North West nGMS/nPMS Information Session

Programme

• 12.00 Registration and Lunch• 12.30 Introduction• 12.45      PMS Futures overview• 13.30      nGMS overview• 14.45      Coffee• 15.00 Q & A Session• 15.30      SHA/nGMS Leads – progress to date• 16.15 Close

Support for nGMS

• Learning Exchange Event – 14th/15th January

• On line presentations • North West support following Learning

Exchange Events• Helpline• Practice Toolkit• Post April support

PMS Futures

Changes and Implications

PMS Wave 5B

• Confirmation of live status by 22/10/03

• Support – letters from JH and reiteration by NPDT PMS Team

• Deferred Pilots• Growth• Pilot Status

PMS Futures• Future of PMS• Why Should PMS Continue• Flexibility / Locally Negotiated• Permanence• Right of Return• 5b last ‘wave’ of piloting• Seniority & 03/04 Uplift • Convergence of 2 contracts?

Comparable Benefits to GMS

• Quality Framework – “Comparable / Equivalent”

• IT• OOH• Pensions / Superannuation• Enhanced Services• Premises

Q & O Framework

• PCT and practice to negotiate• Local alternative can be agreed• May choose to take on all

framework• May choose to take parts or none• Additional investment in quality

‘comparable’/’equivalent’ to GMS• ‘Recycled’ monies

Q & O Framework

Global SumEquivalent/MPIG

(some, but not all IoS)

Q & O Framework

Global SumEquivalent/MPIG

(Some, but not all IoS)

Global SumEquivalent/MPIG

500 points

Q & O Framework

Global Sum Global Sum

500 pointsRecycled500 points

PMSBaseline

PMS Growth

• No unpicking of baselines• Growth remains part of

contract value whilst in PMS• Flexible use after 1st April 2004• No centrally held growth (or

anything!!) after 1st April

Right of Return

• Delay in return notice – 3 months – Less?

• After 1st April – return to what?• Single performer list from 1st

April• Right of return will mean a

move either way

Return – Financial Implications

• MPIG/GSE in GMS• Needs to be fair financial return for

PMS – how?

• PMS GSE/MPIG ?– Locally negotiated– Nationally calculated– Growth?

PMS Futures – New Developments

• Sustaining Innovation in PMS• Specialist PMS• Commissioning by nPMS • LPS / PDS

• Next Steps

Next Steps

• Use of PMS to aid primary care modernisation

• Maintenance of local alternative• Discussions re Q & O Framework – local

or national?• Good Practice

• Further Guidance – Dec and Jan