Practices lose 135 quality points under revised DoH deal

Practices would lose the value of 135 quality framework points under the revised DoH contract offer for 2008/9 after talks broke down over extended hours.

This includes the removal of 75 points associated with local patient surveys.

The DoH intends that this money be re-invested and used by PCTs to reward practices on the basis of levels of patient satisfaction measured by a new GP patient survey.

The other 60 points are:

  • 20 holistic care points,
  • 7 CHD12 points (percentage of patients with coronary heart disease who have a record of influenza immunisation in the preceding 1 September to 31 March)
  • 7 MED11 points (medication review recorded in the notes in the preceding 15 months for all patients being prescribed four or more repeat medicines standard 80 per cent)
  • 6 COPD08 points (percentage of patients with COPD who have had influenza immunisation in the preceding 1 September to 31 March)
  • 3 EDUCAT04 points (all new staff receive induction training)
  • 3 MED04 points (the number of hours from requesting a prescription to availability for collection by the patient is 72 hours or less)
  • 3 DM18 points (the percentage of patients with diabetes who have had influenza immunisation in the preceding 1 September to 31 March)
  • 2 MANAGE06 (person specifications and job descriptions are produced for all advertised vacancies)
  • 2 MANAGE10 points (there is a written procedure manual that includes staff employment policies including equal opportunities, bullying and harassment and sickness absence to which staff have access)
  • 2 CSO5 points (the practice has a system for informing all women of the results of cervical smears)
  • 2 STROKE10 points (the percentage of patients with TIA or stroke who have had influenza immunisation in the preceding 1 September to 31 March)
  • 1 RECORD03 (the practice has a system for transferring and acting on information about patients seen by other doctors out of hours)
  • 1 MANAGE02 point (there are clearly defined arrangements for backing up computer data, back-up verification, safe storage of back-up tapes and authorisation for loading programmes where a computer is used)
  • 1 MANAGE04 (the arrangements for instrument sterilisation comply with national guidelines as applicable to primary care)

The loss of 135 points is worth £16,740 to the average practice.

The loss of the remaining £19,260 is for the removal of the access and choice and booking directed enhanced services for 2008/9.

The revised DoH deal applies to England only but is expected to be applied to Scotland, Wales and Northern Ireland also.

The BMA is to consult GPs on a deal rejected by the GPC before Christmas, which involved the loss of 58.5 quality points and the DES funding mentioned above.

If GPs refuse this, the DoH will impose the revised deal detailed above.

The argument is over extended hours. The DoH wants the average practice to open an extra three hours per week from April 2008 but the GPC is only prepared to allow two.

neil.durham@haymarket.com

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