Financial Incentive Scheme for Practice Based Commissioning 200910

1
Financial Incentive Scheme for Practice Based
Commissioning 2009/10

• Jan Giles
• Assistant Director of Commissioning and Strategic
  Development (PBC)
• NHS Kirklees
• 14th July 2009

2
Incentive Scheme Details

• Five areas each with a number of indicators
• Health status
• Innovation learning
• Medicines management
• Activity finance
• Locally determined
• All indicators have 2 levels
• Standard achievement
• Stretch achievement
• Achievement points

3
Health Status 1

• Indicator implementation of personalised care
  plans and the care planning approach by
  participating in training putting in place care
  plans for a age of patients with diabetes

4
Health Status 2

• Indicator review of patients attending A and E
  during practice opening hours for avoidable
  reasons.
• Action to advise patients which services were
  available that they may have accessed instead.

5
Innovation and Learning 1

• Indicator - practice attends consortium plenary
  meetings or if practice stand alone, attends
  alternative events to improve knowledge of PBC

6
Innovation and Learning 2

• Indicator - practice participates in peer review
  of referrals and provides learning outcomes to
  the PCT

7
Innovation and Learning 3

• Indicator Practice has their own PBC plan (2
  points) which is based on the plan of their
  consortium reflects their health needs in line
  with the JSNA
• Or practice provides written feedback on an
  agreed template about the plan produced by their
  consortium (1 point)

8
Medicines Management 1

• Indicator
• Proportion of statins prescribed as simvastatin
  or pravastatin

9
Medicines Management 2

• Indicator Medicines Reconciliation
  reconciliation of discharge information on
  medicines.

10
Finance and Activity 1

• Indicator - performance against payment by
  results prescribing element of indicative
  budget

11
Finance and Activity 2

• Indicator Review of patients admitted for
  ambulatory conditions

12
Locally Agreed Targets

• 2 indicators for local determination by
  consortia/ stand alones. Areas selected include
• Data verification
• Audit
• Patient public involvement
• Participation in the Staywell project

13
The Money

• Achievement is based on individual practice
• Each indicator carries 2 points for stretch
  achievement 1 point for standard achievement
  for the full year
• Value of points varies by indicator depending on
  the level of work required - between 7p and 16p
  per registered patient per point
• Maximum number of points available is 24 if full
  achievement of all targets. This equates to 1.98
  per registered patient

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Measuring Achievement

• Three assessment and payment points
• October 2009
• April 2010
• July 2010
• Keeps the scheme in the minds of practices!

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Why this Scheme?

• Wide consultation with practices (commenced
  November 2008 so scheme signed off and out to
  practices by 20th March 2009)
• Flexible scheme to enable every practice to
  achieve something
• Reliably measurable indicators
• Includes identified priorities from Vital Signs
• Supports learning and development
• Offers some local determination