Just a quarter of CCGs were able to tell GPonline how they plan to spend money being stripped from PMS contracts over the coming months. But those that had worked up proposals for using the money planned to use it to pay for both existing and new services.
Central Manchester CCG
£1.78m available for redistribution over four years. The CCG plans to fund a pilot service for patients with limited English language skills. The remainder of the funding will support the 'primary care enhanced standards' for Manchester, which includes improved Monday to Friday access to reduce A&E attendance and out-of-hours activity, improved outcomes for patients with mental illness and learning disabilities, and reduced cancer referral rates.
PMS premium funding will be invested to provide a service delivered by all practices in the area for a single payment. The service framework includes improved access to consultations, care plans for patients at high risk of unplanned admission, joined up pathways with other organisations to provide seamless care and engagement with CCG commissioning activities.
South Tees CCG
20% of £1.8m of premium funding withdrawn from PMS practices will be reinvested each year over five years.
Proposals to use premium funds to fund continuation of non-core services, to manage pressures, and offset some of the loss of income to practices. Most funding will support a locally commissioned framework of non-core work for all practices at £5 per patient weighted through the Carr-Hill formula, phased over three years supported with additional CCG funding. Practices facing significant losses will be able to make a case for additional support.
PMS premium will support a £5m package of investment which will include top-up funding for PMS to GMS equivalent and an enhanced service specification written into the CCG’s NHS standard contract with practices. The package will deliver a £86.37 per patient, at today’s prices, by April 2020 for all practices.
Consultations proposals for £1.2m of premium to be reinvested in a local service contract to deliver £90 per weighted patient for all practices.
Premium funds will support the £3.4m Bolton quality contract to improve access and consistency of services and deliver to practices a standard £95 per weighted patient.
North East Lincolnshire
Premium funds are reinvested in three enhanced services: anticoagulation, postoperative wound care and urology (prostap) based on activity levels.