Extended Primary Care Pillar Framework 2017 –January Introduction Primary of the Primary Care Strategic “Extended Care” is one of the four pillars Model for Doncaster, concerned with supporting the delivery of services closer to the home. It is anticipated that this model will come into practice in April 2017 patient’s but will evolve with time as more services that could be moved from secondary care into primary care are identified. This document sets out the to CCG’s approach from April and moving forward. commissioning Local Enhanced Services (LES’s) of services beyond those contracted Doncaster’s practices already provide a number through the existing GMS and PMS contracts. Some of these are commissioned nationally as Direct Enhanced Services through the existing LES's. The (DES’s) or from primary care via contracts with Opticians CCG also commissions other LES’s and Pharmacies. There has been a relatively passive approach taken recently with the LES’s commissioned from General Practice, they have been largely rolled over year to year with few, if any, changes. Practices are given the opportunity to sign up to deliver the of their choice with minimal challenge if there is a drop in activity or practices LES’s are continuing to refer their patients to Secondary Care for those same services. There has also been little support from the CCG in encouraging and supporting referrals where a neighbouring practice offers a service that another practice does not, and the default approach may be to refer to Secondary Care. Where we are currently The total LES budget for General Practice in 2016/17 is approximately £975k. This splits into £507k for the Treatment Room LES, £147k for the Shared Care LES and £320k for the the start of 16/17 there were 19 individual individual LES’s. At LES’s, as listed below, ranging from some provided by one or two practices to some signed up to by nearly all: Colorectal Cancer Follow-Up/Monitoring Colposcopy Community Adoption Report Deep Vein Thrombosis (DVT) D-dimer Test Endometrial Biopsy Glucose Tolerance Test Helicobacter pylori Infection (Carbon-13 Urea Breath Test) Initial Medicals for Children in Care Insulin Initiation IUCDs For Women Not Requiring Contraception Methotrexate - Near Patient Monitoring
Extended Primary Care Pillar Framework –January 2017 Introduction “Extended Primary Care” is one of the four pillars of the Primary Care Strategic Model for Doncaster, concerned with supporting the delivery of services closer to the patient’s home. It is anticipated that this model will come into practice in April 2017 but will evolve with time as more services that could be moved from secondary care into primary care are identified. This document sets out the CCG’s approach to commissioning Local Enhanced Services (LES’s) from April and moving forward. Doncaster’s practices already provide a number of services beyond those contracted through the existing GMS and PMS contracts. Some of these are commissioned nationally as Direct Enhanced Services (DES’s) or through the existing LES's. The CCG also commissions other LES’s from primary care via contracts with Opticians and Pharmacies. There has been a relatively passive approach taken recently with the LES’s commissioned from General Practice, they have been largely rolled over year to year with few, if any, changes. Practices are given the opportunity to sign up to deliver the LES’s of their choice with minimal challenge if there is a drop in activity or practices are continuing to refer their patients to Secondary Care for those same services. There has also been little support from the CCG in encouraging and supporting referrals where a neighbouring practice offers a service that another practice does not, and the default approach may be to refer to Secondary Care. Where we are currently The total LES budget for General Practice in 2016/17 is approximately £975k. This splits into £507k for the Treatment Room LES, £147k for the Shared Care LES and £320k for the individual LES’s. At the start of 16/17 there were 19 individual LES’s, as listed below, ranging from some provided by one or two practices to some signed up to by nearly all: Colorectal Cancer Follow-Up/Monitoring Colposcopy Community Adoption Report Deep Vein Thrombosis (DVT) D-dimer Test Endometrial Biopsy Glucose Tolerance Test Helicobacter pylori Infection (Carbon-13 Urea Breath Test) Initial Medicals for Children in Care Insulin Initiation IUCDs For Women Not Requiring Contraception Methotrexate - Near Patient Monitoring
Extended-Primary-Care-Paper-Framework.docx