This document summarizes key points of a new 5-year GP contract framework agreement in the UK. It covers addressing workforce shortages through recruitment and retention programs, solving indemnity costs by establishing a new clinical negligence scheme, improving quality measures, establishing primary care networks to integrate services, investing in digital technologies, and guaranteeing funding stability over 5 years. The agreement aims to improve health outcomes, care quality for patients with multiple conditions, and long-term sustainability of the NHS.
NHSIQ LTC Year of Care Commissioning Programme shortlisted for HSJ Awards 2014:
HSJ Awards Dragon’s Den presentation on enhancing care by sharing data and information
More at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care.aspx
Innovations in Results-Based Financing in the Latin America and Caribbean RegionRBFHealth
Presentations delivered during "Innovations in Results-Based Financing in the Latin America and Caribbean Region" seminar at the World Bank on May 22, 2014.
These slides feature a comparative review of different types of results-based financing schemes in the Latin America and Caribbean region, as well as case studies from selected schemes.
NHSIQ LTC Year of Care Commissioning Programme shortlisted for HSJ Awards 2014:
HSJ Awards Dragon’s Den presentation on enhancing care by sharing data and information
More at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care.aspx
Innovations in Results-Based Financing in the Latin America and Caribbean RegionRBFHealth
Presentations delivered during "Innovations in Results-Based Financing in the Latin America and Caribbean Region" seminar at the World Bank on May 22, 2014.
These slides feature a comparative review of different types of results-based financing schemes in the Latin America and Caribbean region, as well as case studies from selected schemes.
Population Level Commissioning for the Future
Wednesday 3 December 2014, 1pm – 1.45pm
Dr Abraham George
Assistant Director/Consultant in Public Health
Kent County Council
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality
Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient C...NHS Improving Quality
Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
LTC year of care commissioning early implementer sites workshop held on 1 December 2014. Featuring Dr Martin McShane, Rob Meaker and Renata Drinkwater.
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
Economic Evaluation of the Electronic Palliative Care Coordination System (EP...NHS Improving Quality
As part of our work on End of Life Care, an Economic Evaluation of the Electronic Palliative Care Coordination System (EPaCCS) Early Implementer Sites was undertaken. The evaluation includes quantifying impact from implementation, co-ordination of care and the economic case for EPaCCS.
Slides from a lunch and learn webinar hosted by NHS England's Long Term Conditions Team, on the topic of health coaching by lay professionals.
The speakers and Anya de Longh and Jim Phillips.
MRC/HIVAN KZN AIDS Forum - 30/10/12 - Challenges and Opportunities for HIV/AI...info4africa
This presentation was given on 30/10/12 at the MRC/HIVAN KZN AIDS Forum.
Co-presented by Kwazi Mbatha (CEGAA Researcher/Trainer) and Mlungisi Vila kasi (TAC Community Mobiliser - uMgungundlovu), this talk was facilitated by Judith King (CEGAA Communications and Advocacy Manager).
For more information on CEGAA please visit their website: http://www.cegaa.org/
How can health accounts inform health sector investments? Lessons from countr...HFG Project
Countries must have a firm grasp on their health financing landscape in order to ensure sufficient and effective use of resources. Health Accounts—an internationally standardized methodology that allows a country to understand the source, magnitude, and flow of funds through its health sector—provide a wealth of information on past spending. When combined with macroeconomic, health utilization, and health indicator data, Health Accounts provide powerful insights for health financing policy.
USAID’s Health Finance and Governance (HFG) project supports countries to institutionalize their Health Accounts so that they are produced regularly and efficiently, and are a useful tool for policymakers. In this technical briefing webinar, held June 29, 2016, HFG experts used country examples to demonstrate how Health Accounts have been (and can be) used to inform national health financing decisions. The experts also provided perspectives on the future of Health Accounts.
Fire service as an asset: providing telecare support in the community Webinar...NHS Improving Quality
Guest speaker: Steve Vincent - West Midlands Fire Service & Simon Brake from Coventry Council
Hosted by: Bev Matthews, Long Term Conditions Programme Lead, NHS England
Learning Outcomes:-
To better understand the role that the Fire and Rescue service can provide as a community asset to support health needs Enhancing the quality of life for people by supporting them to stay in their own home, even in a crisis
Population Level Commissioning for the Future
Wednesday 3 December 2014, 1pm – 1.45pm
Dr Abraham George
Assistant Director/Consultant in Public Health
Kent County Council
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality
Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient C...NHS Improving Quality
Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
LTC year of care commissioning early implementer sites workshop held on 1 December 2014. Featuring Dr Martin McShane, Rob Meaker and Renata Drinkwater.
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
Economic Evaluation of the Electronic Palliative Care Coordination System (EP...NHS Improving Quality
As part of our work on End of Life Care, an Economic Evaluation of the Electronic Palliative Care Coordination System (EPaCCS) Early Implementer Sites was undertaken. The evaluation includes quantifying impact from implementation, co-ordination of care and the economic case for EPaCCS.
Slides from a lunch and learn webinar hosted by NHS England's Long Term Conditions Team, on the topic of health coaching by lay professionals.
The speakers and Anya de Longh and Jim Phillips.
MRC/HIVAN KZN AIDS Forum - 30/10/12 - Challenges and Opportunities for HIV/AI...info4africa
This presentation was given on 30/10/12 at the MRC/HIVAN KZN AIDS Forum.
Co-presented by Kwazi Mbatha (CEGAA Researcher/Trainer) and Mlungisi Vila kasi (TAC Community Mobiliser - uMgungundlovu), this talk was facilitated by Judith King (CEGAA Communications and Advocacy Manager).
For more information on CEGAA please visit their website: http://www.cegaa.org/
How can health accounts inform health sector investments? Lessons from countr...HFG Project
Countries must have a firm grasp on their health financing landscape in order to ensure sufficient and effective use of resources. Health Accounts—an internationally standardized methodology that allows a country to understand the source, magnitude, and flow of funds through its health sector—provide a wealth of information on past spending. When combined with macroeconomic, health utilization, and health indicator data, Health Accounts provide powerful insights for health financing policy.
USAID’s Health Finance and Governance (HFG) project supports countries to institutionalize their Health Accounts so that they are produced regularly and efficiently, and are a useful tool for policymakers. In this technical briefing webinar, held June 29, 2016, HFG experts used country examples to demonstrate how Health Accounts have been (and can be) used to inform national health financing decisions. The experts also provided perspectives on the future of Health Accounts.
Fire service as an asset: providing telecare support in the community Webinar...NHS Improving Quality
Guest speaker: Steve Vincent - West Midlands Fire Service & Simon Brake from Coventry Council
Hosted by: Bev Matthews, Long Term Conditions Programme Lead, NHS England
Learning Outcomes:-
To better understand the role that the Fire and Rescue service can provide as a community asset to support health needs Enhancing the quality of life for people by supporting them to stay in their own home, even in a crisis
The CMS Innovation Center hosted a webinar on Wednesday, March 2, 2022 at 3pm – 4pm ET, during which presenters shared updates on the Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model, the Kidney Care Choices (KCC) Model, and the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model. This event was available to the first 1,000 registrants. Presentation materials will be available on the respective model webpages following the session.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
What Physicians Need to Know: CMS Final Rules 2024Conference Panel
The CMS proposed rule for physician payment and coding changes sets the tone for the upcoming year. Attending this update ensures you are well-informed about the latest regulatory changes affecting healthcare services. Understanding the modifications proposed by CMS allows providers to adapt their coding practices, ensuring accurate reimbursement for the services they provide.
Knowledge of issues that were not implemented for 2023 provides valuable insights into what CMS is considering for the following year. This foresight enables strategic planning for 2024, allowing healthcare professionals to anticipate and prepare for potential changes. This year's update promises significant changes to key areas such as EM services, splits/shared care, remote patient monitoring (RPM), and complex chronic care management (CCM).
Register,
https://conferencepanel.com/conference/cms-physician-final-rules-for-2024-find-out-what-cms-has-finalized-from-the-proposed-rules
Commissioning for outcomes,
Wednesday 21 January 2015 - 13.00 to 13.45
Hosted by Bob Ricketts CBE, Director of Commissioning Support Services and Market Development for NHS England.
A critical analysis of purchasing mechanism in China's Rural Health Insurance...resyst
This presentation was given at the International Health Economics Association (iHEA) World Congress in Milan, in July 2015. It includes results and policy implications from the RESYST Purchasing Study conducted in China.
Presentation by Dr Masood Nazir, GP and Associate CCIO for Primary Care Digital Transformation Programes, NHSX at ECO 19: Care closer to home on Tuesday 9 July at Deepdale Stadium.
Midlands and East GP Forward View access update event July 2017NHS England
A presentation from the GP Forward View update event in July 2017 for Midlands and East, giving the latest information on improved access to primary care.
For the Nuffield Trust Health Policy Summit, Stephen Shortt tells the story of a journey from multiple unconnected practices to accountable community based integrated services at scale.
Developing and sustaining community based voluntary action CANorfolk
Part of Norfolk's Annual VCSE Conference. By bringing together groups at different stages of development this provided an opportunity to understand the factors involved in successfully developing and sustaining grassroots community-based voluntary action.
Part of the Norfolk Annual VCSE Conference. Are you applying for funding for the first time? This session will help you understand what you need to consider before making an application, where to look for the funding you need and what to expect when you get it.
Demonstrating the impact and value of your vcse organisation CANorfolk
Part of CAN's 2020 Annual VCSE conference. This interactive session is designed to help you understand how you can demonstrate the value of what your organisation does. Led by Jenny Potkins (NCVO) and Paul Webb (MAP & Centre for Youth Impact) this session introduced how you can articulate the difference your organisation makes, and some of the processes and tools you can use to measure that difference.
As part of our Norfolk Annual VCSE Conference, Nikki Luke, Senior Education and Engagement Officer for the East of England, will be delivering a politically neutral session on the opportunities for engaging with and influencing Parliament to ensure the voices of those we support are heard.
Challenging social injustice in adults' social health and care serviceCANorfolk
Belinda Schwehr from the legal advice charity CASCAIDr shares her and CASCAIDr’s perspectives on key issues and developments in relation to adults’ health and social care services.
Developing and Sustaining Volunteering in your organisationCANorfolk
This practical and interactive training session on the key elements of developing and sustaining good volunteer management is aimed at small to medium sized VCSEs. It will provide useful information, tools and resources to support and involve volunteers in your organisation.
Working in partnership to collectively campaign and influence CANorfolk
Our panel of guest speakers share their unique insights on how to work in partnership to collectively campaign and effectively influence.
Judy Dow (Head of Philanthropy, Norfolk Community Foundation)
Stuart Wright (Chair of the Living Wage Foundation’s Advisory Council and Property Director at Aviva)
Mike Barrett (FareShare East Anglia Development Manager) and Phoebe Sabin (FareShare East Anglia Community Coordinator)
Nikki Luke, Senior Education and Engagement Officer for the East of England, delivers a politically neutral session on the opportunities for engaging with and influencing Parliament to ensure the voices of those we support are heard.
Developing & sustaining community based voluntary action CANorfolk
Co-ordinators from North Walsham Good Neighbour Scheme,
Mattishall Volunteer Hub and Great Hockham Good Neighbour Scheme share their experiences of helping and supporting vulnerable residents in their communities. As groups at different stages of development this will provide an opportunity to understand the factors involved in successfully developing and sustaining grassroots community-based voluntary action.
A VCSE Health and Social Care Assembly for Norfolk CANorfolk
Delegates found out how their organisations can work more closely and collaboratively with health and care partners within the emerging Integrated Care System through the new VCSE Assembly. The VCSE Assembly Steering Group spoke about developments over the past year, next steps for the future and how you can get involved.
Direction of Health and Social care in Norfolk CANorfolk
Jon Clemo (Chief Executive, Community Action Norfolk) facilitates a conversation with Melanie Craig (Chief Officer, Norfolk & Waveney Clinical Commissioning Group) and James Bullion (Executive Director, Adult Social Services, Norfolk County Council) on the direction of Health and Social Care in Norfolk based on questions received from the VCSE sector.
Seth Reynolds (Principal Consultant for Systems Change at NPC) and Katie Turner (Deputy Head of Research at the Institute for Voluntary Action Research (IVAR)) share their insights and inspiration on how we can build on the adaptations and innovation shown so far this year, to influence and shape a better future for people and communities in Norfolk.
Recruitment and Retention of Volunteers PresentationCANorfolk
Presentation given by Lucy Hogg and Karen Osborne, Voluntary Norfolk, at the 2018 Annual Norfolk Voluntary, Community, Social Enterprise Sector conference
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
2. The agreement covers…
• Workload issues resulting from workforce shortfall
• A permanent solution to indemnity costs and coverage
• Improvements to the quality and outcomes framework
• Automatic entitlement to a new PCN contract
• Joining up urgent care services
• Practices and patients to benefit from digital technologies
• New services to achieve Long Term Plan commitments
• Five-year funding clarity and certainty for practices
• Testing of future contract changes prior to introduction
3. Addressing the workforce shortfall – 1/3
• GP recruitment targets extended to 2023/24
• International recruitment
• Retained doctors
• GP retention programmes
• Practice resilience programme
• Specialist mental health service for GPs
• Time for Care national development programme
• Guaranteed placements in general practice for undergraduate nurses
• Voluntary 2-year fellowship for newly qualified nurses and GPs
entering general practice
4. Addressing the workforce shortfall – 2/3
• Establish primary care training hubs from 2020/21
• Improved pension offer for GPs
• Reimbursement for certain roles through Network Contract DES –
additional role reimbursement scheme starting from July 2019
• Five reimbursable roles under the scheme eventually:
• Clinical pharmacists
• Social prescribing link workers
• Physicians associates
• First contact physiotherapists
• First contact community paramedics
• By 2023/24 expect typical PCN of 50k population to employ 6 WTE clinical
pharmacists
5. Addressing the workforce shortfall – 3/3
• Scope of scheme extends gradually:
• 2019 – clinical pharmacists and social prescribing link workers
• 2020 – physicians associates and first contact physiotherapists
• 2021 – first contact community paramedics (to avoid net transfer from the
ambulance service)
• Reimbursement is at 70% for all except social prescribing link workers
which is 100%, within maximum reimbursable amounts and only for
new staff. 100% social prescribing link worker contribution represents
full NHS contribution to social prescribing
• Each PCN to decide who employs (can’t be CCG)
• Payment will be on capitation from 2020, but will be one pharmacists
and one SP link worker in 2019/20. Further guidance by March
6. Solving indemnity costs
• Clinical negligence scheme for general practice to start from 1 April,
operated by NHS Resolution
• Costs met centrally
• Coverage extends to all GPs and primary medical services staff, plus
wider PCN and out of hours cover
• One off adjustment to global sum, but still grows by 1.4% this year
• Further details in February
7. Improving QOF 1/2
• Further guidance in March
• 28 indicators worth 175 points will be retired
• 101 points recycled into new clinical indicators in 5 areas:
• Reducing iatrogenic harm and improving outcomes in diabetes care
• Aligning blood pressure control targets with NICE guidance
• Supporting age appropriate cervical screening offer
• Offering pulmonary rehab for patients with COPD
• Improving focus on weight management as part of physical health care for
patients with schizophrenia, bipolar affective disorder and other psychoses
• New personalised care adjustment to replace exception reporting
8. Improving QOF 2/2
• 74 points recycled into quality improvement indicators:
• Prescribing safety, links to:
• Clinical pharmacists in general practice
• Pharmacist-led IT intervention for medical errors (PINCER)
• Polypharmacy for complex patients, including care homes
• Quality payment scheme for community pharmacy
• End of life care
• Early identification and support for those in last year of life
• Well planned, coordinated and responsive care
• Support for family and carers
• Both will have detailed guidance and have a requirement for at least 2
peer review meetings within the PCN
9. Network contract DES 1/3
• Goes live on 1 July, all GMS and APMS eligible, CCGs have to work
closely with LMC to achieve 100% coverage
• 3 parts to the DES:
• National service specifications
• Network financial entitlements
• Supplementary network services (ie locally commissioned services)
• Each PCN required to register with the CCG no later than 15 May, to
include a named, accountable clinical director and the provider which
will hold the funding
• CCGs must confirm registration requirements met by 31 May for all
PCNs to ensure no gaps
10. Network contract DES 2/3
• If practice refuses, population still included in the PCN, expected to
be rare. APMS contracts must be included
• All practices must agree their PCN network agreement, also gives
formal basis for working with community-based organisations
• Ability to have super PCN with virtual neighbourhoods within
• PCN is foundation of ICS and ICS must ensure PCNs can work in an
integrated way
• PCN as a whole is responsible for delivery of network contract DES
even though its only practices who sign up
• Clinical Directors play critical role in shaping and supporting the ICS,
funded at 0.25WTE per 50k population size
11. Network contract DES 3/3
• PCN external support
• Clinical director funding and template JD
• PCN funding of £1.50 per head, funded by CCGs
• CCGs to continue to provide support in kind for PCNs
• NHSE development programme for PCNs coming during 2019
• Supporting and developing future generations of PCN clinical directors
through the NHS Chief People Officer
• National network dashboard introduced from April 2020, to include
population health and prevention, urgent care and anticipatory care,
prescribing and hospital use
12. National service specifications 1/3
• Triple aim of the service specifications
• Improving health and saving lives
• Improving quality of care for people with multiple morbidities
• Helping to make the NHS more sustainable
• Structured medications review and optimisation
• Directly enabled by clinical pharmacists
• Directly tackle over-medication of patients and support meds optimisation
• Focus on asthma and COPD patients, STOMP, frail elderly, care homes
residents, patients with complex needs
• Enhanced health in care homes
• Consistent team of multi-disciplinary health professionals led by named GPs
and NPs, organised by PCN. 100% coverage required
13. National service specifications 2/3
• Anticipatory care
• Delivered by fully integrated primary and community team
• Community providers asked to configure their community teams to PCNs
from July 2019
• Primary care contribution to new community-led urgent response and
reablement service will be included
• Personalised care
• Designed to avoid over-medicalising care
• Model includes shared decision making, enabling choice, personalised care
and supporting planning, social prescribing and community based support,
supported self-management and personal health budgets and integrated
personal budgets
14. National service specifications 3/3
• Supporting early cancer diagnosis (starts 2020/21)
• Key role for practices in improving uptake of screening
• PCNs to ensure GPs are using latest evidence based guidance
• QOF QI module by 2020/21
• Cardiovascular disease prevention and diagnosis
• Service specification to be introduced in 2021/22
• Inequalities
• Service specification to be introduced in 2021/22
• ICS will be required to set out how they will reduce inequalities by 2023/24
with PCNs playing their part
15. Digital first 1/2
• GP IT futures replaces GPSoC from December
• NHSE to ensure predictive analytical tools are available to PCNs
• Three years funding for Subject Access Requests until all records fully
digitised
• CCGs responsible for offering DPO function to practices
• Right to online and video consultation by April 2021
• Online access to full medical record by April 2020 (new registrants
from April 2019)
• Electronic repeat prescriptions and dispensing as default by April
2019
16. Digital first 2/2
• All practices make 25% appointments available for online booking by
July 2019
• Practice leaflet replaced by online only requirement by April 2020
• Patients online access to correspondence by April 2020
• Faxes removed by April 2020
• MHRA CAS responsibilities for practices to provide email and monitor
account by October 2019
• Rurality index payment will only apply to those living within the
boundary rather than all registered patients
17. Joining up the urgent care system
• Extended hours access DES and improved access to form single access
offer as part of network contract DES by April 2021
• NHS review of physical and digital services with a view of reducing
duplication and better integration between settings such as 111, UTCs
and general practice. For full implementation in 2021/22
• Extended hours access DES to transfer to network contract DES from
July 2019 with a 100% population coverage requirement
• Each practice must make available 1 appointment per day per 3000
patients for 111 direct booking from 1 April – core contract req’t
• Development of general practice dataset in place from 2021
18. Investment and impact fund
• To start in 2020 with funding increasing each year
• Intention is to help PCNs plan and achieve better performance against
metrics in the dashboard (guidance to be developed)
• Fund will cover five elements with principle of shared savings:
• Avoidable A&E attendances
• Avoidable emergency admissions
• Timely hospital discharge
• Outpatient redesign
• Prescribing costs (standard national prescribing incentive scheme)
• Access to the fund is a PCN entitlement from 2020/21
19. Guaranteeing investment
• Funding for the core contract fixed for five years
• DDRB will not make recommendations on GP partner net income for five
years
• GPC England recommend 2% increase for practice staff in 2019/20
• GPs with total NHS earnings of above £150k per annum will be listed by
name and earnings in a new national publication starting with 2019/20
income
• Premises review will be published in March 2019 with commitment to
implementation
• “Most local contracts for enhanced services will normally be added to the
network contract DES”. CCGs to discuss with LMCs