Transcript National Primary Care Development Team Phase III Penny Gates

National Primary Care
Development Team
Phase III
Penny Gates
Lead Manager
SW Peninsula NPDT Centre
Chronic Disease Management
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Diabetes
COPD
National Programme commenced September 2003
20 PCTs & 100 practices including
– Bath & NE Somerset
– Bournemouth
– Bristol North
– Torbay
• Refine the model and generate exemplars
Rollout
• Available to all PCTs April 2004
• £20,000 for 2004/05 to provide project management
support for participating PCTs
• Help practices reach the required standards to
secure the necessary points under the new contract
• Application of generic improvement tools
• Help to address other clinical areas within the QOF
• Measures to demonstrate improvement
Aims
• To ensure that a minimum of 60% of all people with
Diabetes (both Type 1 and Type 2) within
participating sites have an HBA1c<7.5
• To reduce the number of COPD hospital admissions
by 40% in participating sites
How?
• Creation of care pathways for diabetes and COPD
between primary and secondary care
• Delivering improvement at Practice level
• Getting the whole Practice on board
• Proactive secondary prevention
• Patient involvement
• Support from the PCT
• Support from local NPDT Centre
• Measurement
Improvement measures
Diabetes
• % of people with diabetes with a last recorded HbA1c
of <7.5 within the previous 12 months
• % of people with diabetes with a last recorded
cholesterol reading of <5 mmol within the previous 12
months
• % of people with diabetes with a lst recorded BP
reading of <140/80 within the previous 12 months
• % of people with diabetes with a retinopathy
screening recorded within the previous 15 months
(such screening according to national approved
technique
Improvement measures
COPD
• % of patients who have received spirometry to confirm
diagnosis
• % of COPD patients with smoking status recorded within
previous 12 months
• Number of acute admissions for respiratory illness in
COPD patients in the previous 12 months
Other NPDT programmes…
QuISP
Quality Improvement Skills for Primary Care
• 4 national one day learning events on the QOF
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20 February - London
25 February - Bristol
27 February - Birmingham
1 March - Manchester
• 3 national "train the trainer events"
• Local delivery of QuISP training programme
• To multi-disciplinary practice teams in a third of PCTs
• Deliver training and practical tools in improvement
techniques to primary care professionals
• Help practice teams and PCTs to implement the new
contract
QuISP Programme
• 3 one-day Workshops
• Approximately 30 participants
• 3-4 members from between 6-10 practices per
programme
• Commencing April this year
• Devon & Cornwall
nGMS/PMS
Collaborative
• Help PCTs and practices teams to maximise the
benefits achievable under nGMS and PMS
• 28 sites, one in each SHA area based on 28 PCTs
and their constituent practices
• Drawing on expertise of others
• Showcase examples of good practice and what is
possible
• Delivery through the NPDT Centres
Any questions?