SUS PBC Comparators

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SUS PBC Comparators

• Jacqui Bobby
• SUS Programme

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SUS PBC Comparators - topics

• Background to practice based commissioning (PBC)
• The need for information to support PBC
• The SUS PBC Comparators system
• Objectives
• Overview
• Release plans and the future

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Background to PBC

• PBC is about engaging practices and other
  primary care professionals in the commissioning
  of services. Through PBC, front line clinicians
  are being provided with the resources and support
  to become more involved in commissioning
  decisions.
• Department of Health guidance

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Information to support PBC

• Acknowledged that there is not sufficient
  information available at present to meet all the
  criteria set out in Practice based commissioning
  achieving universal coverage
• Recognised that the SUS PBC Comparator system is
  part of the long-term strategic solution for PBC
• Recognised that there are some significant local
  developments providing real value (and that these
  will continue to develop)

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Information to support PBC
Current position
National
Local
Some local systems developed, e.g. ASP, GM,
MIDAS And some commercial systems e.g. Ardentia,
Dr Foster, Sollis
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Information to support PBC
Position as at mid May 2007
National
Local
Local systems
PBC Comparators
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Information to support PBC
Future position
National
Local
Local systems
PBC Comparators
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Background to PBC Comparators

• Initial discussions with DH in March 2006
• High level draft specification issued in August
• Approval to go ahead
• Draft requirements produced in November
• With indication of expansion to other data
  sources (e.g. QOF and prescribing)
• Work commenced in December 2006

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Partners for PBC Comparators

• Sponsor
• Department of Health
• Development team
• Secondary Uses Service
• NHS Information Centre
• NHS Connecting for Health
• Northgate Information Solutions
• Panel of users / testers

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Vision

• In
• SUS PBR extracts
• Admitted patient care
• Outpatients
• AE
• GP practice population data
• Quality and outcome framework data
• Prescribing (PACT) data
• Choose and book
• Mortality
• Birth
• Socio-economic data
• ONS population data
• Etc

Out GP practice comparators (quarterly)
Accessible by GPs, PCTs, etc via NHSNet
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Objectives for PBC Comparators

• To deploy a national, web-based, system for the
  provision of GP practice comparators
• Accessible to all GP practices (as well as PCTs,
  SHAs, Trusts, PHOs etc)
• Providing comparators of commissioning activity,
  referral patterns, outcomes, prescribing and QOF
  data
• Data refreshed quarterly and available shortly
  after the PbR Freeze date

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Current status of the system

• First release on time in first week of April 2007
• User assurance and testing underway
• Two more releases during April and early May
• Full release planned THIS WEEK

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Overview of the system
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Release plans

• Further releases currently being planned and
  schedule will be announced soon
• Expanding on
• number of comparators
• functionality
• number of data sources (QOF, prescribing)

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QOF comparators

• Reported Prevalence for QOF conditions
• Expected Prevalence for QOF conditions
• Comparison of reported versus expected
• Relating QOF prevalence data to secondary care
  data and to Prescribing data

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QOF v Prescribing data

• Costs for prescribing of
• Diabetes drugs per 100 patients on the diabetes
  disease register
• Diabetes reagents per 100 patients on the
  diabetes register
• Inhaled steroids and beta agonists per 100
  patients on the Asthma and COPD registers
• Statins per 100 patients on the CHD disease
  register
• Defined Daily Dose prescribing for
• Diabetes drugs per 100 patients on the diabetes
  disease register
• Inhaled steroids and beta agonists per 100
  patients on the Asthma and COPD registers
• Statins per 100 patients on the CHD disease
  register

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Functionality

• Peer comparisons
• Based on nationally available data. eg
• Need
• List profiles (eg student)
• Number of partners
• List size
• Dispensing practices
• LISI score
• Ethnicity
• List turnover ( new registrations)
• PMS v GMS
• Rural v urban

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Functionality the future

• Downloadable Listings
• (by practice, HRG chapter, speciality etc)
• Customised peer groupings (eg local PBC groups)
• Geographically based comparators (list inflation)

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How to Access

• SUS website whats new
• http//www.connectingforhealth.nhs.uk/systemsandse
  rvices/sus/whatsnew
• Registration
• GP practices will be receiving a letter that will
  provide them with their username and some
  background on use of the system.
• All other users should register by contacting the
  IC Contact Centre by email at enquiries_at_ic.nhs.uk
  or by phone on 0845 300 6016. Users will be asked
  to provide their name, role, organisation, and
  email address.
• Access
• The PBC Comparators site can be accessed through
• http//nww.connectingforhealth.nhs.uk/reporting-se
  rvices

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SUS PBC Comparators

• Jacqui Bobby
• SUS Programme