NHS 'blueprint' reveals GP commissioning and quality premium targets
By Stephen Robinson, 18 December 2012
Clinical commissioning groups (CCGs) will be judged on 48 targets including death rates, a blueprint for the NHS reveals, and face four key targets to earn controversial quality premium payments worth up to £30,000 per practice.
CCGs will be judged on 48 measures of care including death rates and emergency hospital admissions, according to a blueprint for the NHS from 2013/14 published today by the NHS Commissioning Board (NHSCB).
It marks the start of a move towards a seven-day NHS, a bigger role for patient feedback, a greater focus on clinical outcomes, and more widespread data collection, including from general practice.
CCGs will share £64.7bn in funding in 2013/14 - a 2.3% rise for every group compared with current PCT budgets.
The blueprint also gives the first details of the quality premium, the controversial financial reward for good commissioning.
The BMA said it was concerned about several proposals under the 'extremely ambitious' plan.
Under the NHSCB guidance, Everyone Counts: Planning for Patients 2013/14, CCGs will be judged against 48 indicators of care across five areas. These are: premature death, quality of life, recovery, patient experience, safe environment and protection against avoidable harm.
Targets include antipsychotic prescribing rates and patient experience of GP out-of-hours care, meaning practices are likely to face renewed scrutiny from their CCGs in these areas.
The quality premium will see CCGs paid an extra sum based on their performance against four measures, including preventing unnecessary deaths, avoiding hospital admissions, patient feedback, and care-acquired MRSA and C. difficile infections. Three local priorities chosen by each CCG will also be measured as part of the payment.
The NHS will move towards routine services being available seven days a week. National medical director Sir Bruce Keogh will lead the work, looking first at diagnostics and urgent and emergency care.
Clinical outcomes will play a greater part in the NHS, the NHSCB said, with hospitals and providers required to submit data on quality of care and survival rates. This includes collection of 'core clinical data' from GP practice systems to track outcomes throughout care pathways.
All patients will be able to give feedback in real time by 2015. This will include roll-out of the 'friends and family test' - whether patients would recommend the service to a close friend or relative - first to hospitals and then to other providers, potentially including GP practices.
BMA chairman Dr Mark Porter said: 'Today’s guidance is an extremely ambitious plan for the NHS in England, particularly at this time of major structural change and continuing financial pressure. While many of the aims are laudable, new CCGs will have the very real challenge of putting these aspirations into practice.'
He said although the BMA supports better information for patients, 'basic mortality figures alone could mislead patients because they fail to take into account other factors that might have contributed to the death of a patient'.
Dr Porter also repeated concerns that the quality premium may disadvantage CCGs in more deprived areas, potentially worsening health inequalities.
- Exclusive: Labour says GP contract changes risk destabilising primary care
- NHS in England will struggle to make long-term savings, NAO warns
- Viewpoint: Clinical commissioning in real danger of becoming smothered
- Three quarters of CCGs authorised 'with conditions'
- Quality premium could be based on local targets, DH says
Send to a friend
Latest Stories from GP
Latest jobs Jobs web feed
- Salaried GP's Avicenna Medical Practice Negotiable and to include benefits, Bradford, West Yorkshire
- Part-Time Salaried GP (with a view to Partnership) Culcheth Medical Centre Competitive Salary, Warrington, Cheshire
- Full-Time Partner Badgerswood Surgery Negotiable, Hampshire/Surrey/West Sussex Border
- Full Time Partner/Salaried GP (8 sessions) to replace retiring Partner Stirling Road Surgery Details available on request, Devon
- 7 session Partner Chobham and West End Medical Practice Profit Sharing Partner, North West Surrey
- SALARIED /LONG TERM LOCUM LEADING TO FIXED SHARE PARTNERSHIP White City Health Centre £70000 TO £80000 but salary negotiable and dependent on experience and qualifications., London W12 7PH & Southall UB1 1JH
- Harmoni admits running out-of-hours centre with no doctors
- GPs should take on 30% of A&E work, say emergency doctors
- Fears over NHS England capacity to manage general practice
- GPs launch national federation to counter rising pressure on practices
- TV show seeks GP couple as presenters
- Dementia diagnosis must accelerate, warns Hunt
MIMS Drug Search
Possible searches include drugs (by brand, generic ingredient or drug class), diseases and more.