practice budgets and incentive arrangements in south hams west devon pct n.
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Practice Budgets and Incentive Arrangements in South Hams & West Devon PCT PowerPoint Presentation
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Practice Budgets and Incentive Arrangements in South Hams & West Devon PCT

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  1. Practice Budgets and Incentive Arrangements in South Hams & West Devon PCT Caroline Price

  2. Why Implement Practice Budgets and Incentive Schemes? • Clinical Freedom to GP practices • Allows PCT to lever strategic change • Finite resources within the NHS • Financial Flows • Patient Choice

  3. What have we achieved? • Practice level age standardised referral reports • Practice level expenditure reports • Practice level budgets

  4. Practice Budgets • Relate to expenditure reports • Services mainly HCHS • Derived using 2/3 historical costs and 1/3 equity • Equity element derived from weighted capitation formula

  5. Insurance and Incentive Scheme Arrangements • Expensive Patients • Viable size • Timing of incentive payments • Link to services covered within Financial Flows

  6. Incentive Scheme Proposal • 1/3 to practice • 1/3 to PCT • 1/3 for performance improvement • Capped Payment to practices based on £2 per patient

  7. What can the incentive payment be used for? • Materials or equipment • For treatment • For convenience • Non-recurring staff costs • Initiatives to improve healthcare

  8. Next Steps • Include further services within expenditure reports • Refine budget setting process • Refine incentive scheme