View of a PCT from General Practice

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View of a PCT from General Practice

• Paul Singer
• GP Luton, PEC member Luton tPCT
• Luton Healthcare Collaborative

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Do PCTs offer added value?

• Purpose
• Contracting
• Performance Managing
• Needs assessment
• Delivery planning
• Balancing the books
• Supporting primary care

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• My view of how they currently look

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How are PCTs supporting primary care information
requirements?

• Premiss Luton must be the worst
• Simple telephone questionairre six PCTs chosen at
  random
• Sense of poor co-ordination, no holistic approach
• Is information still seen as the problem rather
  than the solution?

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PCTs and PBC information

• Recognised as crucial to facilitating service
  change
• Information on practices utilisation of health
  resources as well as local intelligence on needs
  assessment must be made available to practices
• PCT responsible for ensuring information needs of
  practices are met themselves or by use of
  national framework from independent providers.

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A shared view of a PCT

• Distant
• Difficult to engage
• Do they understand our information requirements?
• Do we speak the same language
• Have they just thrown everything they have at us?

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Minimum expected

• Elective activity
• Inpatient and day cases
• Non-elective admissions (inc length of stay)
• First O/P appts and F/U
• Internal referrals
• AE attendances
• Use of Diagnostic tests and procedures
• Prescribing
• Community and Mental Health
• Primary Care services

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Benchmarked data on

• Referral Rates
• Admission Rates
• First O/P attendances
• Follow up rates

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Information Analysis

• Secondary Care information from HES via PCT and
  SUS
• Ends up in either local tools or shared such as
  MIDAS, Dr Foster, Greater Manchester etc
• Able to link activity with cost and provide
  predictive cost but minimum 6 week delay
• New PBC comparator tool from SUS providing
  comparative benchmarked data by activity and cost
  to practice level (but currently 9 months delay)

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Performance Monitoring

• Requires timely information of activity against
  Budget
• Information on variance from agreed pathways
• Need to negotiate information SLAs with PCT and
  main providers.

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Be Optimistic

• Increased acceptance of the need for reliable,
  resilient information for planning, negotiating
  and monitoring.
• Available tools are becoming more sophisticated
• PCTs must provide information support
• PBC will fail without accurate and timely
  information.
• Successful commissioning will be a co-operation
  between PCTs and practices.