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Published byJoy Hudson Modified over 9 years ago
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ICIS AND CENTRAL LCG WELCOME TO OUR JOINT MEETING 15 APRIL 2010
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TODAYS AGENDA ENT REFERRALS REFLECTION ACTION PLAN AND LES SUBMISSION CLINICAL PRIORITIES 2010/11 ICIS PRIORITIES AND YOUR FEEDBACK PBC LES 2010/11 WHITTINGTON CONTRACT YOUR ISSUES
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ENT REFERRALS REFLECTION 20 PRACTICES RESPONDED 201 OPD REFERRALS AUDITED CITY RD 10 PRACTICES 38 CASES AUDITED SECONDARY CARE 17 PRACTICES 163 CASES AUDITED
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GENERAL FEEDBACK CITY ROAD Positive feedback around quality and timeliness of communications Used by practices as convenient and to “save PBR tariff” Used more by Central practices than North
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SECONDARY CARE Variable quality/timeliness of communications Poor feedback on urgent clinic refs
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REASONS FOR REFERRING TO SECONDARY CARE NOT CITY RD Patient access/choice – particularly for North patients Lack of awareness of what City Rd offers Particular issue re F2/locum referrals Urgent clinic Limited procedures/no children
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2010 CITY ROAD Local tariff from September 2010 TBA SECONDARY CARE New referral £154 Followup £80
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CLINICAL ISSUES AND ACTION PLAN
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CLINICAL PRIORITIES Neurology Pathway for headaches Cardiology Better reporting on diagnostics COPD More outreach from Myra Stern Urology Pathways for UTI, Haematuria?
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ICIS PRIORITIES Joint working with Acute Commissioning Agency Clinical work with Whittington Shaping polysystems Ensure doesn’t increase activity and spend Ensure clinical models make sense locally Growing membership Governing Council Joint work with Whaco
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PBC LES 2010 COMMISSIONING PLAN Collective ICIS plan No money ATTENDING PBC MEETINGS £3000 per practice Based on attendance sheets
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DATA VALIDATION 4 Exercises on areas chosen by Commissioning 50p per patient (list size) PATIENT JOURNEY Reviewing patients with multiple hospital activity £1 per patient (list size)
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PATIENT INVOLVEMENT 30p per patient 3 consultation events over year Could be met by growing pt membership ICIS PAYMENT 50% on signing up 50% year end
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WHITTINGTON CONTRACT WE RAISED IT THE ACUTE COMMISSIONERS LISTENED ITS IN THE CONTRACT!
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TARGETS REDUCTIONS IN OPD FOLLOWUPS 10 specialties targeted ICIS and hospital clinician audit REDUCTIONS IN C2C REFERRALS ?Some audit in year IMPROVEMENTS IN DISCHARGE COMMUNICATIONS In year audits?
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CARDIOLOGY FIRST OPD £274 FOLLOWUP£131 DIRECT ACCESS ECG£31 DIRECT ACCESS ECHO£111
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OTHERS DEXA£85 DIABETES EDUCATION£750 GTT£41 MATERNITY USS£85 DIETETICS£63 ANTICOAGULATION£27 We will circulate full list of prices…
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Feedback from Away Day. What we’ve achieved so far? Better practice engagement Clinically relevant dialogue Built/building relationships Efficiencies/working smarter e.g. delivery of LES, commissioning / data issues Educational focus & provision Better Clinical leadership/pathway
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GP voice in shaping services More GP ownership of PBC Innovative Good building block for future?
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