The NCSP in London-A focus on quality and productivity Meroe Bleasdille –NCSP Regional Facilitator...
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Transcript of The NCSP in London-A focus on quality and productivity Meroe Bleasdille –NCSP Regional Facilitator...
The NCSP in London-A focus on quality and productivity
Meroe Bleasdille –NCSP Regional Facilitator London Marie Kernec- NCSP Programme Manager
Maintaining the focus on young
people’s sexual health • Sexual health including Chlamydia and STI testing is an important public
health issue for young people.
• 2010/11NHS Operating Framework business as usual for all Tier 2 VSI including the Chlamydia target 35% and the DH has confirmed a commitment to continue the NCSP after April 2011
• Young people are entitled to high quality, youth friendly sexual health services in their local community that provide access to both testing and treatment in a timely manner.
London Q1-2 2010/11
32.3% of PCTs have met their internal target!
CS = NCSP Core Services
London - Internal trajectory
Data as of 01.10.10. Based on VSI criteria
Proportion of positive cases by venue type
Data as of 1.11.10. NCSP tests only. Based on those aged 15-24 years. VSI criteria
Percentage of positive index patients reported as treated:
Data as of 29.10.10
Internal target
Number of partners treated per index case
Data as of 29.10.10
Quality Assurance in London
• Young people need to receive clear and consistent safer sex messages when offered a test
• Quality assure all elements of the Chlamydia testing pathway and curtail malpractice
• Continue to meet results turnaround standards • However as a region we need to limit barriers to
treatment at all stages of the Chlamydia pathway
Suggested Chlamydia Indicator 2011/12
• Outcome based (not process based)• Prevalence – not practical to measure at local level • ‘Composite’ indicator of variables predicting fall in prevalence
(coverage and positivity) • At PCT or its equivalent level • Measurable with routine data collections • NHS Outcome Framework Consultation – submission• Rates of chlamydia diagnoses in 15 to 24 year olds (all
venues) per 100,000 population with positivity within a range
SummaryNCSP Costing Tool - Context
• Following 2009 NCSP costing review and guidance • Following NAO report and PAC response • Liberating the NHS White paper – greater transparency in costs ;
supporting the NHS to deliver on QIPP • Linked with SH tariffs development : Provider Pathway Analytics • Main objectives :
– to support PCTs to identify their chlamydia testing costs for previous year
– to support PCTs to plan costs for subsequent year – to provide benchmarking
• Developed with input from commissioners • Delay (roll out originally planned during summer 2010) ;current
reviewed timeline : finalisation of the tool beg. Dec 2010 ; roll out Dec 2010 / Jan 2011
Summary NCSP Costing Tool Submission
• Choose year 2009/10 – 2010/11 – 2011/12
• Create a contract for each service or provider and submit costs and activity data
General Practitioner; Sexual and Reproductive Health 3rd sector; GUM; Termination of Pregnancy; Community pharmacy; Remote testing; Outreach; Other providers; Kits provision or assembly; Laboratory..
• Sexual Reproductive Health block contract pre-populated with costs from the NCSP costing study 2009 (similar to costs from SRH tariff development)
• Sexual Reproductive Health tariffs will be built in
• Coordination and overheads
Example – Submission
Summary NCSP Costing Tool Reports and key outputs
Cost and activity break down report• Overall cost per “test” (=per testing episode, whole chlamydia testing
care pathway)• Overall cost per positive • Cost per client negative ; cost per client positive• Detailed costs per step of the chlamydia testing care pathway• Detailed costs per channel / settings (to support operational strategy)
Benchmark reports• Benchmark on all costs described above• Compare costs to similar size PCTs• Compare costs to national/ regional average• Identify where it could be possible to reduce costs throughout the
pathway
Example - Report
Next steps
• Tests / costing study 2009 and a few PCTs• Finalisation of the tool beg. Dec 2010• Roll out - Dec 2010 / Jan 2011• RFs support in each region• NCSP central support• Adapted training sessions – early 2011
Thank you