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Primary Care Contracting

Primary Care Contracting. Trish O’Gorman Assistant Director Trish.O’Gorman@doh.gsi.gov.uk. Primary Care Contracting. Implementation Service Improvement. Primary Care Contracting. Tools and Levers from Primary Care Contracting Service Improvement Techniques. Implementation. Helpline

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Primary Care Contracting

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  1. Primary Care Contracting Trish O’Gorman Assistant Director Trish.O’Gorman@doh.gsi.gov.uk

  2. Primary Care Contracting Implementation Service Improvement

  3. Primary Care Contracting Tools and Levers from Primary Care Contracting Service Improvement Techniques

  4. Implementation • Helpline • FAQs • Website development • QOF events • Practice management guide • Primary care contracting competency framework

  5. Service Improvement PCC Collaborative QuISP Redesign Service Tools, Levers of PCC Fit for Purpose

  6. Fit for Purpose Some Examples • Practice Management • Nursing change programme • HR issues • Good practice • Practice Management Guide update

  7. Aim • Quality Improvement Skills for Primary Care (QuISP) is: • A training programme for practice teams to provide quality improvement skills to improve the care of patients. • A national programme delivered with a local focus allowing practices to work on practice specific needs.

  8. How it will work locally DoH Criteria for 2004/05: • Practice participation from 1/3 PCOs • Practice topics to link to nGMS Quality & Outcomes Framework (QOF) • 30 New Trainers trained Timings: • Training programmes to commence by April 2004

  9. What will you learn • Psychology of change • The Improvement Model • Analysis of information or data • Measurement for Improvement • Process Mapping • Spread and Sustainability of change

  10. What will QuISP help you achieve • Effective team building • Application of skills focused on specific practice priorities • Quality improvement skills and tools to use, sustain and embed • Greater empowerment to respond to and implement change more effectively

  11. Programme Process • Local training programme • Multi-disciplinary practice team participation • 3 1-day learning events over 2 - 3 months • Action periods in between • Practice- specific measures • National capture of learning

  12. North Bradford NPDT Centre • Dr John Bibby • Leanne Langford@bradford.nhs.uk • 01274 366269 • Alison.Sarmiento@nhs.net • 01133057120

  13. Summary • Quality improvement training for practice teams. • National programme delivered with local focus. • Various tools & techniques covered within the improvement journey. • Many different improvements made. • Programme is applicable to any team wanting to improve the quality of services provided.

  14. The Collaborative Approach • A methodology, developed in the US • Involves developing a set of principles or change ideas • Use these in conjunction with change management methods

  15. Primary Care Contracting Collaborative • Focus on the re-design of services and infrastructure needed to deliver the re-designed service • Draw on existing expertise and good examples of primary care contracting • Help practice teams and PCT’s craft a service that is appropriate to the local population

  16. Benefits • Improved shared strategic view of primary care contracting • Practices and PCTs, clinicians and managers as partners • New GMS and PMS used as a driver for primary care improvement and innovation • Utilising the new contracting arrangements to further improve access, choice and address health inequalities.

  17. Benefits • Improved use of skill mix within practice teams • Better understanding of the need to link service re-design and the systems that will support it • Improved clinical engagement • Improved patient engagement • Development of improvement skills to apply to other service areas and across the wider health community.

  18. Service Areas • Case Management of Complex Chronic Disease • Management of Sexual Health • Management of Common Mental Health Disorders

  19. Processes • Effective clinical and management leadership • Transparent and shared understanding of local clinical priorities • Use of acute information about capacity and demand • Detailed planning of services based on core pathways • Instituting effective demand management

  20. Primary Care Contracting • One site in each SHA area 2004-5 • Roll-out 2005-6

  21. Timescales • Reference Panel - 10th March • Recruitment & Selection process - April 04 • Orientation - June 04 • !st Learning Workshop- September 04 • 2nd Learning workshop - November 04 • 3rd Learning Workshop - January 05

  22. What is involved for a participating team? • Preparatory work -assessment of current service and commissioning systems - baseline measures including capacity & demand • Participation in orientation & learning workshops • Regular meeting of the local improvement team • Implementation of ideas within action periods • Regular reporting • Plans for spread

  23. Service Improvement PCC Collaborative QuISP Redesign Service Tools, Levers of PCC Fit for Purpose

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