Facilitator Handbook 2005 - PRIMIS

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PRIMIS Facilitator Handbook Supporting Quality Outcomes Preservation, Retention and Destruction of GP General Medical Services records relating to patients. HSC 1998/217 A proposed generic scheme for approving paperless practice – Guidance for GPs, GPC, 2001. www.bma.org.uk The NHS Confidentiality Code of Practice www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/Publicati onsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4069253&chk=jftKB%2B Training Plan - Links to other PRIMIS training Facilitators attending the Supporting Quality Outcomes training module would also find the following PRIMIS training modules of interest: • Data Quality and Patient Safety • Path to Paperless • Supporting Quality Services • Supporting Quality Review Please note: many of the above training modules overlap and offer a certain amount of core content and study. It would benefit the facilitator to have undertaken these previous modules to provide a rounded understanding of information management before undertaking this training module, although this is not a necessity. 70 PRIMIS
Supporting Quality Services PRIMIS Facilitator Handbook Supporting Quality Services Background The New GMS Contract incorporated significant changes to the provision of primary health services, including the categorisation of services. PCOs are placed under a new legal duty to ensure that patients receive access to the full range of primary medical services. The categorisation and provision arrangements for services under the new Contract include the following: • Practices will be required to provide essential services These cover the management of patients who are ill or believe themselves to be ill, with conditions from which recovery is generally expected, for the duration of that condition, including relevant health promotion advice and referral as appropriate, reflecting patient choice wherever practicable; the general management of patients who are terminally ill; and the management of chronic disease in the manner determined by the practice, in discussion with the patient. • Practices will have a preferential right to provide additional services These cover cervical screening, contraceptive services, vaccinations and immunisations, child health surveillance, maternity services (excluding intra partum care) and the minor surgery procedures of curettage, cautery, cryocautery of warts and verrucae, and other skin lesions. Practices may opt out of providing additional services with the agreement of their PCO. • The PCO will commission enhanced services, of which there are three types: Directed – under national direction with national specifications and benchmark pricing, which all PCOs must commission to cover their relevant population. For example, improved access to GMS, child vaccinations and immunisations and advanced minor surgery. National – with national minimum specifications and benchmark pricing, but not directed. For example, anticoagulation monitoring and enhanced care of the homeless. Local – developed locally. For example, enhanced medical care of asylum seekers and area-wide home visiting schemes. • There are also new arrangements for out-of-hours care and services for nonregistered patients. Through the new contract more emphasis is placed on rewarding quality and outcomes, with payments based on recorded data. The need for high quality clinical data has never been greater. The implementation of the new contract raises many information management issues. This training module is intended to raise information facilitators’ awareness of these issues, particularly around enhanced services. PRIMIS 71
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Contents Introduction 1 The PRIMIS
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Facilitator Handbook 2005 - PRIMIS

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