Chris TownChris Town

CEO Greater Peterborough Primary Care Partnership

Vice Chair - NHSC GMS Negotiating Team

CEO Lead - NATPACT/MA on nGMS Implementation

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Chris TownChris Town

CEO Greater Peterborough Primary Care Partnership

Vice Chair - NHSC GMS Negotiating Team

CEO Lead - NATPACT/MA on nGMS Implementation

Vision and OverviewVision and Overview

This is core business for PCTsWe all need to make the most of the

potential offered by the contractImplementation should involve everyoneIt needs to have a coordinated approach or

there will be problems

nGMS - a Tool to Enable PCTs & nGMS - a Tool to Enable PCTs & Practices to Develop ServicesPractices to Develop Services

Overall vision/direction:-

Modernise primary care

Link to other agendas– Part of system reform– Enable choice– It creates opportunities and flexibilities for

PCTs & practices

The Key IssuesThe Key Issues Funding Out of Hours Information Management and Technology Impact on PMS Developing Capacity Nursing Practice Management Premises Quality and Outcomes framework Commissioning Primary Care

FundingFunding

Unprecedented levels of new money £1.8 billion over 3 years

PCT responsible for distributionMPIG Fixed entitlements for GPsPCTs need to quickly learn the system!Payments need to be timely and accurate

Out of Hours ServicesOut of Hours Services

Totally new solutions requiredOoH period extendedNew funding flowsNational standards apply universallyPractices need to decide quicklyPCTs need robust delivery plansIM&T implications

Information Management Information Management &Technology&Technology

Significant new investment £200 million over 3 years

New national IM&T strategy Good IT essential for Practices and PCTsPractice systems able to record data for

Q & O frameworkPCT payment and monitoring systems

Developing capacityDeveloping capacity

Supporting practices is a key role for PCTs (your success is our success)

Contract should assist recruitment and retention of GPs

Need to recruit more Nurses, Managers Healthcare Assistants etc

Developing existing staff - new skills, new roles (including GPs)

Practice ManagementPractice Management

Crucial to success for practices and PCTsNeed to clarify roles and responsibilitiesExamine competency framework identify

weaknesses within practicePCTs need to develop support and

development packages for PMsPractice Manager to lead/contribute to

practice strategy development

NursingNursing

This is a practice based contract not just GPs!

Team based solutionsTraining & development of nurses is key to

successNeed to stress the importance of nurse

leadership

Quality & Outcomes Quality & Outcomes FrameworkFramework

£1.3 Billion of new moneyPCTs and practices must work closely on

implementationNeeds IM&T investmentRequires successful team workingPCTs need to understand and plan for indirect

impact on prescribing/diagnostics budget

Commissioning Primary CareCommissioning Primary Care

Out of HoursDirected enhanced servicesNational enhanced servicesLocal enhanced services( GPSIs etc)PCTs need to develop and share a strategic

vision for Primary Care

Clinical EngagementClinical Engagement

PCT managers and PEC need to:-

Work with clinicians to deliver the shared

vision

Recognise and support clinical aspiration

Determine early wins