Presentation on theme: "Silverthorne Consulting MARK WILSON Director 020 7274 8813"— Presentation transcript:
Silverthorne Consulting MARK WILSON Director
Silverthorne Consulting Contracting for Primary Care
Silverthorne Consulting PCT Strategic Functions The general modernisation of primary care The expansion of the primary care sector and the resourced shift of secondary to primary care work The recruitment and retention of the primary care workforce The management of demand for primary care services
Silverthorne Consulting Patient Services Guarantee PCTs will have a legal responsibility to ensure that: patients will continue to be offered at least the range of services that they currently enjoy under the existing contract
Silverthorne Consulting Process Develop commissioning strategy Undertake procurement process Monitor outcomes
Silverthorne Consulting GMS Contractors A general medical practitioner Two or more individuals practising in partnership; –At least one partner (who must not be a limited partner) must be a general medical practitioner –Other partners must be individuals from within the NHS family Company limited by shares –At least one share must be legally and beneficially owned by a general medical practitioner –Other shares must be legally and beneficially owned by individuals from within the NHS family
Silverthorne Consulting PMS Contractors Agreements can be made with one or more of the following: An NHS Trust A medical practitioner A healthcare professional An individual who is a GMS or PMS provider An NHS employee or a PMS employee A qualifying body (a company limited by shares, all of which are legally and beneficially owned by persons identified above)
Silverthorne Consulting APMS Contractors PCTs may make contractual arrangements with any person (for the provision of primary medical services) [Section 16CC(2)(b)of the National Health Service Act 1977] Specific provisions for: Individuals Companies Partnerships Industrial and provident societies, friendly societies, voluntary organisations ie. must be fit and proper persons.
Silverthorne Consulting PCTMS A PCT may provide primary medical services itself (whether within or outside its area) [Section 16CC(2)(a) of the National Health Service 1977 Act]
Silverthorne Consulting PCTs as commissioner Three routes:
Silverthorne Consulting PCTs as provider Two routes: –PMS –PCTMS Under PMS, the PCT can be the contractor but this involves the SHA acting as the commissioner. The SHA commissioner role is increasingly anomalous given StBoP and PCTs may... wish to transfer such PMS contracts to PCTMS arrangements where the PCT is the direct provider. [para 2.6 Delivering Investment in General Practice]
Silverthorne Consulting PCT Provision PCTs are encouraged to develop a minimum level of (provision of essential) services.... If PCTs propose to become large-scale providers of primary medical services, they are expected to discuss this first with their SHA. They are also expected to consult with LMCs. [para 2.6 Delivering Investment in General Practice]
Silverthorne Consulting Procurement Process Two stage process: –First, competition between GMS and PMS practices (which would have preferred provider status); –Then, open competition. [para 7.20 Investing in General Practice] Further Guidance ?