Primary Care Health Data Project

1
Primary Care Health Data Project

• An integral part of Nottinghams IMT strategy
• Dr Ian Trimble

2
Total Commissioning Project

• GP Commissioning Group pilot
• Largest pilot 93 of all Nottingham GPs
• Linked / capped - HCHS / prescribing budgets
• Benefits
• GP involvement at HA board level
• Prescribing virement projects
• Incentive for hospital prescribers
• IMT strategy / investment
• Prepared the ground for Primary Care Groups

3
TCP IMT Strategy

• Finance / activity feedback
• Referral ACTivity analysis - RACT
• Prescribing feedback
• comparison by peer group
• Public health data
• Health Needs Assessment
• Improved data quality in primary care
• adopt CHDGP methodology

4
TCP Business Plan

• Senior Health Information Professional
• Pharmaceutical Advisers
• CHDGP
• Data quality facilitator
• Upgrade Primary Care IT
• Assure RFA4, Y2K, MIQUEST compliance
• Coordinate CL-CMS, Y2K, TCP funding
• TCP funding conditional upon collecting data

5
Timetable

• April 1997 - EL(97)37
• Sept 1997 - accepted as GPCG pilot
• April 1998 - TCP goes live
• Aug 1998 - CHDGP proposal accepted by HA
• Sept 1998 - SHIP appointed
• Dec 1998 - Facilitator appointed
• Feb 1999 - First data returned

6
Practice participation

• 77 / 118 practices (65)

7
GP Systems

• denotes MIQUEST interpreter available soon

8
Future Development

• Primary Care data needed to support
• HImP
• NSF
• Clinical Governance
• Referral verification
• Need to secure
• funding
• technical support
• practice participation (including 41 contras!)

9
Future funding

• TCP funding ends March 2000
• Senior Health Information Professional
• substantive post / Change Fund
• Pharmaceutical Advisers
• non-management costs
• Primary Care Health Data Project
• PCG non-management costs
• Modernisation Fund

10
Conclusions

• High quality Primary Care data strategically
  important
• CHDGP methodology available to fulfil this need
• Financial incentives encourage GP participation
• Implementation quick once key elements in place
• Intend to identify continued funding
• PCHDP will form integral part of our LIS

11
Contact

• Dr Ian Trimble
• Chairman, Nottingham NW PCG
• GP Adviser to PC Division, NHSE
• Sherwood Health Centre, Elmswood Gardens,
  Nottingham
• Tel [phone]
• trims_at_sherwood.demon.co.uk