Oral health has a huge impact on the NHS budget. Apart from the visible costs of primary care services, less obvious costs from poor dental health include a high number of A&E and other hospital admissions. Reforms to the NHS dental contract aim to replace an activity based payment system to one in which dentists are rewarded for effective preventive care. In a special edition of PCC Insight, we look at the reforms and the improvements in clinical practice that will need to accompany them. We also consider the potential role of dentists as health monitors and coaches – and make the case for dentistry as a vital part of any viable primary care network.
The Confident Leader programme is designed for those who have, or aspire to, a leadership role in primary care, integrated care systems, sustainability and transformation partnerships (STP) or as commissioners of services. PCC’s programme brings together groups of like-minded individuals in an environment to learn together and share experiences. They are supported by experienced executive coaches who provide context and with expert input on various relevant areas to the participants.
This programme starting on 24 January in Birmingham aims to give the knowledge and confidence to become a leader – or a better leader – and equip leaders with the resources to push on to the next stage of development and transformation. To register an expression of interest or to book your place on the programme please contact the events team by email or call us on 0113 212 4184.
Nine in ten CCGs have taken on delegated responsibility for the commissioning and management of primary medical services, but NHS England remains liable for the decisions they take. In November 2017 NHS England published the Policy and Guidance Manual to mitigate the risk of time-consuming and costly challenges to primary medical contracts. PCC successfully supported NHS England in delivering national events to introduce the PGM in late 2017 with further events this summer. The events clarified the regulations and guidance leaving delegates better able to manage and govern contracts.
To meet demand from those who couldn’t make the earlier dates, we are re-running the events this autumn. The events on 28 November in Nottingham and 6 December in Reading, focus on key aspects of the Policy and Guidance Manual, using scenarios and opportunities for questions to give commissioners a better understanding of contracting and patient matters.
Is the digital revolution the end of general practice as we know it or a vital step to modernisation?
Whatever your view, it seems clear that the digital revolution is coming to general practice, with £45m earmarked for online consultations by NHS England in the GP Forward View and new technology providers vying to get into the market.
An event from PCC brings together commissioners, GPs who are already using some of the services on offer and a leading lawyer who will consider the wider implications for general practice, including how services can be commissioned to ensure that “disruption” is not a destructive force.
Delegates will hear from GPs who are using non-AI based technology to help manage workload and improve the experience of patients. They will also hear from a private provider of online consultations – do these services amount to a competitive threat or an opportunity?
Robert McGough, a partner at specialist lawyers Hill Dickinson looks at the legal model for e-consultations and the potential implications for contracting. There are potentially wide-ranging implications for CCGs and practices, particularly for online only services such as those that have recently opened in London and involve patients de-registering from their existing practice.
Practices will get the information they need to decide whether to embrace new technology or run the risk that non-NHS providers could enter the market in competition with them.
Our bi-monthly newsletter has changed its name from Commissioning Excellence to PCC Insight. The change, nine years after the first issue of the newsletter appeared, reflects the changing environment and the widening readership.
Helen Northall, chief executive of PCC, said: “We thought it was time for a title with broader appeal. You can’t have excellent commissioning without excellent provision and in the era of integrated care, it doesn’t make sense to have a single focal point. Increasingly the newsletter has covered topics of direct interest to providers, including sustainability, mergers, workforce and primary care networks, as well as the policy issues likely to affect them. It is not only about commissioning.”
The first issue of PCC Insight includes an update on primary care premises policy, articles arguing for changes to the payment system, a case study illustrating the value of the patient activation measure in managing long term conditions in general practice and the confessions of an STP leader. Read it here and don’t forget to sign up if you would like PCC Insight emailed to you in future.