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(Microsoft PowerPoint - Don222t Shoot the Messenger - Access DES
Don’t Shoot the Messenger Access DES Patient Experience NI GP Patient Survey ACCESS DES 4 Key Dimensions: a. Opportunity of a consultation with a GP or appropriate primary care professional i. By the end of the second normal working day after the day on which the request was made (48 hour access) for clinical advice or treatment, where this is requested; b. Opportunity to book appointments in advance of 24 hours c. Ease of telephone access d. Opportunity to be seen by a preferred GP (without a timeframe) ACCESS DES (cont’d) Sign-up – Practices asked to ‘sign-up’ to all 4 dimensions of the DES – Board has issued a template for this purpose which practices should complete, sign and return within the specified timeframe – An Initial Payment (approx £1750 per NI average list size) will be paid to practices upon receipt of completed ‘sign-up’ template ACCESS DES (cont’d) Measurement – Local press campaign undertaken by Board – Notice will be prepared by Board for display in prominent position/s by practices (failure to display in prominent position may result in reduced monthly payment) – Boards to monitor practices’ compliance with access criteria achievement. Telephone Access Practice need to monitor Consider acceptability/unacceptability of message e.g. length Time caller has to wait Suggest BT audit facility. QOF Patient Experience 7 & 8 PE7 – The percentage of patients who, in the appropriate national survey, indicate that they were able to obtain a consultation with an appropriate health care professional within 2 working days P E 7 & 8 (cont’d) PE8 – The percentage of patients who, in the appropriate survey, indicate that they were able to book an appointment with a GP more than 2 days ahead PE 7 & 8 (cont’d) Achievement – Dependant upon the results of the national survey – A sliding scale will apply to payments between: PE 7 70-90% (23.5 points) PE 8 60-90% (35 points) National Patient Survey Draft survey to be available by November 2008 Initial mail-out to patients will take place on 5thJanuary 2009 (anticipate some type of launch/publicity/press coverage at this time) Mail out being managed by IPSOS Mori on behalf of DPSSHSNI (IPSOS Mori also responsible for conducting analysis) Patient names & addresses supplied by CSA (all data protection requirements in place) National Patient Survey (cont’d) Sample size – same for all practices (but this aspect currently under discussion) Patients aged 18 years + included Two reminders will be sent to patients who have not returned questionnaires (February & March) Aspiring to 40% return rate per practice Final closedown – 31 March 2009 National Patient Survey (cont’d) Payment under PE 7 & 8 will refer to questions 8 & 11 Q8 Last time you tried, were you able to see a GP or other health care professional on the same day or in the next 2 days that the surgery or health centre was open Q11 Last time you wanted to book an appointment with a GP or other healthcare professional more than 2 days in advance, were you offered an appointment? National Patient Survey (cont’d) Note: – The preceeding questions ask the patient if they tried to book an appointment in the past 6 months – those patients who have not tried in the last 6 months, are exempt from answering Qs 8 & 11 ( but even if they do answer it will not be counted in the practice’s results for payment purposes). National Patient Survey (cont’d) The remaining questions have been included by DHSSPSNI as part of a national survey to ascertain patient views on general medical services (a similar survey has been conducted in England over the past two years – this is the first time it has been introduced into N Ireland).
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