PMS Contract Review October 2014
Background Area Team required to review local PMS Agreements by March 2016 National Framework Local Process in partnership with Dudley CCG Case by case review of all affected practices Any resources freed up from review should be reinvested in general practice services PMS resources not redeployed outside the current CCG unless by agreement Review Must do’s Reflect joint strategic plans for primary care that have been agreed with CCG’s Secures services or outcomes that go beyond what is expected of core general practice Helps reduce health inequalities Offers equality of opportunity for GP practices in each locality Supports fairer distribution of funding at a locality level Priorities may have changed on services required as need to fit with CCG primary care strategy
Process Liaise with LMC’s Partnership approach with Dudley CCG Information to practices week beginning 17th November 2014 to include: Letter outlining options and process National framework PMS Premium Review Pro Forma Return to GMS Request Template Practice Premium financial template Financial query Template Key dates
Process (2) Open Meetings Thursday 27th November 2014 Birmingham Wednesday 3rd December 2014 Black Country Dudley Event to be arranged Practice Choice Return to GMS PMS Review Advice sessions Clinical Review Panels New Contracts
Practice Choice – Return to GMS BSBC Area Team to adopt Essex Model Practices can choose to return to GMS contract New contracts must begin 1st April 2015 Transitional support tapered over seven years Complete template before 5th January 2015
Practice Choice - PMS Review Practice can choose to have full PMS Review Submit Clinical Review Pro forma by 5th January 2015 Area Team to review returned pro forma and may request further information in preparation for the Clinical Review Panel Review to take place during 2015 New contracts may commence from 1st April 2015 Tapering of resources over minimum of 4 years If this template is not completed and returned by that date it will be assumed that the practice wishes to have a PMS Review
Clinical Review Panel (CRP) Commencing February 2015 Panel to include Area Team Medical Directorate Clinicians LMC Representative (from outside LMC Area) Independent Panel Member Lay Person Clinician from another Area Team Contracting Managers present information to CRP
Clinical Review Criteria The requirements of the existing PMS contract Staffing levels against the services provided and registered patient number Any additional services provided and whether they are: value for money, including a check against scope of ‘core’ services duplication of payment alternative commissioner for that service meeting a recognised and evidenced patient need alignment with CCG requirements as identified in their primary care strategy
Support to Practices Dedicated Project Lead – Area Team Dedicated Membership Support from CCG Open Sessions to outline process Dedicated email account Advice Sessions/Practice Visits Compilation of Frequently Asked Questions Support from LMC
Key Dates W/C 17th November 2014 Information pack out to affected practices 27th November 2014 Birmingham Open Meeting 3rd December 2014 Black Country Open Meeting Date to be confirmed Dudley Open Meeting 8th December 2014 Black Country Advice Session 9th December 2014 Birmingham Advice Session 5th January 2015 Practice Choice submitted February 2015 CRP commence 1st April 2015 Revert to GMS Contract
Thank You Questions?