Presentation is loading. Please wait.

Presentation is loading. Please wait.

Service Categorisation Essential –must do Additional –Preferential right (opt-outs available) Enhanced –Directed (DES) –National (NES) –Local (LES) Global.

Similar presentations


Presentation on theme: "Service Categorisation Essential –must do Additional –Preferential right (opt-outs available) Enhanced –Directed (DES) –National (NES) –Local (LES) Global."— Presentation transcript:

1 Service Categorisation Essential –must do Additional –Preferential right (opt-outs available) Enhanced –Directed (DES) –National (NES) –Local (LES) Global Sum

2

3 Carr-Hill formula Weighted capitation methodology: –Age/sex –Nursing/residential homes –List turnover –Additional needs (deprivation) –Market forces (Staff costs ) –Rurality

4 Calculation Two stages – by PCT then by practice –PCT normalising factor is average weight –PCT population normalised annually EXETER will perform calculation –Based on practice registration data –Ensure practice information is timely/accurate

5 PCT normalising factor

6 Carr-Hill weighting

7 Determination Global sum determined on 1 st day of quarter (eg 01 April 2004) –Contract discussions based on indicative figures Indicative figures make assumptions –Nursing home patients –Temp residents –List 01/04/03

8 Global Sum Equivalent (GSE) Baseline data – year to 30/06/03 –Take account of GP/staff vacancies –Practice mergers/splits Final GSE 01 April 2004 –Adjust for list size change –Uplift to 2004/05 prices

9 Correction Factor (CF) Compare Final GSE to GSC: If Final GSE > GSC, the difference is the CF

10 MPIG (wrong!)

11 MPIG (right!)

12 Quality Framework Points make prizes maximum –2004/05 £75/point (for average practice) –2005/06 £120/point (for average practice) Weighted by relative list size –crude list size not Carr-Hill weighted Disease prevalence factor –adjusts point value in each clinical domain

13 Quality Framework (cont.) Preparation payments (QPrep) –03/04 - £9,000 (for average practice) –04/05 - £3,250 (for average practice) Aspiration payments –For 04/05, aspiration payments are 1/3 of total –From 05/06, aspiration is 60% of prior years achievement Achievement payments –balance of income on outcome –04/05 achievement paid by end April 05

14 Quality Framework (cont.) Risk managed by NHS Bank –Funding to support approx. 74% of points in 04/05 –Risk shared by high-achieving PCTs, after NHS Bank support except Local variations to QOF through PMS –PCTs need to make local risk management arrangements –ie. no NHS Bank support


Download ppt "Service Categorisation Essential –must do Additional –Preferential right (opt-outs available) Enhanced –Directed (DES) –National (NES) –Local (LES) Global."

Similar presentations


Ads by Google