial balance/savings

• Targets improving year on year
• Effective business management that also supports
  risk-taking
• Clinical lead and locality responsibilities in
  re-investment of savings

11
Making a difference

• Some form of assessment to measure progress and
  how PEC members make a difference
• Clinical lead responsibilities to be clear and
  effective
• Role clarity for newer PEC members

12
Development training

• Improved recruitment and particularly retention
  rates
• This is a tPCT positive generally
• PEC members to have a PDP

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2º to 1º shift (diverse providers)

• Weve got to do it so might as well do it well
• Contestability - define it and be clear about it
• Use of numbers increased by end next year
• Be clear about our contracts and what our
  patients get out of them
• Ensure quality commissioning

14
External partnerships

• Strengthen commissioning in all areas
• Clarity re HoB person engaged in a particular
  partnership
• PEC understands and actively engages in
  partnership working

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Theme/area of focus - group score

• Patient Involvement 3 10
• Quality Performance 4 10
• Staffing - Moral/Uncertainty 3 10
• Premises 3 10
• Clinical Engagement 4 10
• Time / Reorganisation(s) 3 10
• PBC Infrastructure 4 10
• Financial Balance / Savings 3 10
• Making a Difference 4 10
• Development Training 5 10
• 2 - 1 Shift (Diverse Providers) 2 10
• External Partnerships 3 10

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PEC amalgamated score chart
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In summary..

• Performance - use of measurements in pretty much
  everything
• Communication - internal and external
• Clarity - attempt to combat the current (not
  recent) climate of uncertainty