- Primary care commissioning
- Primary ophthalmic services
- Controlled drugs use regulations
- Occupational Health – National Primary Care Service Specification
- Easter 2017 plans and arrangements
- Individual GP metrics
- Commissioning development: Key facts
- Enhanced services commissioning: Key facts
- Securing excellence in commissioning primary care
- Guidance on requirements for registering with a GP
- Commissioner guidelines for responding to requests from practices to temporarily suspend patient registration
- NHS Pension Scheme access for GP federations – Question and answers
- Primary Care Commissioning activity report guidance
- Letter to NHS England heads of primary care and CCGs with full delegation on avoiding unplanned admissions – 13 February 2017
- Letter to area team directors on new enhanced services
- Risk profiling and care management enhanced service – participation agreement
- Enhanced service specification – risk profiling and care management scheme
- Enhanced service specification – remote care monitoring (preparation) scheme
- Enhanced service specification – improving patient online access
- Enhanced service specification – facilitating timely diagnosis and support for people with dementia
- All four new enhanced service specifications
- Risk profiling and care management enhanced service – participation agreement
- Letter to directors of commissioning operations on implementing Personal Medical Services (PMS) Reviews
- Letter to area team directors on Personal Medical Services (PMS) Reviews
- Letter to area team directors on Personal Medical Services (PMS) Data Collection
- Letter to area team directors on Personal Medical Services (PMS) Contracts
- Letter to area team directors on Personal Medical Services (PMS) Contracts (Feb 2014)
- Presentation – Review of the PMS Contracts (Feb 2014)
- Letter – 2013/14 QOF PMS Points Deduction Adjustment
- Letter – April 2014 – QOF PMS Adjustment to Personal Medical Services (PMS) practices
- Policy book for primary medical services
- Policy book for primary dental services
- Policy book for eye health
- The Controlled Drugs (Supervision of Management and Use) Regulations 2013 – NHS England Single Operating Model – Publications Gateway reference number (AT 00809)
For action and onward dissemination by Controlled Drug Accountable Officers (CDAO). As the lead for the Local Intelligence Networks (LINs), the CDAO for NHS England regional teams will wish to ensure that the relevant teams across the LIN are familiar with the standard operating model for controlled drug accountable officer function.
- Annexes: The Controlled Drugs (Supervision of Management and Use) Regulations 2013 – NHS England Single Operating Model
Occupational Health is important in assessing the impact of work on someone’s health, their health on their ability to work and in providing advice on possible support that might be needed. Working with our partners, we have developed a single national Occupational Health (OH) specification to ensure greater consistency in the OH support for staff working in primary care across the country.
- Plans and arrangements for Primary Medical Care Services during the Easter period 2017 – Letter template.
There is a 30% to 40% risk of developmental disorders in children born to mothers who take Valproate during pregnancy. GPs should identify female patients on Valproate and arrange discussions with healthcare professionals on the benefits and risks for them. A checklist for prescribers is now available. Data on CCG prescribing of valproate in ‘at risk’ women and girls is also available. This CCG data will form part of a monitoring dashboard being constructed in partnership with MHRA which is due for release in the coming months
To support the Government’s mandate to NHS England, the Department of Health has asked NHS Digital to extract data for a set of metrics at individual GP level and provide these data to individual GPs and their practices only. These data will not be published. The expectation is that these data will enable individual GPs and practices to review quality of care and outcomes, to stimulate peer-to-peer conversations and support continuous improvement. The first data packages will be provided in January 2017. These data will be experimental and feedback will be sought from GPs to consider how to improve the data over time. The Data Provision Notice will be sent to practices at least six weeks ahead of the first data extraction.
What metrics are you extracting and why?
We intend to use a set of metrics similar to those published at practice level on My NHS. These are based on metrics that currently exist, and follow a report by the Health Foundation last autumn which made recommendations to the Department of Health on quality indicators within general practice. NHS Digital’s General Practice Extraction Service (GPES) will extract the necessary primary care data for the 12 agreed metrics, one of which will require data from secondary care. A list is provided below. The metrics, where possible, focus on patients for whom the most impact could be achieved in terms of GPs assessing the way in which care is planned and provided.
How will the metrics be extracted and linked to an individual GP?
The majority of the metrics will be extracted from GP systems using the ‘usual GP’ data field and data will be reported back to practices. The data will not be published, but made available only to individual GPs and their practices. Each practice will be provided with their own data; they will not be provided with any patient level data or data from other practices.
When will we get the first data packages and how will I be able to access these data?
The information will be extracted from GP systems in December 2016 and shared with practices in January 2017 in the first instance.
Are these data being shared with organisations outside of the practice and isn’t this just performance management of GPs?
No, data will only be available to practices and individual GPs. The intention is for these metrics to be used by practices to review the quality of care that they are providing to a given set of patients. This is not a method of performance management and data will not be shared with any other organisation. These metrics are similar to the practice level metrics that are published on My NHS. In addition an emergency admissions metric extracted from HES data will be used.
Reporting metrics for individual GPs does not take account of the multidisciplinary nature of primary care.
Each patient should have an accountable GP. We recognise that a patient may choose to see different professionals and patients may be often seen by more than one GP and/or practice nurse for multiple conditions. Practices are in the best place to understand how they provide care to their patients. These metrics are intended to aid discussions, stimulate peer-to-peer conversations and support continuous improvement. This is why these data will not be published. These data are likely to be experimental in the first instance and we will be reviewing the quality of the data to make improvements over time to make these as useful as possible. We will seek feedback from GPs, and consider how data collections can be improved in future extractions to make it as useful and beneficial as possible for GPs and their patients.
Won’t this add to GPs workload?
We want this to be a helpful tool for GPs and their practices to consider and use to support continuous improvement. It is intended that practices use these data as part of their day-to-day assessments that they make on the quality of care that they provide to their patients.
List of metrics
- The percentage of patients aged 65 and over, who have a record of influenza immunisation during the winter flu season per usual GP.
- The percentage of at risk patients under 65, who have a record of influenza immunisation during the winter flu season per usual GP.
- The percentage of women aged 25 or over and who have not attained the age of 65 whose notes record that a cervical screening test has been performed in the 5 years up to and including 31 March 2017 per usual GP.
- The percentage of children aged up to the age of 2 with record of childhood immunisations (composite) per usual GP.*
- The percentage of patients with hypertension in whom the last blood pressure reading (measured in the reporting period) is 150/90 mmHg or less per usual GP.
- The percentage of patients with atrial fibrillation in whom stroke risk has been assessed using the CHA2DS2-VASc score risk stratification scoring system in the reporting period (excluding those patients with a previous CHADS2 or CHA2DS2-VASc score of 2 or more) per usual GP.
- The percentage of patients with diabetes, on the practice’s register, in whom the last IFCC-HbA1c is 64 mmol/mol or less in the reporting period per usual GP.
- The percentage of patients with COPD (diagnosed on or after 1 April 2011) in whom the diagnosis has been confirmed by post bronchodilator spirometry between 3 months before and 12 months after entering on to the register per usual GP.
- The percentage of patients with schizophrenia, bipolar affective disorder and other psychosis who have a comprehensive care plan documented in the record, in the reporting period, agreed between individuals, their family and/or carers as appropriate per usual GP.
- The percentage of patients diagnosed with dementia whose care has been reviewed in a face-to-face review in the reporting period per usual GP.
- The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses aged 25-84 (excluding those with pre-existing CHD, diabetes, stroke and/or TIA) who have had a CVD risk assessment performed in the reporting period (using an assessment tool agreed with NHS England) per usual GP.*
- Emergency Admissions for 19 Ambulatory Care Sensitive Conditions per usual GP.
*These metrics were in the original request from the Department of Health but have been put on hold and will not be included in the first data extractions.