1. Data & The New GP Contract (GMS2) Dr James Gillgrass Joint Chief Executive Surrey and Sussex Local Medical Committees

2. Current Arrangements General Medical Services General Medical Services –Based on a system of fees and allowances –Nationally negotiated Personal Medical Services Personal Medical Services –Annual budget –Locally negotiated

3. GMS2 A radical change A radical change Greater flexibility in the provision of services Greater flexibility in the provision of services Quality not quantity Quality not quantity Modernisation Modernisation Greater investment Greater investment Delivery of a wider range of services Delivery of a wider range of services

4. Quality and Outcomes Now < 4% of spend on fees is for quality Now < 4% of spend on fees is for quality Higher quality care through incentives Higher quality care through incentives High quality – substantial rewards High quality – substantial rewards

5. Quality & Outcomes Framework Domains Domains – 4 Areas Areas – 21 Indicators Indicators – 146

6. Clinical Domain - 10 Areas Coronary heart disease Coronary heart disease Stroke Stroke Hypertension Hypertension Hypothyroidism Hypothyroidism Diabetes Diabetes Mental Health Mental Health Chronic obstructive pulmonary disease Chronic obstructive pulmonary disease Asthma Asthma Epilepsy Epilepsy Cancer Cancer

7. Organisational – 5 Areas Records and information Records and information Communicating with patients Communicating with patients Education and training Education and training Medicines management Medicines management Clinical and practice management Clinical and practice management

8. Additional Services – 4 Areas Cervical screening Cervical screening Child health surveillance Child health surveillance Maternity services Maternity services Contraceptive services Contraceptive services

9. Patient Experience Domain – 2 Areas Patient survey Patient survey –GPAQ (General practice Assessment Questionnaire) –IPQ (Improving practice Questionnaire) Consultation length Consultation length

10. Criteria Development Indicators based on best available clinical evidence Indicators based on best available clinical evidence Numbers of indicators kept to the minimum number compatible with accurate assessment of patient care Numbers of indicators kept to the minimum number compatible with accurate assessment of patient care Data never collected purely for audit purposes Data never collected purely for audit purposes Data should be available from existing clinical systems Data should be available from existing clinical systems

11. Data collection Data collection in general practice is not new Data collection in general practice is not new Previously haphazard Previously haphazard –Eg. AMI, MI, CT, M infarct, heart attack

12. Data Collection – GMS2 GMS2 offers opportunity for uniformity GMS2 offers opportunity for uniformity –READ coding “Pencil and paper” “Pencil and paper” GP clinical software systems GP clinical software systems –Shortcuts –Macros –Templates

13. Data Analysis Pencil, paper and calculator Pencil, paper and calculator Computerised Computerised –Within practices –Remotely (eg Miquest)

14. Data use Patients Patients –Individual benefit Practice Practice – Financial – Planning of services PCT PCT –Planning of services Nationally Nationally

15. GMS2 – a new era in General Practice ?