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					       The relationships


 Scottish Government Health
  Department
 14 Territorial NHS Boards
 8 Special Health Boards
       8 Special Health
              Boards
 Scottish Ambulance Service
 NHS 24
 The State Hospital
 NHS Health Scotland
 NHS Quality Improvement Scotland
 NHS Waiting Times Scotland
 NHS Education Scotland
 NHS National Services Scotland
 National Services Scotland
 Health Facilities    CLO
 Health Protection    CFS
 ISD                  NISG
 NSD                  National Procurement
 SNBTS                SHSC
                       PSD
     Practitioner Services
   Document processing
   Data capture and verification
   Maintaining patient registration database
   Payment schedules
   Clinical Governance for Dental services

    Our services are designed to enable
    contractors to be paid accurately and
    promptly for medicines and services
    supplied on behalf of the NHS.
How Primary Medical
 Services Payments
  System (PMSPS)
       Works

  Eduardo Zanré
         PMSPS Overview
 GPs               PARTNERS                                                                           ATOS
                                                                                                                                                                      ISD DATA
                                                                                                                                                                     WAREHOUSE
                                        ISD




                                                                                                            CHI Global Sum (quarterly)
          GPASS




                                                                                                             CHI Influenza (annually)
                                                                                                              CHI QMAS (quarterly)
          EMIS
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                                     ACHIEVEMENT AND ASPIRATION                                                                                                 GPs, Practices, Opt-outs

                              QMAS      ACKNOWLEDGEMENTS                                                PMSPS
                                                                                                                                                                       (Ad Hoc)
                                                                                                                                                                                              ISD
                                         Practice Details (daily)                                                                                                                             PCD
                                        Patient Count (quarterly)
                                         Opt Out / Opt In (daily)                                                                                             GP
                                                                                                                                                                 CD
                                                                                    D
ELINKS SERVER                                                                    AN                                                                         Po       Fa
                                                                                                                                                                       ilu




                                                                                                                         Payment Files (monthly)
                                                                                                                                                               llin




                                                                                                                         Supplier Files (Ad Hoc)
                                                                           S                                                                               Fa              re
                                                                                          rts                                                                ilu g E
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                                                                                                                                                                          s
                                                             UA P O        F ile
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                                              P   ER
                                                       A
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                                                                            ra                                                                                                              PSD
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                                                                                                                                                                                          TEST &
                                                                                                                                                                                         SUPPORT
                                 SPPA
                                                                                                                                                                                           TEAM
                                                                                                              CEDAR
                                                                                                              (BACS)
Scotland Wide Payments

 Global Sum

 Superannuation

 Seniority
              Global Sum
 Global Sum Fund
 The Scottish Allocation Factor (SAF)
 Factors and Weighting
 Data Required for Global Sum Calculations –
                       Community Health Index (CHI)
                       ISD File
 The Calculation
 Temporary Patient Adjustment
 Minimum Practice Income Guarantee >> Correction
                                          Factor
      Superannuation
 Background - New Contract
                       1st April 04
             - Tiering 1st April 08
 Timeline
 Estimated Interim Earnings
 GP Annual Certificate (GAC)
               Seniority
 Seniority Payments are designed to reward
 experience, based on years of Reckonable Service
 and the current arrangements came into force from
 April 2003.



 Reckonable Service

 Calculation
   Trish Morgan
Primary Care Contracts Manager
•   GMS Contract
•   DES
•   NES
•   LES
Contract type                              2006/07   2007/08   2008/09   2009/10
NES                                            1       1         1         1
DES                                            9       6         10        9
LES                                            10      14        18        17
SESP - LES                                     0       2         2         1
                     Totals                    20      23        31        28
2005-2009 rolled out a total of 39 contracts
What does this mean?
  •   Change in contract process
  •   Activity
  •   Resource
  •   Time
PRESSURE
  •   CHP
  •   Practice Managers
  •   PCCT
  •   PSD
  •   Finance
Doctors


          Dentists




                     Opticians



 Primary Care Contracts          Pharmacists

         Team
ADMINISTRATION
  •   General medical services
  •   General pharmaceutical services
  •   General Dental services
  •   Ophthalmic services
•   PCC Medical Team
•   Changes to Contract Process
•   Future proposals
•   Partnership working
Contracts
   • Contract Monitoring Group
                  Chair Norma Buschman
   • Enhanced Services Group
                    Chair Bob Liddell
   • Local Medical Council
                      Chair Neil MacRitchie
         Primary Care Resources
   Bob Sivewright – Finance Manager
   Jacqueline Gall – Accountant
   Sheila Roberts – Resources Manager
   Lorraine Grant – Assistant Accountant
   Elaine Leslie (Keith) – Assistant Accountant
          Enhanced Services

 Directed   enhanced services

 National   enhanced services

 Local   enhanced services
      Directed Enhanced Services
   Influenza, Pneumococcal & H1N1

   Minor surgery injections and invasive
    procedures

   Childhood immunisations and preschool
    boosters including Pneumococcal Child Vaccine
    (PCV)
        Directed Enhanced Services
   Osteoporosis – Engagement, £100 for one year only.        Achievement, £450 per
    640 patients where min 80% interventions have been achieved

   Ethnicity – Lump Sum (A)
   Palliative Care - Sliding scale up to £555 per practice with average list of 1000
    patients (Lump Sum)

   Management information – Part A 4p per registered patient or 16p Parts A & B

   Better Working – Approx. 56p per patient.      Split between an engagement fee of
    70% of total with 30% balance payable on receipt of report (Lump Sum)

   Extended Hours – GP, £2.95 per patient PA. & Nursing £0.74 per patient PA. (Q)
                         NES

   INR Anti Coagulation - £100 per treated patient (M)

   DMARDS - £100 per treated patient (M)

   IUCD (insertions and failed) - £135 per claim (M)
                             LES
   Drugs Misuse – Retainer £1000 PA & £360 per patient PA (M)
   Care Homes - £98 per patient PA (Q)
   Minor Injury - Retainer £600 PA   & £10.80 per patient based on list size (M)

   Orthopaedics (Shire) - £0.50 per registered patient PA (M)
   Dermatology (Shire) - £0.50 per registered patient PA (M)
   Referred Minor Surgery - Varying fees across CHP areas see individual
    contracts
                                        LES
   Implanon - £82.58 per procedure (M)
   Ring shelf pessary - £75.00 removal and insertion, £25.00 removal only (M)
   Neo natal checks - £25 per valid check (M)
   Violent & difficult patients - £2 - 4k per violent patient contract PA
   Diabetes - Payment based on notional costs for Medical, nursing & admin time
    paid pro rata on % of patients in practice care. (M)

   Alcohol - £15 per BI made (one per annum per patient) (Q)
    Retainer fee of between £200 – £800 PA based on list size.

   Cardiac Failure - £12 per annum per identified patient on register (Q)
      Board Administered Funds

 Seniority
 Associates

 Locum allowances, sickness, maternity,
  paternity and adoption
 Career start

 Golden Hello

 Contingency Fund
      Premises reimbursements

 Rent

 Domestic Rates
 Water Rates

 Trade Refuse Collection

 Improvement Grants
          Other payments
 Miscellaneous payments funded source
 Periodic Payments

 HCH practice staff

 Levy Deductions

 Local Authority Payments

 Infectious Diseases
                WEBSITES
   Show website
   http://www.show.scot.nhs.uk/publications
   Statement of Financial entitlements
   http://www.sehd.scot.nhs.uk/pca/PCA2009(M)
    10.pdf
   BMA
   http://www.bma.org.uk/
CONTRACT REVIEW
   PROCESS
CONRACT REVIEW PROCESS

WORKING IN GROUPS WE WOULD LIKE
             YOU TO

  REVIEW THE CONTRACT REVIEW
    PROCESS FROM A PRACTICE
          PERSPECTIVE
   TAKING INTO ACCOUNT
• WHAT IS BENEFICIAL FROM A
  PRACTICE POINT OF VIEW

• WHAT YOU WOULD LIKE TO SEE
  RETAINED IN THE REVIEW PROCESS
• WHAT IS NOT BENEFICIAL IN THE
  REVIEW PROCESS

• WHAT WOULD YOU LIKE TO SEE
  REMOVED
HOW CAN WE IMPROVE ON THE
        PROCESS

• WHAT ADDITIONAL AREAS WOULD
  YOU LIKE TO SEE INCLUDED IN THE
  REVIEW PROCESS

• OTHER WAYS WE CAN IMPROVE ON
  THE PROCESS
• ADDITIONAL INFORMATION YOU AS A
  PRACTICE WOULD LIKE TO RECEIVE
  PRIOR TO OR AT A VISIT
         AS A GROUP
• TAKE THE NEXT 30 MINUTES TO
  DISCUSS THE QUESTIONS
• SELECT SOMEONE TO FEED BACK
  FROM YOUR GROUP
• IF YOU HAVE SUBSEQUENT
  SUGGESTIONS PLEASE EMAIL ME AT
  norma.buschman@nhs.net

				
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posted:4/28/2013
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