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SUS PBC Comparators Phil Collins SUS Programme

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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. Background to PBC. - PowerPoint PPT Presentation

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Page 1: SUS PBC Comparators

SUS PBC Comparators

Phil Collins

SUS Programme

Page 2: SUS PBC Comparators

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

SUS PBC Comparators - topics

Page 3: SUS PBC Comparators

“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

Background to PBC

Page 4: SUS PBC Comparators

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”.

PBC Guidance

Page 5: SUS PBC Comparators

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

Page 6: SUS PBC Comparators

National Local

Current position

Some local systems developed, e.g. ASP, GM, MIDAS

And some commercial systems e.g. Ardentia, Dr Foster, Sollis

Information to support PBC

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National Local

Position as at mid May 2007

Local systemsPBC Comparators

Information to support PBC

Page 8: SUS PBC Comparators

National Local

Future position

Local systemsPBC Comparators

Information to support PBC

Page 9: SUS 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

Background to PBC Comparators

Page 10: SUS PBC Comparators

Sponsor Department of Health

Development team Secondary Uses Service

– NHS Information Centre– NHS Connecting for Health

Northgate Information Solutions

Partners for PBC Comparators

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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

Objectives for PBC Comparators

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Web-based access

Summary level information

Intuitive ‘dash board’ graphical style presentation

Built-in help and supporting information

Design principles for PBC Comparators

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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

Current status of the system

Page 14: SUS PBC Comparators

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 population3. Non-Elective admissions for 19 ambulatory care sensitive *4. Non-Elective Admissions per 1000 population5. Four QOF area admissions per 1000 population (CHD, Asthma,

COPD, diabetes) 6. Elective IP Admissions per 1000 population7. Day case Admissions per 1000 population8. Total elective admissions per 1000 population9. Admissions for five procedures with evidence of overuse / 1000

population* * Better Value Better Care indicators

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Overview of the system

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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

Release plans and the future

Page 39: SUS PBC Comparators

SUS PBC Comparators

Phil Collins

SUS Programme