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January 5, 2018 | Author: Anonymous | Category: N/A
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PMS Contract Review October 2014

Background • Area Team required to review local PMS Agreements by March 2016 • National Framework • Local Process in partnership with Dudley CCG • Case by case review of all affected practices • Any resources freed up from review should be reinvested in general practice services • PMS resources not redeployed outside the current CCG unless by agreement

Process • Liaise with LMC’s • Partnership approach with Dudley CCG • Information to practices week beginning 17th November 2014 to include: • Letter outlining options and process • National framework • PMS Premium Review Pro Forma • Return to GMS Request Template • Practice Premium financial template • Financial query Template • Key dates

Process (2) • Open Meetings • Thursday 27th November 2014 • Wednesday 3rd December 2014 • Dudley Event to be arranged • Practice Choice • Return to GMS • PMS Review • Advice sessions • Clinical Review Panels • New Contracts

Birmingham Black Country

Practice Choice – Return to GMS • • • • •

BSBC Area Team to adopt Essex Model Practices can choose to return to GMS contract New contracts must begin 1st April 2015 Transitional support tapered over seven years Complete template before 5th January 2015

Practice Choice - PMS Review • Practice can choose to have full PMS Review • Submit Clinical Review Pro forma by 5th January 2015 • Area Team to review returned pro forma and may request further information in preparation for the Clinical Review Panel • Review to take place during 2015 • New contracts may commence from 1st April 2015 • Tapering of resources over minimum of 4 years

Clinical Review Panel (CRP) • Commencing February 2015 • Panel to include • Area Team Medical Directorate Clinicians • LMC Representative (from outside LMC Area) • Independent Panel Member • Lay Person • Clinician from another Area Team • Contracting Managers present information to CRP

Clinical Review Criteria 1. The requirements of the existing PMS contract 2. Staffing levels against the services provided and registered patient number 3. Any additional services provided and whether they are: i. value for money, including a check against scope of ‘core’ services ii. duplication of payment iii. alternative commissioner for that service iv. meeting a recognised and evidenced patient need v. alignment with CCG requirements as identified in their primary care strategy

Support to Practices • • • • • • •

Dedicated Project Lead – Area Team Dedicated Membership Support from CCG Open Sessions to outline process Dedicated email account Advice Sessions/Practice Visits Compilation of Frequently Asked Questions Support from LMC

Key Dates • W/C 17th November 2014 Information pack out to affected practices • 27th November 2014 Birmingham Open Meeting • 3rd December 2014 Black Country Open Meeting • Date to be confirmed Dudley Open Meeting • 8th December 2014 Black Country Advice Session • 9th December 2014 Birmingham Advice Session • Date to be confirmed Dudley Open Meeting • 5th January 2015 Practice Choice submitted • February 2015 CRP commence • 1st April 2015 Revert to GMS Contract

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