SUS PBC Comparators
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Transcript of SUS PBC Comparators
SUS PBC Comparators
Phil Collins
SUS Programme
Background to practice based commissioning (PBC)
The need for information to support PBC
The SUS PBC Comparators system– Objectives– Design principles– Overview
Release plans and the future
SUS PBC Comparators - topics
“PBC is about engaging practices and other primary care professionals in the commissioning of services. Through PBC, front line clinicians are being provided with the resources and support to become more involved in commissioning decisions.”
» Department of Health guidance
Background to PBC
Practice based commissioning: achieving universal coverage– Published by DH in January 2006
Health reform in England: update and commissioning framework– Published by DH in July 2006– It sets out a framework to strengthen commissioning
and focuses in particular on PBC DH review of NHS locally developed information tools for
PBC– Recognises that “information is crucial for successful
practice based commissioning”.
PBC Guidance
Acknowledged that there is not sufficient information available at present to meet all the criteria set out in Practice based commissioning: achieving universal coverage
Recognised that the SUS PBC Comparator system is the long-term strategic solution for PBC
Recognised that there are some significant local developments providing real value (and that these will continue to develop)
Information to support PBC
National Local
Current position
Some local systems developed, e.g. ASP, GM, MIDAS
And some commercial systems e.g. Ardentia, Dr Foster, Sollis
Information to support PBC
National Local
Position as at mid May 2007
Local systemsPBC Comparators
Information to support PBC
National Local
Future position
Local systemsPBC Comparators
Information to support PBC
Initial discussions with DH in March 2006 High level draft specification issued in August
– Approval to go ahead Draft requirements produced in November
– With indication of expansion to other data sources (e.g. QOF and prescribing)
Work commenced in December 2006
Background to PBC Comparators
Sponsor Department of Health
Development team Secondary Uses Service
– NHS Information Centre– NHS Connecting for Health
Northgate Information Solutions
Partners for PBC Comparators
To deploy a national, web-based, system for the provision of GP practice comparators
Accessible to all GP practices (as well as PCTs, SHAs, Trusts, PHOs etc)
Providing comparators of commissioning activity, referral patterns, outcomes, prescribing and QOF data
Data refreshed quarterly and available shortly after the PbR Freeze date
Objectives for PBC Comparators
Web-based access
Summary level information
Intuitive ‘dash board’ graphical style presentation
Built-in help and supporting information
Design principles for PBC Comparators
First release on time in first week of April 2007
User assurance and testing underway
Two more releases during April and early May
Full release planned for mid May
Current status of the system
Planned initial comparators
Activity and Cost (at PbR tariff) comparators for:
1. OP first attendances for source of referral = GP per 1000 population for the six specialities identified for care outside hospital *
2. Total outpatient attendances per 1000 population3. Non-Elective admissions for 19 ambulatory care sensitive *4. Non-Elective Admissions per 1000 population5. Four QOF area admissions per 1000 population (CHD, Asthma,
COPD, diabetes) 6. Elective IP Admissions per 1000 population7. Day case Admissions per 1000 population8. Total elective admissions per 1000 population9. Admissions for five procedures with evidence of overuse / 1000
population* * Better Value Better Care indicators
Overview of the system
Release 1 scheduled for mid May Basic range of comparators Wide range of access (registration not restricted)
Further releases currently being planned and schedule will be announced soon Expanding on
– number of comparators– functionality– number of data sources
Release plans and the future
SUS PBC Comparators
Phil Collins
SUS Programme