Download GS presentation CPPEG LCS Sept 15 Formatted

Proposed changes to how
practices are funded to
manage people living with
Long Term Health
Conditions
A PRESENTATION FOR
CPPEG
Since Oct 2013 the CCG has funded
practices to…
Actively find people who are
living with or at risk of any of
the following conditions:
• Hypertension (persistently high
blood pressure)
• Diabetes
• Chronic Kidney Disease
• Heart Failure
• Chronic Obstructive Pulmonary
Disease (lung condition)
There is strong
evidence that early
identification
leads to better
care
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And…
Regularly review and monitor people
who are most struggling to manage
their condition
• People living with Heart Failure and
COPD – review every 6 months
• People living with Diabetes – care plan
every 12 months
Embed treatment templates and
protocols – ensuring high standards in
all practices
Working with the people of Camden to achieve the best health for all
4
We know that this is making a difference
“It’s now a discussion
between the two of you,
which is how it should
be.”
“It’s a bit more
thorough now.
They talk about
diabetes and all
the aspects of
my condition….”.
Prevalence
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Current Payment for GPs
£
To achieve targets
for register sizes
both individually and
as a locality
(promoting
federated approach)
£
For each clinical
review for defined
groups of people
£
For improvements
in the number of
people with high
blood glucose
levels
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Proposal for the next Phase
(from April 2016)
1. Practices to deliver at population level - 50,000 patients
plus
2. Practices come together to develop plans for how to
deliver service
3. Upfront payment to give practices capacity to make
sustainable changes
Also:
Include other diagnoses eg cancer, epilepsy
Bring in contracts for Complex Care, Serious Mental Illness
Minimum quality standards
3 year agreement
3
8
What will this be like for Camden
residents
• More people who have a Long Term Condition will be
proactively reviewed and have a Care Plan
• Those living with a Long Term Condition will have
better support to manage clinical indicators such as
blood pressure, blood glucose and to quit smoking
• People living with epilepsy who are struggling to
manage will be proactively contacted by their GP to
discuss their condition
• GPs will be well equipped to identify the symptoms of
cancer at an earlier stage
9
Timeline
.
Sept - Nov
Approval by
Nov - Apr
Procurement Cttee
Practice develop plans
collaboratively and start to put
capacity in place
Commissioning Cttee
Apr 16
New contract commences
Governing Body
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