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The relationships
Scottish Government Health Department
14 Territorial NHS Boards 8 Special Health Boards
8 Special Health Boards Scottish Ambulance Service
NHS 24
The State Hospital
NHS Health Scotland
NHS Quality Improvement Scotland
NHS Waiting Times Scotland
NHS Education Scotland
NHS National Services Scotland
National Services Scotland
Health FacilitiesHealth Protection ISD NSDSNBTS
CLOCFSNISGNational ProcurementSHSCPSD
Practitioner Services
Document processing Data capture and verification Maintaining patient registration database Payment schedules Clinical Governance for Dental services
Our services are designed to enable contractors to be paid accurately and promptly for medicines and services supplied on behalf of the NHS.
PMSPS Overview
PMSPS
ISD
ATOS
QMAS
SPPA
CEDAR(BACS)
PSDTEST &
SUPPORT TEAM
GPs
GPASS EMISExeterVISION
ELINKS SERVER
ISD DATA WAREHOUSE
ISD PCD
CH
I Glo
bal S
um
(qu
ar terly)
CH
I QM
AS
(qu
arter ly)
CH
I Influ
enza (an
nu
al ly)
all i
nfor
mat
ion
prov
ided
mon
thly
GPs, Practices, Opt-outs(Ad Hoc)
GPCD Failure Emails
Polling Emails
Failure Emails
Su
pp
lier Fil es (A
d H
oc)
Pa ym
ent F
i le s (mo
nth
ly)
Practice Details (daily)Patient Count (quarterly)Opt Out / Opt In (daily)
ACHIEVEMENT AND ASPIRATION
ACKNOWLEDGEMENTS
Locum Supera
nn Files and R
eports
PARTNERS
Global Sum
Global Sum Fund The Scottish Allocation Factor (SAF) Factors and Weighting Data Required for Global Sum Calculations – Community Health Index (CHI) ISD File The Calculation Temporary Patient Adjustment Minimum Practice Income Guarantee >> Correction
Factor
Superannuation
Background - New Contract 1st April 04 - Tiering 1st April 08 TimelineEstimated Interim EarningsGP Annual Certificate (GAC)
Seniority
Seniority Payments are designed to reward experience, based on years of Reckonable Service and the current arrangements came into force from April 2003.
Reckonable Service
Calculation
Contract type 2006/07 2007/08 2008/09 2009/10
NES 1 1 1 1
DES 9 6 10 9
LES 10 14 18 17
SESP - LES 0 2 2 1
Totals 20 23 31 28
2005-2009 rolled out a total of 39 contracts
• General medical services • General pharmaceutical services• General Dental services• Ophthalmic services
ADMINISTRATION
Contracts • Contract Monitoring Group
Chair Norma Buschman• Enhanced Services Group
Chair Bob Liddell• Local Medical Council
Chair Neil MacRitchie
Primary Care ResourcesPrimary Care Resources
Bob Sivewright – Finance ManagerBob Sivewright – Finance Manager Jacqueline Gall – AccountantJacqueline Gall – Accountant Sheila Roberts – Resources ManagerSheila Roberts – Resources Manager Lorraine Grant – Assistant Lorraine Grant – Assistant
AccountantAccountant Elaine Leslie (Keith) – Assistant Elaine Leslie (Keith) – Assistant
AccountantAccountant
Enhanced ServicesEnhanced Services
Directed enhanced servicesDirected enhanced services
National enhanced servicesNational enhanced services
Local enhanced servicesLocal enhanced services
Directed Enhanced Directed Enhanced ServicesServices
Influenza, Pneumococcal & H1N1Influenza, Pneumococcal & H1N1
Minor surgery injections and Minor surgery injections and invasive proceduresinvasive procedures
Childhood immunisations and Childhood immunisations and preschool boosters including preschool boosters including Pneumococcal Child Vaccine (PCV)Pneumococcal Child Vaccine (PCV)
Directed Enhanced Directed Enhanced ServicesServices
OsteoporosisOsteoporosis – – Engagement, £100 for one year only. Achievement, Engagement, £100 for one year only. Achievement, £450 per 640 patients where min 80% interventions have been achieved£450 per 640 patients where min 80% interventions have been achieved
EthnicityEthnicity – – Lump Sum (A)Lump Sum (A)
Palliative CarePalliative Care - - Sliding scale up to £555 per practice with average list Sliding scale up to £555 per practice with average list of 1000 patients (Lump Sum)of 1000 patients (Lump Sum)
Management informationManagement information – – Part A 4p per registered patient or 16p Part A 4p per registered patient or 16p Parts A & B Parts A & B
Better WorkingBetter Working – – Approx. 56p per patient. Split between an Approx. 56p per patient. Split between an engagement fee of 70% of total with 30% balance payable on receipt of engagement fee of 70% of total with 30% balance payable on receipt of report (Lump Sum)report (Lump Sum)
Extended HoursExtended Hours – – GP, £2.95 per patient PA. & Nursing £0.74 per GP, £2.95 per patient PA. & Nursing £0.74 per patient PA. (Q)patient PA. (Q)
NESNES
INR Anti CoagulationINR Anti Coagulation - - £100 per £100 per treated patient (M)treated patient (M)
DMARDSDMARDS - - £100 per treated patient (M)£100 per treated patient (M)
IUCDIUCD (insertions and failed) - (insertions and failed) - £135 £135 per claim (M)per claim (M)
LESLES
Drugs MisuseDrugs Misuse – – Retainer £1000 PA & £360 per patient Retainer £1000 PA & £360 per patient PA (M)PA (M)
Care HomesCare Homes - - £98 per patient PA (Q)£98 per patient PA (Q)
Minor InjuryMinor Injury - - Retainer £600 PA & £10.80 per patient Retainer £600 PA & £10.80 per patient based on list size (M)based on list size (M)
Orthopaedics (Shire)Orthopaedics (Shire) - - £0.50 per registered patient £0.50 per registered patient PA (M)PA (M)
Dermatology (Shire)Dermatology (Shire) - - £0.50 per registered patient £0.50 per registered patient PA (M) PA (M)
Referred Minor SurgeryReferred Minor Surgery - - Varying fees across CHP Varying fees across CHP areas see individual contractsareas see individual contracts
LESLES Implanon - Implanon - £82.58 per procedure (M)£82.58 per procedure (M)
Ring shelf pessary - Ring shelf pessary - £75.00 removal and insertion, £25.00 £75.00 removal and insertion, £25.00 removal only (M)removal only (M)
Neo natal checks - Neo natal checks - £25 per valid check (M)£25 per valid check (M)
Violent & difficult patients -Violent & difficult patients - £2 - 4k per violent patient £2 - 4k per violent patient contract PAcontract PA
Diabetes - Diabetes - Payment based on notional costs for Medical, nursing Payment based on notional costs for Medical, nursing & admin time paid pro rata on % of patients in practice care. (M)& admin time paid pro rata on % of patients in practice care. (M)
Alcohol - Alcohol - £15 per BI made (one per annum per patient) (Q) £15 per BI made (one per annum per patient) (Q)
Retainer fee of between £200 – £800 PA based on list size.Retainer fee of between £200 – £800 PA based on list size.
Cardiac Failure - Cardiac Failure - £12 per annum per identified patient on £12 per annum per identified patient on register (Q)register (Q)
Board Administered FundsBoard Administered Funds
SenioritySeniority AssociatesAssociates Locum allowances, sickness, Locum allowances, sickness,
maternity, paternity and adoptionmaternity, paternity and adoption Career startCareer start Golden HelloGolden Hello Contingency FundContingency Fund
Premises reimbursementsPremises reimbursements
RentRent Domestic RatesDomestic Rates Water RatesWater Rates Trade Refuse CollectionTrade Refuse Collection Improvement GrantsImprovement Grants
Other paymentsOther payments
Miscellaneous payments funded Miscellaneous payments funded sourcesource
Periodic PaymentsPeriodic Payments HCH practice staffHCH practice staff Levy DeductionsLevy Deductions Local Authority PaymentsLocal Authority Payments Infectious DiseasesInfectious Diseases
WEBSITESWEBSITES
Show websiteShow website http://www.show.scot.nhs.uk/http://www.show.scot.nhs.uk/
publicationspublications Statement of Financial entitlementsStatement of Financial entitlements http://www.sehd.scot.nhs.uk/pca/PChttp://www.sehd.scot.nhs.uk/pca/PC
A2009(M)10.pdfA2009(M)10.pdf BMABMA http://www.bma.org.uk/http://www.bma.org.uk/
CONRACT REVIEW PROCESSCONRACT REVIEW PROCESS
WORKING IN GROUPS WE WOULD LIKE YOU TO
REVIEW THE CONTRACT REVIEW PROCESS FROM A PRACTICE
PERSPECTIVE
TAKING INTO ACCOUNTTAKING INTO ACCOUNT
• WHAT IS BENEFICIAL FROM A PRACTICE POINT OF VIEW
• WHAT YOU WOULD LIKE TO SEE RETAINED IN THE REVIEW PROCESS
HOW CAN WE IMPROVE ON THE HOW CAN WE IMPROVE ON THE PROCESSPROCESS
• WHAT ADDITIONAL AREAS WOULD YOU LIKE TO SEE INCLUDED IN THE REVIEW PROCESS
• OTHER WAYS WE CAN IMPROVE ON THE PROCESS
AS A GROUPAS A GROUP
• TAKE THE NEXT 30 MINUTES TO DISCUSS THE QUESTIONS
• SELECT SOMEONE TO FEED BACK FROM YOUR GROUP
• IF YOU HAVE SUBSEQUENT SUGGESTIONS PLEASE EMAIL ME AT [email protected]