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Commissioning Enhanced Services for Quality Primary Care

Learn about directing access to enhanced services in primary care, including immunizations, minor surgery, quality information preparation, and specialized care for various patient needs. Explore funding, target population, and the importance of data quality.

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Commissioning Enhanced Services for Quality Primary Care

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  1. Enhanced Services – Data Quality David Britton Strategic Development Manager (Primary Care) Sunderland Teaching Primary Care Trust

  2. Enhanced Services • Directed • Access • Childhood Immunisations • Influenza immunisations • Minor Surgery • Quality Information Preparation • Violent Patients

  3. Enhanced Services • National • Anti-coagulation monitoring • Enhanced care of the homeless • Intra partum care • Intra-uterine contraceptive device fitting • Minor Injury services • Services for patient with multiple sclerosis • Sexual Health Services • Patients who are alcohol misusers • Patients suffering from drug misuse • Provision of near-patient testing • Immediate care and first response care • Specialised care of patients with depression

  4. Enhanced Services • Current NES • Minor Surgery • Minor Injuries • NES Development • Alcohol Misuse • Drugs Misuse • Depression • INR

  5. Commissioning Enhanced Services • Baseline Information • Identify target population • Identify activity • Financial Information • Identify total funding (Financial Year) • Identify ‘value for money’

  6. Commissioning Enhanced Services • Baseline Information • Hospitals • Specialist Services • General Practice • General Practice • ‘Registers’ • GP Systems data

  7. Commissioning Enhanced Services • Baseline Information – Alcohol NES • Practice requested for expressions of interest • 15 Practices expressed an interest • Target population 1127 – average 75.13 • Financial Implications (2004/05) • Annual retainer £1,065.54 x 15 = £15,938.10 • Price per patient £209.78 x 1127 = £236,422.06 • Total = £252,360.16 • Figures calculated for 54 Practices = • £908,658.58

  8. Commissioning Enhanced Services • Issues • Data quality • Inappropriate coding • Lack of understanding data vs commissioning • National figures suggest 360 patients with alcohol problem per GP • 156 GPs x 360 = 56,160 • Annual Retainer £1.065.54 x 54 = £57,539.16 • Annual cost per patient £209.78 x 56,160 • = £11,781,244

  9. Commissioning Enhanced Services • Identify value for money • NES via GPs not necessarily the best option • LES could be better option both financially and quality of service. • Quality of data and information important for delivering quality services • It is not just about having accurate ‘Disease Registers’

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