1 / 15

REVIEW OF MATERNITY SERVICES TOPIC GROUP 4 th November 2009

REVIEW OF MATERNITY SERVICES TOPIC GROUP 4 th November 2009. FINANCE. PCT FUNDING. Weighted capitation formula sets target allocation – to reflect relative population needs Actual current funding is largely historical Distance from target taken account of Along with Pace of Change policy

clayton-russo
Download Presentation

REVIEW OF MATERNITY SERVICES TOPIC GROUP 4 th November 2009

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. REVIEW OF MATERNITY SERVICES TOPIC GROUP4th November 2009 FINANCE

  2. PCT FUNDING • Weighted capitation formula sets target allocation – to reflect relative population needs • Actual current funding is largely historical • Distance from target taken account of • Along with Pace of Change policy • To determine % growth

  3. Weighted Capitation Formula • Population – all registered with a GP and non-registered within geographic boundary • “Weighted” to take account of: • Age • Additional need • Health Inequalities • Unavoidable geographical variations in costs

  4. As a Result • Hertfordshire’s allocation in 2009/10 £1.533 billion • Actual funding per head of £1390 (9.8% less than England average of £1540) • Target funding per head of £1357 (11.9%) less than England average of £1540) • Hertfordshire over-funded compared to the formula by £36m (2.5%)

  5. Analysis of 2008/09 Expenditure

  6. How Trusts are Paid • “Payment by Results” activity : National Tariff • In maternity services this is applied to • ante-natal clinics held in hospitals, • deliveries in hospitals or at home, • post natal clinics in hospitals • All Other Activity : Local Prices • In maternity services this is all other services, mainly community midwifery, payment made on a “block” basis, moving towards activity-based contracts

  7. Payment by Results Activity • Payment for this activity is: • National “tariff” • Plus “CQUIN” (Commissioning for Quality and Innovation) linked to quality improvements • Plus “Market Forces Factor” to cover geographical differences in cost

  8. National Tariff Maternity Services

  9. Payment by Results Activity • National tariff is based on historical average = “reference costs” of Trusts, so reflects actual costs • Payment related to volume • Updated annually • Money follows the patient

  10. Payment by Results Activity • Patient has choice of place of delivery and type of delivery • PCTs work with local providers to ensure good quality services provided

  11. CQUIN (Commissioning for Quality and Innovation) 0.5% of Tariff Reflects a move towards payments related to quality. In 2009/10 this included improvements to the experience of patients for maternity services at local hospitals West Herts and E&N Herts Trusts: 25% - 30% of the 0.5% (c.£250k-£300k per Trust) Related to : • Increasing the number of midwives to provide 1:1 care for women in labour • The ante-natal pathway must adhere to NICE guidance, i.e. maximum of 8 contacts for normal pregnancies and 11 for high risk. • A 0.5% reduction in the proportion of all births by caesarean section Trusts have to demonstrate compliance

  12. Market Forces Factor • Cambridge University Foundation Trust 13.9% • East and North Herts Trust 15.5% • Princess Alexandra Hospital Trust 16.0% • West Herts Hospitals Trust 17.8% • Barnet and Chase Farm Hospitals 20.3%

  13. East and North Herts PCT : Spend per head of weighted population on maternity services 29.9% higher than cluster average

  14. West Herts PCT : Spend per head of weighted population on maternity services32.8% higher than cluster average

  15. Total £80million

More Related