1. GP CONTRACT CHANGES 2015/16

2. Contract changes 2015/16
GPC has achieved a negotiated contract 2015/16 just before the end of September 2014
Early agreement to allow time to prepare
Minor changes to further reduce bureaucracy

3. - No change in size of the QOF/or number of QOF points
Key Changes
QOF
QOF Stability assurance
- No change in size of the QOF/or number of QOF points
- No increase to any of the thresholds

4. Contract changes Alcohol enhanced service
- Alcohol DES will cease end of March 2015
- All money reinvested into global sum .
- Now it will be Contractual requirement to screen new pts .
Patient participation Enhance service
- PPG DES will Cease end of March 2015
- all money re invested into global sum .
- From April 2015 it will be contractual requirement for practices to have a PPG .

5. Avoiding Unplanned Admissions
Extended for another year
Reporting will be bi-annual, on the 30 September 2015 and 31 March 2016
There will be 3 rather than 5 payment components, with 46% in an initial payment, with two payments of 27% attached to the reporting dates
Patients who have died or moved practices prior to the two reporting dates in the two per cent register will be included
the introduction of a patient survey (and funding of £500k) subject to the outcome of a feasibility study
requiring at least one care review during the year for any patient on the register from the previous year

6. KEY Contract Changes Named GP for all patients
By 31 March 2016 all practices will need to include on their website reference to the fact that all patients (including children) have been allocated a named, accountable GP.

7. Key Contract Changes Assurance of Out of Hours provision
Patients' online access to medical records
All pts to have Online access to all information on their medical records that is in coded form (no free text or un coded info )
Online appointment booking
Number of availability of appointments for online booking to be increased form the previous year .
Assurance of Out of Hours provision
From April 2015 OOH provider/or practice that has not opted out of OOH provision to provide report to CCG to ensure that it meets national quality requirement .

8. Key Changes Publication of GP earnings
contractual requirement for practices to publish on their practice websites by 31 March 2016 mean net earnings that relate to the GMS contract for GPs in their practice (contractor and salaried GPs) relating to 2014/15

9. Key Contract Changes Seniority payment
Mechanism of retrospective adjustment agreed –seniority payments end 2020 and remaining money will be added to the global sum /kept within the profession.
Maternity and paternity cover
The reimbursement will cover both external locums and cover provided by existing GPs within the practice who do not already work full time.  

10. QOF CHANGES The overall number of points in QOF remains at 559 points.
changes are resourced through retirement of some points and redistribution of points to reflect workload .
This agreement includes a commitment that practices continue to undertake the work for the retired indicators as clinically appropriate and in accordance with best medical practice

11. QOF CHANGES Atrial fibrillation The retirement of AF005 (6 points).
The introduction of NICE indicator NM81. The new indicator will be AF006 with a point value of 12 points and thresholds at 40-90%.
The replacement of AF004 (6 points) with NICE indicator NM82. The new indicator will be AF007 with a point value of 12 points and thresholds at 40-70%.

12. QOF CHANGES Coronary heart disease (CHD)
The retirement of CHD006 (10 points).
Dementia
The amendment of DEM002 to include a care plan =number of points from 15 to 39 points to recognise an increase in the number of patients with dementia. The new indicator will be DEM004, the thresholds will remain at 35-70%.
A change to the timeframe for DEM003. The new indicator will be DEM005, the points will remain at 6 points and the thresholds will remain at 45-80%.

13. QOF CHANGES Chronic kidney disease (CKD)
The amendment of CKD001 (the register) to reflect the change in the classification in line with the updated NICE clinical guideline.
The retirement of CKD002 (11 points), CKD003 (9 points) and CKD004 (6 points) (total 26 points).
Obesity:The replacement of OB001 (the register) with NICE indicator NM85. The points will remain at 8 points.

14. Q& A