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The PRIMIS Comparative Analysis Service: Priorities for the Future

The PRIMIS Comparative Analysis Service: Priorities for the Future. Dr Pete Horsfield PRIMIS Clinical Director Dr John Derry GP, Oxford. Outline of Session. Overview of Comparative Analysis Service (CAS) – Pete Horsfield User perspective – John Derry Discussion. Overview of CAS (1).

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The PRIMIS Comparative Analysis Service: Priorities for the Future

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  1. The PRIMIS Comparative Analysis Service:Priorities for the Future Dr Pete Horsfield PRIMIS Clinical Director Dr John Derry GP, Oxford

  2. Outline of Session • Overview of Comparative Analysis Service (CAS) – Pete Horsfield • User perspective – John Derry • Discussion

  3. Overview of CAS (1) • PRIMIS • Support and Training • Information Management • Data Quality • Data Quality Analysis • Standard Query Set • All schemes (within scheme only) • Comparative Analysis Service • Added-value service • Clinically focused • Voluntary • Selective (data quality filters) • Out-of-scheme, practice level

  4. Overview of CAS (2) • Methods • Selection of topics • Clinical Advisory Group • User Representative Group • PRIMIS Team • Development of queries • National standards • NSFs • Recognised guidelines • Clinical Advisory Group • Iterative process

  5. Overview of CAS (3) CompiledReleased • Clinical topics • Coronary heart disease   • Epilepsy   • Asthma   • Mental Health  • Hypertension  • Diabetes • Query library • Data quality

  6. The Comparative Analysis Service: Priorities for the Future – a ‘centralist’ view? Dr John Derry Oxfordshire MAAG, Primary Care Clinical Governance Lead, Oxfordshire Health Authority 3rd April 2001 Birmingham

  7. NHS Priorities for the Future The NHS Plan vision for primary care • Universal, fast & convenient access • By informed patients • To an extended range of high quality services • Delivered in modern primary care settings • By suitably trained and qualified primary care professionals

  8. Delivering the NHS Plan • Increased investment • more public spending on NHS • Increased responsibilities and accountability for NHS providers • Restructuring of primary care • PCGs and PCTs • The NHS Quality Framework

  9. National Service Frameworks National Institute for Clinical Excellence Patient & Public Involvement CLEAR STANDARDS OF SERVICE Clinical Governance Lifelong Learning Professionalself regulation DEPENDABLE LOCAL DELIVERY National Performance Framework Commission for Health Improvement National Patient and User Survey MONITORED STANDARDS THE NHS QUALITY FRAMEWORK

  10. Data, Information& Knowledge • What are we getting for our extra investment? • How do we know what is happening in primary care? • More reporting • Practices  PCG/Ts  HAs  ROs

  11. NHS Planning Process • Service and Financial Frameworks – SAFFs • Local Action Plans - LAPs(at HA level) incorporate SAFFs • Basis of performance agreements • PCT/Gs <–> HA • HA/Trusts <–> RO • RO <–> DoH

  12. Electronic SAFF Report • A common reporting template for all Health Authorities • Detailed guidance on content and monitoring from NHSE • Lots of data, some information –knowledge?

  13. Doesn’t MIQUEST help? • We could use MIQUEST to collect the data needed for reporting • Standard data sets across NHS • Measure progress towards the many targets • Compare different providers by using the Comparative Analysis Service?

  14. Examples of eSAFF Content Numerical targets and milestones • % of patients who see primary health care professional within 24 hours • Number of smokers self-reporting successfully quit at 4-week follow-up • % of patients on aspirin / statin / beta-blocker or ACE-inhibitor after AMI

  15. Delivering the NSFs • Cancer, Mental Health, CHD, Older People • Diabetes, Children, to come • Each NSF has common milestones and goals for all NHS organisations • Each has clinical audit requirements

  16. Implementing NICE Guidance • Each Guidance recommends use of clinical audit to assess adherence • PPI in dyspepsia • Glitazones in Type 2 Diabetes • Inhaler systems for children under 5 • Orilstat for obesity • Alzheimer’s drug treatments • Methylphenidate for ADHD in children

  17. Is this the future for the CAS? Discuss !

  18. The Comparative Analysis Service: Priorities for the Future – a ‘centralist’ view? Dr John Derry Oxfordshire MAAG, Primary Care Clinical Governance Lead, Oxfordshire Health Authority 3rd April 2001 Birmingham

  19. Discussion Topics • SWOT • Clinical topics • Data quality • Training / support issues • Other suggestions

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