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Practice Based Commissioning

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Practice Based Commissioning. Durham Dales PCT. County Durham. A practical example ... Practices encouraged to take up share of PCT staff eg commissioning/finance ... – PowerPoint PPT presentation

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Title: Practice Based Commissioning


1
Practice Based Commissioning
  • Durham Dales PCT
  • County Durham

2
A practical example
  • Our approach in the Dales
  • Practice Response
  • Budget Setting

3
Approach
  • All practices should go at once
  • Budget should include all services
  • Savings based on underspend against total budget
  • Practices encouraged to work together

4
PCT Action so far
  • 3 seminars to GPs and PMs
  • Presentations to PEC and Board
  • All practices visited by PEC Chair, Chief
    Executive and Finance Director at least once.
  • All practices have partial indicative budgets
  • All budgets shared openly between practices,
    Board and PEC

5
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6
Practices Involved
  • 12 practices in total
  • All have agreed to take on indicative budget this
    year
  • 3 have submitted commissioning intentions

7
PCT Resources
  • Practices encouraged to take up share of PCT
    staff eg commissioning/finance
  • Beginning to look at monthly budget reports
  • SLAs being developed for community nursing
  • Agreements being reached with pharmacy team.

8
Practice Intentions
  • Changes to community services
  • In house consultant clinics
  • Increased use of AHP services
  • Practices starting to look to each other to
    develop special interests
  • Desire for choice and use of private sector
  • Trust contracts based on quality

9
Quality Issues
  • Discharge letters
  • Cancelled clinics
  • Unnecessary bureaucracy
  • Quality standards for community staff
  • Improved access by all practitioners to
    investigations

10
Use of savings
  • Refurbishment of premises
  • Practice equipment

11
Acute Trust
  • Still trying to rely on LDP for income
  • Rogue GPs will be brought in to line?
  • Only beginning to understand the new market.
  • What will their reaction be to consultant clinics
    in primary care and need for theatre and in
    patent beds.
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