1. PMS Contract Review
October 2014

2. Background
Area Team required to review local PMS Agreements by March 2016
National Framework
Local Process in partnership with Dudley CCG
Case by case review of all affected practices
Any resources freed up from review should be reinvested in general practice services
PMS resources not redeployed outside the current CCG unless by agreement
Review
Must do’s
Reflect joint strategic plans for primary care that have been agreed with CCG’s
Secures services or outcomes that go beyond what is expected of core general practice
Helps reduce health inequalities
Offers equality of opportunity for GP practices in each locality
Supports fairer distribution of funding at a locality level
Priorities may have changed on services required as need to fit with CCG primary care strategy

3. Process Liaise with LMC’s Partnership approach with Dudley CCG
Information to practices week beginning 17th November 2014 to include:
Letter outlining options and process
National framework
PMS Premium Review Pro Forma
Return to GMS Request Template
Practice Premium financial template
Financial query Template
Key dates

4. Process (2) Open Meetings Thursday 27th November 2014 Birmingham
Wednesday 3rd December 2014 Black Country
Dudley Event to be arranged
Practice Choice
Return to GMS
PMS Review
Advice sessions
Clinical Review Panels
New Contracts

5. Practice Choice – Return to GMS
BSBC Area Team to adopt Essex Model
Practices can choose to return to GMS contract
New contracts must begin 1st April 2015
Transitional support tapered over seven years
Complete template before 5th January 2015

6. Practice Choice - PMS Review
Practice can choose to have full PMS Review
Submit Clinical Review Pro forma by 5th January 2015
Area Team to review returned pro forma and may request further information in preparation for the Clinical Review Panel
Review to take place during 2015
New contracts may commence from 1st April 2015
Tapering of resources over minimum of 4 years
If this template is not completed and returned by that date it will be assumed that the practice wishes to have a PMS Review

7. Clinical Review Panel (CRP)
Commencing February 2015
Panel to include
Area Team Medical Directorate Clinicians
LMC Representative (from outside LMC Area)
Independent Panel Member
Lay Person
Clinician from another Area Team
Contracting Managers present information to CRP

8. Clinical Review Criteria
The requirements of the existing PMS contract
Staffing levels against the services provided and registered patient number
Any additional services provided and whether they are:
value for money, including a check against scope of ‘core’ services
duplication of payment
alternative commissioner for that service
meeting a recognised and evidenced patient need
alignment with CCG requirements as identified in their primary care strategy

9. Support to Practices Dedicated Project Lead – Area Team
Dedicated Membership Support from CCG
Open Sessions to outline process
Dedicated account
Advice Sessions/Practice Visits
Compilation of Frequently Asked Questions
Support from LMC

10. Key Dates
W/C 17th November 2014 Information pack out to affected practices
27th November Birmingham Open Meeting
3rd December Black Country Open Meeting
Date to be confirmed Dudley Open Meeting
8th December Black Country Advice Session
9th December Birmingham Advice Session
5th January Practice Choice submitted
February CRP commence
1st April Revert to GMS Contract

11. Thank You Questions?