Primary Care Commissioning Committee 5 May 2015 Primary Care Commissioning Plans Services Introduction Delegated responsibility for commissioning primary medical care supports delivery of the CCG strategic plan, enabling the shift of resources into primary care to ensure we are able to design and implement effective incentive systems that enable us to control secondary care spending and reallocate funding to our out of hospital strategies. Extending the role of primary care increases the local offer to our resident population. Through the GP LINK meeting the CCG has commenced early engagement with the membership practices. The April meeting was dedicated to Developing the Primary Care Strategy for Blackpool CCG with a presentation and discussion on the opportunities that co-commissioning presents. i.e. enable us to move at pace, removing the barriers which the current commissioning arrangements of multiple, separate commissioners put into the system and ensure formal contractual and financial arrangements are fully aligned. We plan to develop new local improvement schemes and take the opportunity to vary existing contracts to deliver our strategy. The CCG currently commissions a number of schemes from practices, in summary they are: • • • GP plus - a scheme commissioned to facilitate the delivery of Practice Based Commissioning (PBC) which evolved over the last two years and focuses on COPD and reducing non - elective admissions. Practice Pharmacy Scheme - practice-based pharmacist within each of the member practices to provide medicines optimisation support to the practice population, deliver improvements to defined prescribing indicators and QIPP opportunities to deliver the practice prescribing budget and work on specific clinical initiatives. Practice staff Infrastructure Scheme - commissioned in April 2012 to run for 3 years. Practices delivering a broad range of quality improvement initiatives, practices contribute 20% to the total cost. A broad set of principles and ambitions were discussed aiming to deliver improvements in the areas below and link into more than one area: • • • • • Improving Access Reducing Health Inequalities Reduce Non-elective Admissions Improve access for Nursing Homes Re-design Existing Services By developing a single scheme framework incorporating the above there is an opportunity to include local enhanced services and add improved quality initiatives to ensure a reduction in unnecessary variation across our constituent practices and between individual clinicians. 1 Primary Care Commissioning Committee Currently the Local Enhanced Services e.g. Atrial Fibrillation and diabetes are funded on activity whilst the other schemes are based on raw list sizes. In order to move to a fair and consistent payment per raw or weighted patient a piece of work will need to be undertaken to look at options and analyse the impact. The matrix below show the transition from a number of schemes to one with a broad outline of outcomes (to be developed further): As the CCG develops its new models of care and enhanced primary care it will be necessary to ensure future investment/interventions to move to our full Enhanced Primary Care model during 16/17 align with the above matrix. Proposal It is proposed to: • • • Work up a DRAFT single framework agreement for CCG approval which supports the CCG five year plan. Undertake work on a consistent and fair funding stream. Undertake a separate piece of work to ensure investment/ interventions support the delivery of our Enhanced Primary Care model during 2016/17. Recommendation The Primary Care Commissioning Committee is asked to note the above and approve the proposals. Steve Gornall Head of Primary Care Development 2