Welcome and Overview of Kent Primary Care Agency Debbie …

Download Report

Transcript Welcome and Overview of Kent Primary Care Agency Debbie …

Kent Primary Care Agency
Rex Davenport
Deputy General Manager
Kent Primary Care Agency
Kent Primary Care Agency
Background to the new contract, performers,
contractors & payments
•
Introductions
•
Purpose of Legislation
•
KPCA, Performers, Contractors and Payments
•
New for all
Kent Primary Care Agency
Background to Kent Primary Care Agency (1)
•
What is KPCA:
–
–
–
–
–
Family Practitioner Committee (FPC)
Family Health Services Authority (FHSA)
Kent Health Authorities Support Agency (KHASA)
Budget of £4.1m
111 Staff (incl. vacancies) - 38% part-time
What does KPCA Do?
– Maintains the GP Practice Lists
– Medical records transfers and issues medical cards
– Breast and Cervical Screening call/recall letters
– Pays GPs and Opticians
– Manages Performer & Contractor lists for the four primary care
contractors
– Supports control of entry processes for Community Pharmacists
– Probity work
– Patient allocations
Background to Kent Primary Care Agency
(2)
•
Who Does KPCA Support?
–
–
–
–
–
West Kent PCT
Eastern and Coastal Kent PCT
Medway PCT
Bexley Care Trust
Greenwich Teaching PCT
Kent Primary Care Agency
Performers List
Transitional Arrangements
• Supplementary List automatically transfer to Performers
List on the 1st August 2008
• Optometrist/Ophthalmic Medical Practitioners who are NOT
currently on Supplementary list need to notify KPCA that
they want to go onto the new Performers List before the 1st
July.
• Performer can only be on one PCT performers list
• PCT responsible for regulating performance under the
Contract
After 1st August by application to PCT List via KPCA
Kent Primary Care Agency
Performers List
New Arrangements
After 1st August application to KPCA to join the performers list
will require:
•
•
•
•
•
•
Information about applicant
Undertakings
Declaration
Certificates
Consents
CRBs Checks
Cannot work unless on a performers list somewhere else in
England whilst application is being processed.
Kent Primary Care Agency
Performers List
New application – Required Documentation
•
•
•
•
•
•
Section B - Declaration for Inclusion in the Ophthalmic Performers
List;
Current Certificate of Registration with the General Optical Council
(for inclusion as an Optometrist or Student Optometrist);
Current Certificate of Registration with the General Medical Council
and Letter from the Ophthalmic Qualifications Committee (for
inclusion as an Ophthalmic Medical Practitioner); and
An up-to-date Curriculum Vitae.
One of the following original documents with your application:A complete Enhanced Criminal Records Bureau Certificate issued in
the past 12 months;
A complete disclosure application form for a Criminal Records Bureau
Certificate and original identity documents required to support your
Criminal Records Bureau application (see booklet for details and
guidance.)
Performers List
New application – Declaration/Undertakings (1)
•
•
•
•
•
•
•
To provide declarations and document, if applicable, required by
Statutory Instrument 2008 No.1187; Regulation 9;
To notify the Primary Care Trust within 7 days of any material
changes to the information provided in the application until the
application is finally determined or, if my name is included in the
performers list, at any time when my name is included in that list;
To notify the Primary Care Trust if I am included, or apply to be
included, in any other list held by a Primary Care Trust or
equivalent body;
To co-operate with an assessment by the National Clinical
Assessment Service, when requested to do so by the Primary
Care Trust;
To participate in the appraisal system provided by the Primary
Care Trust (when in operation);
To supply the Primary Care Trust with an enhanced criminal
record certificate, under section 115 of the Police Act 1997[22] in
relation to me;
To consent to the disclosure of information in accordance with SI
Performers List
New application – Declaration/Undertakings (2)
•
•
•
Not to perform any primary ophthalmic services in the area of
another Primary Care Trust or equivalent body from whose
ophthalmic performers list, ophthalmic list, ophthalmic
supplementary list or equivalent list I have been removed, except
where that removal was at my request or in accordance with
Statutory Instrument 2008 No. 1187; Regulation 10(6) of these
Regulations, ……, without the consent, in writing, of that Trust or
equivalent body.
To comply with the requirements of Paragraph 56 of Schedule 1 to
the National Health Service (General Ophthalmic Services
Contracts) Regulation 2008 (gifts)(a) (for inclusion as a
contractor); and
To comply with the requirements of Paragraph 56 of Schedule 1 to
the National Health Service (General Ophthalmic Services
Contracts) Regulation 2008 (gifts) sub-paragraph (b) (for inclusion
as a performer/student optometrist).
Performers List After 1st August
•
•
•
Grounds for Refusal to Admit
– Mandatory
– Discretionary
• Suitability
• Efficiency
• Fraud
National Disqualification
Removal
Investigations and decisions to be taken by PCTs. KPCA will have
delegated responsibility to admit to Lists
Kent Primary Care Agency
Contracts & Payments (1)
Types of Contract:
•
Mandatory Services – sight testing service
•
Additional Services – mobile services
•
Enhanced Services - ???
Contracts for ex-Grandfathering contractors:
•
Will cease from 1st August 2008
Contracts & Payments (2)
•
PCTs will issue Contracts to all current contractors subject to:
–
–
–
–
–
Contractor notifying PCT they want one
Not working through Grandfathering arrangements
Not suspended or contingently removed from that list
Subject to investigation as to suitability
Included on current list in error
Contracts & Payments (3)
•
Contracts will be prepared and managed by the PCTs
•
KPCA will continue to make payments
•
Payments will not be made unless there is a signed contract between the
PCT and contractor by the 1st August
•
List of contractors will need to be provided to KPCA to enable us to pay
( no exceptions to this)
•
The contractor can also be a performer but these are two separate entities
•
New contractors will be added after 1st August by the PCT under the new
arrangements for applications.
•
Domiciliary providers must apply for a contract with each PCT within each
area they wish to work.
•
Contractor name must be the same as bank account name. No overseas
accounts
Kent Primary Care Agency
Contact Details for Kent Primary Care Agency
Sam Harris
Contracts and Information manager
01622 655126
[email protected]
Michelle Watson
Contracts Administrator
01622 655130
[email protected]
Janet Dean
Contracts Administrator
01622 655127
[email protected]
Christine Pearson
Ophthalmic Payments Manager
01622 655061
[email protected]