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LATEST NEWS

Unplanned admissions new directed enhanced service guidance- clarification

Further to the message below it is clear that the guidance for the new DES contain some inconsistencies which has led to confusion over the requirements. Page 15 and its footnote 11 appears to suggest that care plans for all patients initiallyon the register must be in place by the end of June in order that the component 1 payment is not clawed back; this is not echoed in the rest of the document. The GPC have confirmed with NHS England that there is no requirement, nor will there be monitoring , for care plans to be in place by the end of June, only by the end of September. Revised guidance to clear up this confusion is being prepared and will be issued as soon as possible.

Dr. Robert Morley
Executive Secretary
Birmingham Local Medical Committee

36 Harborne Road, Edgbaston, Birmingham B15 3AF

Tel. 0121-454 5008, Fax. 0121-455 0758
Office email: lmcadmin@blmc.co.uk
Website: www.blmc.co.uk
Birmingham Local Medical Committee
Supporting the Business of General Practice


From: Lmc Birmingham (NHS CENTRAL MIDLANDS COMMISSIONING SUPPORT UNIT) [mailto:birmingham.lmc@nhs.net]
Sent: 04 April 2014 10:30
Subject: INFORMATION FROM THE LMC - Unplanned admissions new directed enhanced service guidance

Guidance on the Unplanned Admissions Enhanced Service has now been published and is available at http://www.nhsemployers.org/SiteCollectionDocuments/Avoiding unplanned admissions guidance 2014-15.pdf, with associated templates available in Word format atEnhancedservices201415.aspx.

The guidance:

- Sets out the full requirements of the enhanced service under the headings of practice availability, proactive case management & personalised care planning, reviewing & improving the hospital discharge process and internal practice review.

- Includes the templates associated with the enhanced service, including on care planning and reporting.

- Sets out how the enhanced service will be paid and monitored. A maximum of £2.87 per registeredpatient will be available for the enhanced service, split into five components. For the three components that relate to maintaining the 2% case management register, the 2% target as a proportion of list size will be determined at the start of each quarter, with a measurement of whether the register has been maintained at that level being taken at the end of the quarter. There will be a 0.2% tolerance to account for unexpected events for the payments that relate to each quarter, but Area Teams will be able to claw back the funding relating to those three components if the average of the three measurements taken across the quarters is less than 2%.

There will also be separate GPC guidance to help practices achieve the requirements of the enhanced service published very shortly.

Julie Mason
Business Administrator
Birmingham Local Medical Committee

36 Harborne Road, Edgbaston, Birmingham B15 3AF

Tel. 0121-454 5008, Fax. 0121-455 0758
Office email: lmcadmin@blmc.co.uk
Website: www.blmc.co.uk
Birmingham Local Medical Committee
Supporting the Business of General Practice

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