1. C&H extended primary care access service specification 2019/20
DRAFT

2. Extended Access (EA)
The local EA LES non-recurrent funding ends 31/3/19; delivery was good (e.g. in 2017/18 88% of appointments were with a GP but only 28/42 practice signed up in 2018/19)
The CCG is consulting on a specification for enhanced access provision in 2019/20, aligned with service standards in the Healthy London Partnership Extended Access (EA) guidance for London
The specification sets a budget for the service at £1,455,000 (combination of national funding + some reallocated local PMS premium funding)
The aim is to give the GPC, as lead provider, flexibility in how the service is provided within certain parameters. With that aim the Confed has been talking to practices over the summer and autumn about provision at a neighbourhood level
Proposed CCG to CONFED level KPIs and CCG to CONFED level reporting requirements are contained in the tables over

3. Extended Access (2) No
KPI description
Target 1
Delivery of additional primary care activity per annum to meet or exceed 30 minutes per 1,000 population a week (HLP standard)
≥520,881 minutes p.a. 2
Productivity : at least 46,879 consultations p.a.
≥46,879 3
Minimum % of appointments to be delivered by a GP
TBC (88% under LES in 17/18) 4
All appointments to be open to all patients; all practices to allow their patients access to the service (measure TBC)
100% of practices (excluding The Greenhouse) 5
% of weeks where a full 8-8, 7 day service was delivered
At least 47 out of 52 weeks 6
At least one hub staffed by a GP from 8am to 8pm each bank holiday in 2019/20 (19 Apr 2019; 22 Apr 2019; 6 May 2019; 27 May 2019; 26 Aug 2019; 25 Dec 2019; 26 Dec 2019; 1 Jan 2020)
100% 7
At least 90% utilisation of appointments
≥90%

4. Extended Access (3) No Frequency 1 KPI report Monthly 2
Frequency 1
KPI report
Monthly 2
GPFV report (national requirement) 3
HLP dashboard (London requirement) 4
Report to GPCOG
Bi-annual 5
Utilisation trajectory (TBC) (national requirement)
TBC 6
Patient satisfaction, patient awareness and patient profiling reports, at a practice and neighbourhood level – details TBC 7
Reports to formal contract monitoring meetings
Quarterly 8
Reports to Primary Care Quality Board (details TBC)
Bi-monthly 9
Any reasonable local ad-hoc reporting requests (including from the STP) 10
Any national and London ad-hoc reports

5. Spending plan against headroom on the 2018/19 core primary care budget - £2.635m