PBC: THE 4 CHANGE PRINCIPLES

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PBC THE 4 CHANGE PRINCIPLES

• Develop strong leadership (Clinical
  Managerial) in order to drive improvement.
• Develop Information Systems and use the
  information to push change forward
• Redesign the Delivery of Service to meet the
  local need.
• Align resources and incentives to support
  delivery.

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PBC BUDGET SETTING
A FIVE STEP PLAN
(excluding 2005/06 growth of 8.2 million)
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PBC THE PACK
Summary of all Practice Budgets
Summary of Practice Budget
Analysis 2003/04 actual activity in relation to
elective work
A query log
PRACTICE INFORMATION
Analysis 2003/04 actual Activity in relation to
non-elective work
A glossary Of Terms
Analysis of 2003/04 for Outpatient follow up data
4 graphs mapping activity
Analysis 2003/04 for Outpatient first
attendance data
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PBC THE PRACTICE SUMMARY

• Analysis of all NHS Providers elective,
  non-elective, o/p and non APC.
• BASIS 2003/04 actuals, converted to spells,
  multiplied by 2005/06 tariffs ( and volume)
  Weighted Spell
• Comparison to fair shares value

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PBC ELECTIVE AND NON-ELECTIVE ACTIVITY

• Analysis by Provider
• Analysis by Specialty
• Detailing all major HRG activity
• In terms of Spells and Weighted Spells

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PRACTICE BASED COMMISSIONING
Application of Savings
PCT Financial Balance
Equity
Governance
RISKS/ ISSUES
Pace of Change
Risk Sharing
Agreed Principals
Patient Involvement
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PRACTICE BASED COMMISSIONING
Practice details in Board Paper transparency
Practices Rights
Practice Manager Views
PEC PRINCIPALS
Entire PCT Budget Efficiency

• Encourage Practices
• To take a
• Corporate view
• Share risks
• Fair ways

Steady state In year 1
Patient Forum PPI
Risk Register Assurance Framework