ACCESS AND THE NEW DES

1
ACCESS AND THE NEW DES

• Kenny Allen - Policy Lead, Improving Access
  Walk-in Centres Primary Care Access
• Jeff Peers - Head of Primary Care Access and
• Choice
• Department of Health

2
CURRENT POLICY

• National targets and current DES
• Performance so far
• Patient experience
• White Paper

3
STRENGTHENING DES

• Consult GP within 48 hours
• Ability to book in advance
• Ease of telephone access to surgery
• Ability to book with practitioner of preference

4
INCENTIVES FOR PRACTICES

• Total value 108m (current DES QOF pts)
• Aspiration payments (1/3)
• Awards based on new patient experience survey
  (2/3)
• Thresholds trigger varying payments
• Claw back arrangements

5
NEW SURVEY

• Still in development
• GPC and NHS Employers working with DH
• Yes/no questionnaire
• Operate 4th quarter 06/07
• New system will report results to PCTs
• PCTs make prompt payments to practices

6
QUESTIONS?
Implementation guidance will be available online
later this month at http//www.nhsemployers.org
/primary/index.cfm (see Revisions to GMS
Contract 2006-07) or www.primarycare
contracting.nhs.uk
7
CHOICE AND BOOKING

• Alan Robson, Choose and Book policy lead
• Diana Cowles, Choice Implementation Lead
• Department of Health

8
POLICY

• What are we aiming to achieve
• Performance so far
• Timetable to deliver

9
Aims of the DES

• Choice
• Ensure successful introduction of Choice
• Give patients greater say in their healthcare
• introduces the range of clinically appropriate
  choices available for relevant patients to choose
  from
• improved access to hospitals and real choice
  about when and where their hospital appointment
  will be

• Choose and Book
• Drive up utilisation of Choose and Book system
• Give patients more convenient hospital
  appointments and locations
• provides GPs and patients with a fuller and more
  easily accessed range of information at the point
  of referral, including information about actual
  appointment dates and times
• include less time spent chasing paper referrals
  and a reduction in the number of patients who do
  not turn up for appointments at hospital

10
Where are we today?

• The building blocks are in place you have
  already come a long way
• Total bookings have increased from 3,500 to
  100,000
• 94 of GPs are registered to use the system
• 100 of PCTs have commissioning rules in place
• 94 of all providers and 100 of Acute Trusts
  have loaded their Directory of Services
• Daily bookings have increased from around 150 a
  day to more than 2,000 per day

11
NEW DES

• Overall value 95p per point
• 2 incentive components
• 1 initial conversation about choice between GP
  and patient
• 2 utilisation of Choose and Book

12
Timescales for delivery

• Choice
• Will be measured through a new, national, patient
  experience survey, of patients referred for a
  consultant outpatient appointment
• Choose and Book
• Practice utilisation during June 2006 for
  aspiration payment
• Practice utilisation during the period 1
  September 2006 to 28 February 2007

13
Timescales for delivery

• Dont leave it until the last minute
• Early engagement across the health community,
  utilise the Cluster support team that is what
  they are there for
• To receive the maximum available incentive on
  Choose and Book utilisation work to a practical
  lead in time 2 to 3 months dont leave the
  climb too steep
• Recognise the importance of post go live support
  to GPs and practice staff

14
VALIDATION

• Component 1 gt60 of patients say yes to new
  surveys question on conversation about choice
  with GP full award
• Component 2 national systems report to PCTs on
  CB usage awards on sliding scale 50 usage
  60 award 90 usage full award

15
QUESTIONS?
Implementation guidance will be available online
later this month at http//www.nhsemployers.org
/primary/index.cfm (see Revisions to GMS
Contract 2006-07) or www.primarycare
contracting.nhs.uk