primary care contracting trish ogorman assistant director [email protected]
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Primary Care ContractingPrimary Care Contracting
Trish O’GormanAssistant Director
Trish.O’[email protected]
Primary Care ContractingPrimary Care Contracting
Implementation
Service Improvement
Primary Care ContractingPrimary Care ContractingTools and Levers from Primary Care Contracting
Service Improvement Techniques
ImplementationImplementation• Helpline• FAQs• Website development• QOF events• Practice management guide• Primary care contracting
competency framework
Service ImprovementService Improvement
Redesign Service
QuISP PCC Collaborativ
e
Tools, Levers of PCC
Fit for Purpose
Fit for Purpose Some Fit for Purpose Some ExamplesExamples
• Practice Management• Nursing change programme• HR issues• Good practice• Practice Management Guide update
AimAim
• Quality Improvement Skills for Primary Care (QuISP) is:
– A training programme for practice teams to provide quality improvement skills to improve the care of patients.
– A national programme delivered with a local focus allowing practices to work on practice specific needs.
How it will work locallyHow it will work locallyDoH Criteria for 2004/05:
• Practice participation from 1/3 PCOs
• Practice topics to link to nGMS Quality & Outcomes Framework (QOF)
• 30 New Trainers trained
Timings:
• Training programmes to commence by April 2004
What will you learnWhat will you learn
• Psychology of change• The Improvement Model• Analysis of information or data• Measurement for Improvement• Process Mapping• Spread and Sustainability of change
What will QuISP help What will QuISP help you achieveyou achieve
• Effective team building• Application of skills focused on
specific practice priorities• Quality improvement skills and tools
to use, sustain and embed• Greater empowerment to respond to
and implement change more effectively
Programme ProcessProgramme Process
• Local training programme
• Multi-disciplinary practice team participation
• 3 1-day learning events over 2 - 3 months
• Action periods in between
• Practice- specific measures
• National capture of learning
North Bradford NPDT North Bradford NPDT CentreCentre
• Dr John Bibby
• Leanne [email protected] • 01274 366269
• [email protected] • 01133057120
SummarySummary• Quality improvement training for
practice teams.• National programme delivered with local
focus.• Various tools & techniques covered
within the improvement journey.• Many different improvements made.• Programme is applicable to any team
wanting to improve the quality of services provided.
The Collaborative The Collaborative ApproachApproach
• A methodology, developed in the US
• Involves developing a set of principles or change ideas
• Use these in conjunction with change management methods
Primary Care Contracting Primary Care Contracting CollaborativeCollaborative
• Focus on the re-design of services and infrastructure needed to deliver the re-designed service
• Draw on existing expertise and good examples of primary care contracting
• Help practice teams and PCT’s craft a service that is appropriate to the local population
BenefitsBenefits•Improved shared strategic view of
primary care contracting •Practices and PCTs, clinicians and
managers as partners
•New GMS and PMS used as a driver for primary care improvement and innovation
•Utilising the new contracting arrangements to further improve access, choice and address health inequalities.
BenefitsBenefits
•Improved use of skill mix within practice teams
•Better understanding of the need to link service re-design and the systems that will support it
•Improved clinical engagement
•Improved patient engagement
•Development of improvement skills to apply to other service areas and across the wider health community.
Service AreasService Areas
• Case Management of Complex Chronic Disease
• Management of Sexual Health
• Management of Common Mental Health Disorders
ProcessesProcesses
• Effective clinical and management leadership
• Transparent and shared understanding of local clinical priorities
• Use of acute information about capacity and demand
• Detailed planning of services based on core pathways
• Instituting effective demand management
Primary Care ContractingPrimary Care Contracting
• One site in each SHA area 2004-5
• Roll-out 2005-6
TimescalesTimescales
• Reference Panel - 10th March• Recruitment & Selection process -
April 04• Orientation - June 04• !st Learning Workshop- September 04• 2nd Learning workshop - November
04• 3rd Learning Workshop - January 05
What is involved for a participating What is involved for a participating team?team?
• Preparatory work -assessment of current service and commissioning
systems- baseline measures including capacity & demand
• Participation in orientation & learning workshops• Regular meeting of the local improvement team• Implementation of ideas within action periods• Regular reporting • Plans for spread
Service ImprovementService Improvement
Redesign Service
QuISP PCC Collaborativ
e
Tools, Levers of PCC
Fit for Purpose