PMS Wave 5B Confirmation of live status by 22/10/03 Support – letters from JH and reiteration by NPDT PMS Team Deferred Pilots Growth Pilot Status
PMS Futures Future of PMS Why Should PMS Continue Flexibility / Locally Negotiated Permanence Right of Return 5b last wave of piloting Seniority & 03/04 Uplift Convergence of 2 contracts?
Comparable Benefits to GMS Quality Framework – Comparable / Equivalent IT OOH Pensions / Superannuation Enhanced Services Premises
Q & O Framework PCT and practice to negotiate Local alternative can be agreed May choose to take on all framework May choose to take parts or none Additional investment in quality comparable/equivalent to GMS Recycled monies
Q & O Framework Global Sum Equivalent/MPIG (some, but not all IoS)
Q & O Framework Global Sum Equivalent/MPIG (Some, but not all IoS) Global Sum Equivalent/MPIG 500 points
Q & O Framework Global Sum 500 points Recycled 500 points PMS Baseline
PMS Growth No unpicking of baselines Growth remains part of contract value whilst in PMS Flexible use after 1 st April 2004 No centrally held growth (or anything!!) after 1 st April
Right of Return Delay in return notice – 3 months – Less? After 1 st April – return to what? Single performer list from 1 st April Right of return will mean a move either way
Return – Financial Implications MPIG/GSE in GMS Needs to be fair financial return for PMS – how? PMS GSE/MPIG ? –Locally negotiated –Nationally calculated –Growth?
PMS Futures – New Developments Sustaining Innovation in PMS Specialist PMS Commissioning by nPMS LPS / PDS Next Steps
Use of PMS to aid primary care modernisation Maintenance of local alternative Discussions re Q & O Framework – local or national? Good Practice Further Guidance – Dec and Jan