NHS Greater Huddersfield Clinical Commissioning Group Commissioning Readiness Scheme 2012/13
Commissioning Readiness Scheme – FINAL-26.03.12
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Contents
Page
Introduction
3
Principles
4
Who to contact for support
5
Indicators 1 – Attendance at Plenaries
6
2 – Bespoke Training Programme
6
3 – Practice Visits: Standard
7
4 – Practice Visits: All Practice
8
Payment Structure
9
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Introduction The emerging Greater Huddersfield Clinical Commissioning Group (eGHCCG), in partnership with member practices and NHS Kirklees key departments have established the enclosed Financial Incentive Scheme for 2012 / 2013. Thank you to those who have taken the time to contribute to making this scheme available to the clinical commissioning group. The driving force behind the development of this scheme has been the recognition of the challenges we face as we move into clinical commissioning. GP practices are the engine room of health service delivery and the ‘sovereign units’ of clinical commissioning. The success of clinical commissioning is critically dependent on the capacity and capability of local practices to innovate and reduce unnecessary health expenditure. Although it is no longer a requirement to issue an incentive scheme, NHS Kirklees and NHS GHCCG have chosen to do so, recognising the importance of working with and supporting practices to ensure clinical commissioning is a success. This scheme provides an opportunity to invest in the capacity of local practices to meet the challenges we face. The overarching aim of the scheme is to prepare practices to help ensure that they are able to confidently fulfil their future commissioning role and as such the scheme has been called ‘The Commissioning Readiness Scheme’. The scheme consists of four main components, or indicators, all of which must be completed by each practice for the incentive to be achieved.
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Principles Embracing Clinical (GP) Commissioning: Working in practice partnerships, and nominated practice representatives acting as change agents to engage the whole practice team.
Encourage active participation: Provides a scheme that delivers vital changes and improvements across GHCCG and an opportunity for joint working across practices within the CCG.
Have appropriate targets: Indicators are specific, measurable, achievable, realistic and time bound
Support learning and development: Includes indicators for improved engagement to support commissioning of services within wider practice teams through active participation at plenaries and practice visit meetings.
Responsibility of delivery: Practices are responsible to deliver quality returns and outcomes, in the time requirements, consideration will be given to exceptional circumstances only
Payment Payment to reflect amount of work required to be undertaken. Equal pay for equal work.
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Who should practices contact for support? For advice or further information about any aspect of the scheme practices should contact in the first instance: NHS Kirklees Gill Bell
Gill.bell@kirklees.nhs.uk
Claire Sibbald
Claire.sibbald@kirklees.nhs.uk
GHCCG.Commissioning@kirklees.nhs.uk
Where to obtain electronic copies: The scheme, templates and letters are all available on GP Link. If you do not have access to the system, you can either ask the Practice Manager or register yourself on the NHS Kirklees Intranet.
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Indicator Attendance at Plenaries 1 Principle To support the engagement of GPs in the development of commissioning for the benefit of local patients. What practices need to do? Measure Payment Basis
Practice manager and practice nominated lead GP for commissioning attends all 4 plenaries in 2012-13 and feedback learning and information to the practice team. Completion of evaluation form by each attendee. GP attendance is paid at £240 per meeting. PM or senior administrator nominated lead for commissioning is paid at £78 per meeting Achievement of this indicator alone will not be eligible for payment. Practices need to complete ALL indicators of this scheme to be eligible for single payment – payable in May 2013.
Indicator Development and Completion of bespoke commissioning training 2 programme Principle To prepare key members of practices to help ensure that they have required skills and competencies to fully engage with GP commissioning and act as change agents within their practices to help ensure that practices are able to confidently fulfil their future commissioning role. What Practice manager and practice nominated lead GP for commissioning attend practices all facilitated training sessions and complete all elements of training need to programme. do? The first element of the training programme will be for practices to engage in development of skills and competencies matrix which identifies the core skills practice manager and nominated lead GP for commissioning will need to fully engage with GP commissioning and act as a change agent within their own practice. This will be achieved via a facilitated session held at 27th March plenary. The skills and competencies matrix will then inform the development of a Training Needs Assessment (TNA) which will be sent out to all practices for completion and return by 30th April 2012. Following analysis of the TNA a draft bespoke training programme will be developed. Feedback from the TNA and draft programme will be presented at the June plenary and practices will be required to input to development of the final training programme.
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Details of the full training programme and requirements of practices will be produced and sent out to practices by 1 September 2012. The bespoke training programme will be launched at the September plenary. Measure
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Return of completed TNA by 30th April 2012. Attendance at a minimum of 3, 2 hour facilitated external sessions To be determined – dependent on development of training programme structure, content and delivery following outcomes of the completed TNA and development session at the June plenary. Specific learning milestones and objectives will be set as part of the training programme and practices will be expected to demonstrate progress against these. Objectives could include attendance at further training events or e-learning courses or exercises and evidence of disseminating learning into practices to promote behavioural and cultural change.
Practices will be required to complete all elements of the bespoke training programme as well as the other indicators in order to achieve payment.
Indicator Practice Visits: Standard 3 Principle To provide an opportunity for two way discussion to lead to new ways of commissioning and to fully develop and improve practice engagement with the commissioning process in combination with the bespoke training programme. What practices need to do?
Practice GP Commissioning Lead and Practice Manager (or senior administrator or receptionist) to participate in three 1 hour practice visits during the year with shadow board GP and supporting managers. Practice performance packs to be provided to inform these visits. Attendance by more than one GP is welcomed but there is only funding to pay one GP to attend. Quarter 1 visits to be held between April and June 2012. Quarter 2 visits to be held between July and September 2012. Quarter 3 visits to be held between October and December 2012. Quarter 4 visit to be held March 2013.
Measure
Notes and actions from visits signed off by all parties and retained by PCT and practice. These visits may also be used to fulfil elements of the training programme and as such the structure and content may be subject to change as per requirements of the training programme.
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Payment Basis
Lead GP for commissioning £80 per meeting Practice Manager participant £26 per meeting Achievement of this indicator alone will not be eligible for payment. Practices need to complete ALL indicators of this scheme to be eligible for single payment – payable in May 2013.
4 Principle
Practice Visit: All Practice Increased understanding of practice activity and expenditure issues and GP commissioning as a whole practice. Clinical knowledge and experience to be used with patients to re-engineer services, reducing inefficiencies so that services work better for patients and GPs
What A majority of practice GPs and Practice Manager, with practice nurses/nurse practices practitioners, to participate in an annual 1 hour practice visit with shadow need to board GP and supporting managers. do? Practices are requested to invite a patient representative to this meeting which supports the DES for patient and public involvement and GHCCG commitment to patient and public involvement. This meeting is to be held in Quarter 3 between October and December 2012. Measure
Notes and actions from visits signed off by all parties and retained by PCT and practice. Payment Payment of £80 to each GP attending per meeting. Practice Manager or basis other referrer attendance at £26 per meeting. Achievement of this indicator alone will not be eligible for payment. Practices need to complete ALL indicators of this scheme to be eligible for single payment – payable in May 2013.
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Payment One payment only to be made to practices on completion of all indicators and element of the Commissioning Readiness Programme as outlined above. Payment to be made in May 2013. No. 1 2 3
Indicator Attendance at plenaries All elements of bespoke training programme Practice Visit – Standard
4
Practice Visit – All Practice
Payment per practice £1,272 See table below £318 (total payment per practice for 3 standard visits) Min of £106 (actual amount dependent on number of referrers present at meeting).
Indicator Practice Size* Payment per practice 2 (approx) Tier 1 1000-6500 8,800 Tier 2 6500-12,000 10,800 Tier 3 12,000 – 17500 12,950 *Range of each tier 5500 increments. For the purposes of calculation of payment for this Scheme Practice List sizes will be taken as those at 1.4.2012 (WYCSA).
Total Minimum Payment for a practice achieving against all £10,497 elements of the programme Practices falling into Tier 2 or 3 or where more than one referrer attends ‘All practice visit will achieve higher payments as per criteria outlined above.
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