Transcript Quality and Outcome Framework Lay Assessor Training

Quality and Outcomes Framework
Assessor Training
Primary Care Contracting Basics
for Lay Assessors
The NHS Organisational Map
Source: your guide to the NHS from
the NHS.UK website.
Delivery arms of the NHS
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Primary care
Intermediate care
Secondary care
Specialist services
Support services
PCT role as commissioners – but can
also be providers of services
Primary care
• GP surgeries, dentists, opticians,
pharmacies
• Community services
• Walk in Centres and NHS Direct
• Usually first point of contact
• Provide treatment and onward referral
Primary Care
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GP most respected public figure
Primary Care highest satisfaction rate
Quality is improving
PCTs and new contracts mean we are
on the verge of a renaissance in primary
care
• No direct line management relationship
between the PCT and practice
General Practice
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Independent contractor status
Business ethos
8 out of 10 contacts within the NHS
1/5th of total spend
Where do PCTs fit in this?
• As commissioners
• As providers
Primary Care Commissioning:
The Four Contracting Routes
Contract
General Medical
Services (GMS)
Personal Medical
Services (PMS)
Alternative
Providers Medical
Services
(APMS)
PCT Medical
Services (PCTMS)
Providers
Practices with at least one GP provider (singlehanders, partnerships, or a certain type of limited
company described in chapter 6)
Practices (single-handers, partnerships, or a
certain type of limited company described in
chapter 6)
Nurses and other clinicians
PCTs
Commercial providers
Voluntary sector
Not-for-profit organisations
NHS trusts and foundation trusts
Other PCTs
PCTs
Enabling PCTs with new
Flexibilities
• New contracting routes enable more
choice to PCTs to structure and
commission care
• Wider range of providers enables
patient choice
• Enables different skill mix sets to be
developed
• Fits with wider modernisation of health
care
What drives the NHS 1
• National priorities
– Reducing waiting times
– Improving access
– Improving health
What drives the NHS 2
• Local priorities
– Specific disease areas and local
health improvement targets
– Community health projects
– Public health issues
What are your PCT local priorities?
• In terms of health needs, local targets,
public health issues?
• Why might these be important to know for
the QOF visits?