Phil Collins SUS Programme SUS PBC Comparators Phil Collins SUS Programme

SUS PBC Comparators - topics Background to practice based commissioning (PBC) The need for information to support PBC The SUS PBC Comparators system Objectives Design principles Overview Release plans and the future Our objectives Develop an information culture Take a leading role in the development of an information culture across health and social care, supporting and promoting the sound use and interpretation of information and setting the standards to determine the information is fit for purpose. Information of integrity Become the primary organisation for co-ordinating and effecting the capture, production and dissemination of unbiased, credible and comparable information relating to health and social care. Dynamic organisation Foster and encourage a dynamic work environment, creating a motivated and skilled workforce. Effective access to information Enable timely access to information that can be used by decision makers to effect positive change to improve health and social care services. Policy development and research Lead information policy development and contribute to research, ensuring information is at the heart of policy making.

Background to PBC “PBC is about engaging practices and other primary care professionals in the commissioning of services. Through PBC, front line clinicians are being provided with the resources and support to become more involved in commissioning decisions.” Department of Health guidance

PBC Guidance Practice based commissioning: achieving universal coverage Published by DH in January 2006 Health reform in England: update and commissioning framework Published by DH in July 2006 It sets out a framework to strengthen commissioning and focuses in particular on PBC DH review of NHS locally developed information tools for PBC Recognises that “information is crucial for successful practice based commissioning”.

Information to support PBC Acknowledged that there is not sufficient information available at present to meet all the criteria set out in Practice based commissioning: achieving universal coverage Recognised that the SUS PBC Comparator system is the long-term strategic solution for PBC Recognised that there are some significant local developments providing real value (and that these will continue to develop)

Information to support PBC Current position National Local Some local systems developed, e.g. ASP, GM, MIDAS And some commercial systems e.g. Ardentia, Dr Foster, Sollis

Information to support PBC Position as at mid May 2007 National Local PBC Comparators Local systems

Information to support PBC Future position National Local PBC Comparators Local systems

Background to PBC Comparators Initial discussions with DH in March 2006 High level draft specification issued in August Approval to go ahead Draft requirements produced in November With indication of expansion to other data sources (e.g. QOF and prescribing) Work commenced in December 2006

Partners for PBC Comparators Sponsor Department of Health Development team Secondary Uses Service NHS Information Centre NHS Connecting for Health Northgate Information Solutions

Objectives for PBC Comparators To deploy a national, web-based, system for the provision of GP practice comparators Accessible to all GP practices (as well as PCTs, SHAs, Trusts, PHOs etc) Providing comparators of commissioning activity, referral patterns, outcomes, prescribing and QOF data Data refreshed quarterly and available shortly after the PbR Freeze date

Design principles for PBC Comparators Web-based access Summary level information Intuitive ‘dash board’ graphical style presentation Built-in help and supporting information

Current status of the system First release on time in first week of April 2007 User assurance and testing underway Two more releases during April and early May Full release planned for mid May

Planned initial comparators Activity and Cost (at PbR tariff) comparators for: 1. OP first attendances for source of referral = GP per 1000 population for the six specialities identified for care outside hospital * 2. Total outpatient attendances per 1000 population 3. Non-Elective admissions for 19 ambulatory care sensitive * 4. Non-Elective Admissions per 1000 population 5. Four QOF area admissions per 1000 population (CHD, Asthma, COPD, diabetes) 6. Elective IP Admissions per 1000 population 7. Day case Admissions per 1000 population 8. Total elective admissions per 1000 population 9. Admissions for five procedures with evidence of overuse / 1000 population* * Better Value Better Care indicators

Overview of the system

Release plans and the future Release 1 scheduled for mid May Basic range of comparators Wide range of access (registration not restricted) Further releases currently being planned and schedule will be announced soon Expanding on number of comparators functionality number of data sources

Phil Collins SUS Programme SUS PBC Comparators Phil Collins SUS Programme