SUS PBC Comparators

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SUS PBC Comparators

• Phil Collins
• SUS Programme

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SUS PBC Comparators - topics

• Background to practice based commissioning (PBC)
• The need for information to support PBC
• The SUS PBC Comparators system
• Objectives
• Design principles
• Overview
• Release plans and the future

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Background to PBC

• PBC is about engaging practices and other
  primary care professionals in the commissioning
  of services. Through PBC, front line clinicians
  are being provided with the resources and support
  to become more involved in commissioning
  decisions.
• Department of Health guidance

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PBC Guidance

• Practice based commissioning achieving universal
  coverage
• Published by DH in January 2006
• Health reform in England update and
  commissioning framework
• Published by DH in July 2006
• It sets out a framework to strengthen
  commissioning and focuses in particular on PBC
• DH review of NHS locally developed information
  tools for PBC
• Recognises that information is crucial for
  successful practice based commissioning.

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Information to support PBC

• Acknowledged that there is not sufficient
  information available at present to meet all the
  criteria set out in Practice based commissioning
  achieving universal coverage
• Recognised that the SUS PBC Comparator system is
  the long-term strategic solution for PBC
• Recognised that there are some significant local
  developments providing real value (and that these
  will continue to develop)

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Information to support PBC
Current position
National
Local
Some local systems developed, e.g. ASP, GM,
MIDAS And some commercial systems e.g. Ardentia,
Dr Foster, Sollis
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Information to support PBC
Position as at mid May 2007
National
Local
Local systems
PBC Comparators
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Information to support PBC
Future position
National
Local
Local systems
PBC Comparators
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Background to PBC Comparators

• Initial discussions with DH in March 2006
• High level draft specification issued in August
• Approval to go ahead
• Draft requirements produced in November
• With indication of expansion to other data
  sources (e.g. QOF and prescribing)
• Work commenced in December 2006

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Partners for PBC Comparators

• Sponsor
• Department of Health
• Development team
• Secondary Uses Service
• NHS Information Centre
• NHS Connecting for Health
• Northgate Information Solutions

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Objectives for PBC Comparators

• To deploy a national, web-based, system for the
  provision of GP practice comparators
• Accessible to all GP practices (as well as PCTs,
  SHAs, Trusts, PHOs etc)
• Providing comparators of commissioning activity,
  referral patterns, outcomes, prescribing and QOF
  data
• Data refreshed quarterly and available shortly
  after the PbR Freeze date

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Design principles for PBC Comparators

• Web-based access
• Summary level information
• Intuitive dash board graphical style
  presentation
• Built-in help and supporting information

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Current status of the system

• First release on time in first week of April 2007
• User assurance and testing underway
• Two more releases during April and early May
• Full release planned for mid May

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Planned initial comparators

• Activity and Cost (at PbR tariff) comparators
  for
• 1. OP first attendances for source of referral
  GP per 1000 population for the six specialities
  identified for care outside hospital
• 2. Total outpatient attendances per 1000
  population
• 3. Non-Elective admissions for 19 ambulatory care
  sensitive
• 4. Non-Elective Admissions per 1000 population
• 5. Four QOF area admissions per 1000 population
  (CHD, Asthma, COPD, diabetes)
• 6. Elective IP Admissions per 1000 population
• 7. Day case Admissions per 1000 population
• 8. Total elective admissions per 1000 population
• 9. Admissions for five procedures with evidence
  of overuse / 1000 population

Better Value Better Care indicators
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Overview of the system
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Release plans and the future

• Release 1 scheduled for mid May
• Basic range of comparators
• Wide range of access (registration not
  restricted)
• Further releases currently being planned and
  schedule will be announced soon
• Expanding on
• number of comparators
• functionality
• number of data sources

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SUS PBC Comparators

• Phil Collins
• SUS Programme