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Power of Peer Review

Power of Peer Review. Dr. Paul Oliver Chair, Clinical Lead, Nottingham North and East Clinical Commissioning Group Yale & SEPT July 2013. The Problem. Stenhouse Practice overspend with a cost to NNECCG at month six of £800,000 over budget.

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Power of Peer Review

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  1. Power of Peer Review Dr. Paul Oliver Chair, Clinical Lead, Nottingham North and East Clinical Commissioning Group Yale & SEPT July 2013

  2. The Problem • Stenhouse Practice overspend with a cost to NNECCG at month six of £800,000 over budget. *NNECCG (Nottingham North and East Clinical Commissioning Group) • 21 Clinics • 145,000 patients • £165m annual budget

  3. S.M.A.R.T. Objective • To reduce Stenhouse overspend by 20% (of projected) by year end at 31 3 13 and to establish systems to bring Stenhouse in budget by 31 3 15

  4. Root Cause Analysis • A+E 237k • Critical Care 527k • Day Case 576k • Emergency 2,111k (148k) • OPD 1st 514k • OPD f/u 548k • OPD procedures 451k

  5. Alternative Interventions • Focus Peer Review (T&O and Gastroenterology) • External Scrutiny • Targeted Peer Education and Support

  6. Comparative Analysis

  7. Select, Implement and Create Evaluation Plan • Select a Strategy-----Focus Peer Review • Implementation Plan-----Meet Daily, Review Guidelines, Share Good Practise • Creating an Evaluation Plan-----CCG feedback monthly to practice, focus on non urgent GP driven activity, review at year end

  8. Preliminary Results

  9. I am Happy • Logical and easy to follow • Follows what I know from P.R.I.D.E. and 4DX • Empowering • Transferable • Delivers • Encouraging • Reflective

  10. Thank You 

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