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Chris TownChris Town
CEO Greater Peterborough Primary Care Partnership
Vice Chair - NHSC GMS Negotiating Team
CEO Lead - NATPACT/MA on nGMS Implementation
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Chris TownChris Town
CEO Greater Peterborough Primary Care Partnership
Vice Chair - NHSC GMS Negotiating Team
CEO Lead - NATPACT/MA on nGMS Implementation
Vision and OverviewVision and Overview
This is core business for PCTsWe all need to make the most of the
potential offered by the contractImplementation should involve everyoneIt needs to have a coordinated approach or
there will be problems
nGMS - a Tool to Enable PCTs & nGMS - a Tool to Enable PCTs & Practices to Develop ServicesPractices to Develop Services
Overall vision/direction:-
Modernise primary care
Link to other agendas– Part of system reform– Enable choice– It creates opportunities and flexibilities for
PCTs & practices
The Key IssuesThe Key Issues Funding Out of Hours Information Management and Technology Impact on PMS Developing Capacity Nursing Practice Management Premises Quality and Outcomes framework Commissioning Primary Care
FundingFunding
Unprecedented levels of new money £1.8 billion over 3 years
PCT responsible for distributionMPIG Fixed entitlements for GPsPCTs need to quickly learn the system!Payments need to be timely and accurate
Out of Hours ServicesOut of Hours Services
Totally new solutions requiredOoH period extendedNew funding flowsNational standards apply universallyPractices need to decide quicklyPCTs need robust delivery plansIM&T implications
Information Management Information Management &Technology&Technology
Significant new investment £200 million over 3 years
New national IM&T strategy Good IT essential for Practices and PCTsPractice systems able to record data for
Q & O frameworkPCT payment and monitoring systems
Developing capacityDeveloping capacity
Supporting practices is a key role for PCTs (your success is our success)
Contract should assist recruitment and retention of GPs
Need to recruit more Nurses, Managers Healthcare Assistants etc
Developing existing staff - new skills, new roles (including GPs)
Practice ManagementPractice Management
Crucial to success for practices and PCTsNeed to clarify roles and responsibilitiesExamine competency framework identify
weaknesses within practicePCTs need to develop support and
development packages for PMsPractice Manager to lead/contribute to
practice strategy development
NursingNursing
This is a practice based contract not just GPs!
Team based solutionsTraining & development of nurses is key to
successNeed to stress the importance of nurse
leadership
Quality & Outcomes Quality & Outcomes FrameworkFramework
£1.3 Billion of new moneyPCTs and practices must work closely on
implementationNeeds IM&T investmentRequires successful team workingPCTs need to understand and plan for indirect
impact on prescribing/diagnostics budget
Commissioning Primary CareCommissioning Primary Care
Out of HoursDirected enhanced servicesNational enhanced servicesLocal enhanced services( GPSIs etc)PCTs need to develop and share a strategic
vision for Primary Care
Clinical EngagementClinical Engagement
PCT managers and PEC need to:-
Work with clinicians to deliver the shared
vision
Recognise and support clinical aspiration
Determine early wins