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Enhanced Services – Data Quality

Enhanced Services – Data Quality. David Britton Strategic Development Manager (Primary Care) Sunderland Teaching Primary Care Trust. Enhanced Services. Directed Access Childhood Immunisations Influenza immunisations Minor Surgery Quality Information Preparation Violent Patients.

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Enhanced Services – Data Quality

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  1. Enhanced Services – Data Quality David Britton Strategic Development Manager (Primary Care) Sunderland Teaching Primary Care Trust

  2. Enhanced Services • Directed • Access • Childhood Immunisations • Influenza immunisations • Minor Surgery • Quality Information Preparation • Violent Patients

  3. Enhanced Services • National • Anti-coagulation monitoring • Enhanced care of the homeless • Intra partum care • Intra-uterine contraceptive device fitting • Minor Injury services • Services for patient with multiple sclerosis • Sexual Health Services • Patients who are alcohol misusers • Patients suffering from drug misuse • Provision of near-patient testing • Immediate care and first response care • Specialised care of patients with depression

  4. Enhanced Services • Current NES • Minor Surgery • Minor Injuries • NES Development • Alcohol Misuse • Drugs Misuse • Depression • INR

  5. Commissioning Enhanced Services • Baseline Information • Identify target population • Identify activity • Financial Information • Identify total funding (Financial Year) • Identify ‘value for money’

  6. Commissioning Enhanced Services • Baseline Information • Hospitals • Specialist Services • General Practice • General Practice • ‘Registers’ • GP Systems data

  7. Commissioning Enhanced Services • Baseline Information – Alcohol NES • Practice requested for expressions of interest • 15 Practices expressed an interest • Target population 1127 – average 75.13 • Financial Implications (2004/05) • Annual retainer £1,065.54 x 15 = £15,938.10 • Price per patient £209.78 x 1127 = £236,422.06 • Total = £252,360.16 • Figures calculated for 54 Practices = • £908,658.58

  8. Commissioning Enhanced Services • Issues • Data quality • Inappropriate coding • Lack of understanding data vs commissioning • National figures suggest 360 patients with alcohol problem per GP • 156 GPs x 360 = 56,160 • Annual Retainer £1.065.54 x 54 = £57,539.16 • Annual cost per patient £209.78 x 56,160 • = £11,781,244

  9. Commissioning Enhanced Services • Identify value for money • NES via GPs not necessarily the best option • LES could be better option both financially and quality of service. • Quality of data and information important for delivering quality services • It is not just about having accurate ‘Disease Registers’

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