This toolkit has been produced by a group of ambulance providers and primary care trust commissioners together with the Department of Health to offer practical analysis, worksheets and tools to help all commissioners and providers improve urgent and emergency care services through better understanding of the factors affecting significant rises in 999 demand.
Published October 2009, 59 pages
Conference: Delivering world class accessible and responsive general medical care services for patients - 27 November - York ; 3 December - Bristol ; 4 December - London ; 7 December - Birmingham
Location, location, location: Making choice of place of birth a reality
This is the eighth quarterly practice survey for 2009, covering a sample of practices from each primary care trust (PCT), conducted between June and August 2009. The aims of the survey are to get feedback from practices on their perception of the support offered by their PCT and on the clinical and financial engagement of practices with PBC. The survey is part of a group of indicators that will be assessed together to give a picture of PBC implementation.
Published September 2009, 28 pages
According to a survey of 83 PCT provider arms, one third said their service model had been agreed by their PCT board and the SHA before 1 October.
Published October 2009
Each year, the Audit Commission assesses how well NHS trusts and primary care trusts manage their resources and deliver value for money. For 2008/09, these assessments have been based on the Auditors' Local Evaluation (ALE) for NHS trusts and Use of Resources (UoR) for primary care trusts. We have published a national report outlining the scores and how they should be viewed in the context of the overall financial performance of the NHS in 2008/09, which is one of a continued improvement in financial stability. NHS foundation trusts are assessed by Monitor.
Published October 2009, 84 pages
The new NHS Improvement publication “Commissioning for Stroke Prevention in Primary Care: the role of Atrial Fibrillation” which has been developed following a national consensus meeting of opinion leaders in the field, to develop a concerted strategy towards the management of AF in primary care.
This document considers the evidence that a review of AF management in primary care is needed to develop more systematic strategies for the identification, diagnosis and optimal treatment of patients with AF to reduce the risk of stroke. It is aimed at cardiac and stroke networks, PCTs, commissioners, medical directors, cardiac and stroke leads, public health colleagues, and GP’s.
Published June 2009, 16 pages
Part of the world class commissioning suite of practical guides, this document builds on existing good practice within the NHS to support PCTs in improving the accessibility and responsiveness of local GP services.
Published July 2009, 70 pages
These Department of Health best practice guides have a vital role to play in the delivery of the intentions for High Quality Care for All: the Next Stage Review. They set out ambitions, taking action and measurement of the achievement and link with, should be read in conjunction with the quality framework/quality indicators.
Published June 2009
The quality of services provided by family doctors and other staff in general practice in England will come under the microscope following the announcement today of a major 18-month inquiry from The King’s Fund.The inquiry comes at a key time in the reform of general practice and will examine and collect evidence on the quality of care provided to patients. Despite the introduction of the Quality and Outcomes Framework that has provided incentives to general practice to improve the quality of patient care through performance-related pay, the majority of the focus on quality has been concentrated on hospital services rather than general practice.
Published April 2009
PCTs are responsible for ensuring that practices receive an indicative budget that reflects the needs of their population as accurately as possible. This allows a practice to access a 'fair share' of the resources available to the whole of the PCT for its patients. The Department has updated the toolkit that can be used to determine weighted capitation indicative budgets at practice level. This is part of the DH ongoing commitment to refine the methodology and improve accuracy.
To accompany the toolkit the DH have also produced guidance which sets out:
MOBILE treatment units are travelling around Greater Manchester as part of a £172m private health contract to cut waiting times.
Published February 2009
There has been concern at the development by primary care trusts (PCTs) of incentive schemes that aim to reduce referral rates or the cost of referrals from general practice to secondary care.
Published January 2009, 5 pages
This document contains detailed guidance on the routine collection of Patient Reported Outcome Measures (PROMs) for elective procedures from 1 April 2009. The document is intended to support providers and PCT commissioners to implement the requirement to collect PROMs contained in the standard NHS contract for acute services.
Published February 2009, 28 pages
Practice-based commissioning (PBC) is one of the cornerstones of health policy reform, but has it delivered its intended benefits? Its objectives were to encourage clinical engagement in service redesign and development, improve services for patients and make better use of resources. Through in-depth interviews with GPs, hospital and primary care trust staff in four sites, this Kings Fund report assesses the progress of PBC and identifies the barriers that are limiting success. Using the evidence from the four case studies and from previous research, it suggests ways forward for policy-makers.
(Published November 2008, 80 pages)
This document is intended to assist commissioners (including practice-based commissioners), to deliver Improving Access to Psychological Therapies (IAPT) services that are effective and appropriate for the whole community, using innovative ways of meeting the needs of local people. It is drawn from the work of the IAPT special interest groups (SIGs).
(Published November 2008)
This timely guidance reviews the evidence base for promoting prevention and optimising treatment in CVD. It then outlines how PBC groups can use savings to fund a more systematic approach to the management of CVD in primary care.
(Published September 2008, 20 pages)
The review looked at urgent and emergency care from the point that the need for care is identified up to the point that this need is resolved, for example, through treatment, reassurance, or admission to hospital. It also looked at what measures were in place for follow-up care once the need for urgent care had been met (for example, arranging for a falls assessment for an older person who has fallen at home).
Published September 2008
Widespread variations in how much the NHS spends locally on different diseases – even after the different needs of local communities are taken into account – are revealed today in a new report from The King’s Fund. NHS spending: local variations in priorities: an update analyses Department of Health data covering the financial years 2004/5, 2005/6 and 2006/7. The report provides an update to a previous report from The King’s Fund in 2006, which for the first time analysed the varying amounts primary care trusts (PCTs) in England spend on diseases such as cancer, mental health and circulatory diseases (such as heart disease).
(Published August 2008, 8 pages)
The BMA is concerned that many polyclinics are being imposed across the country, regardless of local need. This could lead to some local GP surgeries having to reduce the services they offer, or being closed if funding is diverted towards new polyclinics. Patients are also likely to have to travel further in order to see their GP.
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