1 / 12

Development of a Registration Fees scheme across provider markets 26 March 2010

Development of a Registration Fees scheme across provider markets 26 March 2010. Background. CQC has the power to set fees across all the provider markets which will be registered in 2011 and beyond (c.45,000 providers) The proposal for NHS providers for 2010/11 is complete

nan
Télécharger la présentation

Development of a Registration Fees scheme across provider markets 26 March 2010

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Development of a Registration Fees scheme across provider markets 26 March 2010

  2. Background • CQC has the power to set fees across all the provider markets which will be registered in 2011 and beyond (c.45,000 providers) • The proposal for NHS providers for 2010/11 is complete • The consultation on the interim fee structure for adult social care and independent healthcare providers for 2010/11 is commencing • This presentation is to discuss the strategic fee scheme options to allocate and recover costs post 2011. • Ernst & Young have been appointed to develop: • - overarching fees scheme for 2011 and beyond • - including market analysis of impact of the scheme • - cost model

  3. Where we are today Jan • Assessment of costs associated with registration, compliance and enforcement • Map costs and activities Cost assessment • Segment the market and carry out trend analysis to understand potential changes in the provider base Market analysis • Exploration of other regulators approaches to fees • Joint Ernst & Young/CQC workshops on fee scheme options Strategic assessment Today • Populate data and make amendments to the model functionality once tested with real data • Explore the sensitivities of the different options and certainty of cost recovery Options analysis and scenario simulation Stakeholder engagement • Meet a cross section of ‘voices for’ and ‘voices in’ the market to discuss broadly discuss fee scheme options Model amendments and preferred option selection • Make amendments from stakeholder feedback • Rate and score options → agreement of preferred option • Clean options and extend functionality for the selected option where required • Write final report Build model and final report April

  4. Analogous research • Seven organisations were reviewed: • The Audit Commission • Ofsted • The NHS Litigation Authority • The Environment Agency • Financial Services Authority • The Civil Aviation Authority • ABPI • Detailed profiles of their fee scheme structures are in Appendix A

  5. Market segments Segmentation of the overall CQC market by service provision was undertaken to understand the current and future state of this market. Acute Community Health Adult Social Care Mental Health Learning Disabilities Ambulance Services Primary Medical Services Dental Other Hospitals (Ind/NHS) Community provider (Ind/Vol/ NHS PCT) Care Home w/o nursing (Ind/NHS(LA)/Vol) Hospitals (Ind/NHS) Hospitals (Ind/NHS) Urgent Patient Transport (Ind/NHS/Vol) NHS GP practices Dental Provider (Ind/NHS/ Mixed) Independent private practice by NHS consultants Walk in centres Secure provision (Ind/NHS) Secure provision (Ind.NHS) Planned Patient Transport (Vol/Ind/NHS) Care Home (Ind/NHS(LA)/Vol) Out of hours services Doctors currently in private practice Non residential care (in community) NHS Direct NHS Blood and Transplant Prison services Health Protection Agency Immigration and detention services This diagram is still under construction and will be finalised once all data has been collected. The adult social care elements for mental health and learning disabilities have been accounted for in adult social care. Therefore only the healthcare elements are shown under mental health and learning disabilities in this diagram.

  6. Decision criteria

  7. Building blocks

  8. The first two options are based on achieving straight line recovery Option 1a - The simple approach taking into consideration market segment sensitivities and locations Option 1 - The simple approach (% of turnover)

  9. The second two options are based on maximising the accuracy of cost allocations Option 2a - Fees broken down per CQC activity using a risk based approach. In addition to option 1 enforcement charged as ‘pay as you use’ Option 2 - Fees broken down per CQC activity, using a risk based approach.

  10. The last option is a based on incentivising good performance Option 3 – Fees broken down per CQC activity using a risk based approach Enforcement charged as ‘pay as you use’ Direct financial reward for top performers

  11. Implementation Issues • Turnover data • Availability • Extracting non-registerable activity • Year on year movements • Risk data • Availability • System for new providers – measuring risk associated with dentists, GPs and private ambulance providers • Risk of over recovery – new registrations in year paying fees • CQC recovering through incumbents – risk over recover.

  12. Stakeholder approach • Provider Advisory Group and specific provider association meetings (voice of the market) • Telephone interviews and meetings with individual organisations in each segment (voice in the market) • To test options in broad terms, explore views about strengths/weaknesses, compare differences between sub-segments and voices in and for the market.

More Related