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Joint CCG/DMI reward scheme 2013/14 Rebecca Dallmeyer Linda Briant.

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Presentation on theme: "Joint CCG/DMI reward scheme 2013/14 Rebecca Dallmeyer Linda Briant."— Presentation transcript:

1 Joint CCG/DMI reward scheme 2013/14 Rebecca Dallmeyer Linda Briant

2 May Schemes for excellent diabetes care 2013/14 What do you need to do? Lambeth Payment per diabetes patient Southwark Payment per practice register Attend 2 or more DMI learning eventsEntry criteria Complete practice action plan £2£0.09 Complete and submit data National Diabetes Audit (NDA) or equivalent £4 £0.03 Improve diabetes register receiving all 9 care processes by 10% compared to 2012/13 or meet 60% £ % of diabetes register have a jointly agreed care plan (8CMD) £6 £0.30 plus additional £0.30 for care planning 36% of diabetes register have a jointly agreed care plan with goal follow up (8HD) 20% of diabetes register have a jointly agreed care plan that has been reviewed (67L0 / 67L1) Improve diabetes register with an HbA1c<64mmol/mol by 10% compared to 2012/13 or meet 73% £8 £0.27 plus additional £0.42 for  detection and  HbA1c >75mmol/mol Improve diabetes register with BP<140/80 by 10% compared to 2012/13 or meet 67% Improve diabetes register with BP<150/90 by 10% compared to 2012/13 or meet 87% Improve diabetes register with cholesterol<5 by 10% compared to 2012/13 or meet 76%

3 May Practice support and tools DMI supported sign up to schemes and completion of practice action plans Develop and implement tools to support improvement in general practice Guidelines – diagnosis, HbA1c, blood pressure and cholesterol control pathways Local standardised practice IT system searches IT templates (care planning) Sharing performance data Learning events Clinical champions Working with community diabetes services to ensure spread of consistent messages to support practices to manage more complex patients

4 May Unprecedented engagement 2012/13 82 (85%) practices signed up by December /14 89 (96%) practices signed up by 31July practices completed their action plan for improvement by 31 July and a further 2 by 30 September 100% practices submitted data to National Diabetes Audit

5 May Learning Events 89 practices attended two learning events 43 practices attended more than two learning events Attendance remained consistent GP attendance made up of 53% of the delegation Positively evaluated, practical and relevant “Really helpful session – case studies useful. The algorithms will be really helpful in clinic – can’t wait to share them with my colleagues.” Southwark GP

6 May ,951 more people with diabetes received all 9 care processes in 2013/14 compared to the previous year Interim data shows most improvement in ACR, foot checks and smoking status Improve diabetes register receiving all 9 care processes by 10% compared to 2012/13 or meet 60%

7 May Collaborative care planning – comparison with 12/13 estimates While the 12/13 figures were extrapolated from partial data (practices who completed last year’s reward scheme survey) and probably underestimate the actual number, the latest data supports the perceived increase (both anecdotal and from the patient questionnaire) in collaborative care plans

8 May Collaborative care planning Please note that these figures are based on number of collaborative care plans coded within practices Assessment of quality is included in Southwark CCG scheme in 2014/15

9 May Biological Outcomes The combined register size has grown by 23% since 2009/10; 16.6% since 2010/11. While growth over the past year slowed to 3% (compared with 9% the year before), this still represents around 800 additional patients on the registers.

10 May HbA1c ≤ 64 mmol/mol control 868 additional patients controlled with HbA1c ≤ 64 mmol/mol These CQRS data are provisional and may be subject to change following Practice validation and NHS England approval of achievement.

11 May HbA1c ≤ 64 mmol/mol control – Lambeth 2013/14 10 practices reached 13/14 target level in 2012/13; 13 practices have reached the target level in 2013/14

12 May HbA1c ≤ 64 mmol/mol control – Southwark 2013/14 9 practices reached 13/14 target level in 2012/13; 21 practices have reached the target level in 2013/14

13 May BP ≤ 150/ patients controlled with BP ≤ 150/90 These CQRS data are provisional and may be subject to change following Practice validation and NHS England approval of achievement.

14 May BP ≤ 140/80 mm Hg >2,000 patients controlled with BP ≤ 140/80 These CQRS data are provisional and may be subject to change following Practice validation and NHS England approval of achievement.

15 May Cholesterol ≤ 5 mmol/l 864 patients controlled with cholesterol ≤ 5 mmol/l These CQRS data are provisional and may be subject to change following Practice validation and NHS England approval of achievement.

16 May Variation and control in Lambeth and Southwark While Southwark’s improved performance on HbA1c control has increased their inter-practice variation compared with 12/13, the increase has been at the upper end of performance. Neither borough has returned to the 10/11 levels of variation and both boroughs are seeing the spread increase positively, toward the upper end of the interquartile range. Variation Box Plots:

17 May Lambeth 2014/15 reward scheme


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