GP Prescribing Quality Scheme 2015-16 Objectives: 1. To support delivery of the identified Medicines Optimisation initiatives, and drive costeffective prescribing. 2. To balance the requirement to deliver savings with a requirement to recognise the quality of prescribing. 3. To offer achievable incentives to all practices, and be as transparent and as easy to understand as possible. Prescribing Quality and Savings Action Savings Achievement: Practices to implement a savings plan to achieve a savings target based on potential switches and projects (Eclipse) – discussed at Practice Visits Antibiotic Prescribing for Upper Respiratory Tract Infections (URTIs) GPPQS Payment Up to 25p per registered patient 10p per registered patient URTI toolkit 2015-16.docx Diabetes and Frailty 15p per registered patient Managing Type 2 Diabetes in Frailty Polypharmacy strategy- implementation of one focus project e.g. HARMs Anticholinergic load Benzodiazepine review Bisphosphonate Review PPI review 10p per registered patient Polypharmacy Strategy Final version 1.6.docx Polypharmacy Strategy Review Report.docx Practice Elements- Prescribing Budget 2015/16 Prescribing Outturn v Budget 0 – 2% Underspent 2 – 4% Underspent 4 – 6% Underspent 6 – 8% Underspent 8 – 10% Underspent 10 – 12% Underspent 12 – 14% Underspent 14 – 16% Underspent 16 – 18% Underspent >18% Underspent GPPQS Payment 10p per registered patient 20p per registered patient 30p per registered patient 40p per registered patient 50p per registered patient 60p per registered patient 70p per registered patient 80p per registered patient 90p per registered patient 100p per registered patient Locality Element - Prescribing Cost Growth Growth Rate (year to Mar 16) GPPQS Payment 0.0 – 0.5% Below England Rate 10p per registered patient 0.5 – 1.0% Below England Rate 20p per registered patient 1.0 – 1.5% Below England Rate 30p per registered patient 1.5 – 2.0% Below England Rate 40p per registered patient 2.0 – 2.5% Below England Rate 50p per registered patient 2.0 – 2.5% Below England Rate 60p per registered patient © Kernow Clinical Commissioning Group Report title 2.5 – 3.0% Below England Rate 3.0 – 3.5% Below England Rate 3.5 – 4.0% Below England Rate >4.0% Below England Rate 70p per registered patient 80p per registered patient 90p per registered patient 100p per registered patient Enablers Practices to meet with the CCG’s Pharmaceutical Advisors and nominated Prescribing Support Technician in the spring/summer to discuss the priorities and opportunities at the practice for the year and develop a “Practice Plan”. The CCG will provide all practices with a detailed pack of prescribing information, identifying any areas where there may be potential savings available. The CCG’s Prescribing Support Technicians, Pharmaceutical Advisors, and Clinical Leads for Medicines Optimisation will support practice-based work on prescribing throughout the year. The CCG Prescribing Team will provide relevant protocols and audit packs to support both quality improvement and cost saving prescribing projects. Practices may use any remaining monies from previous GPPQS payments to support prescribing work. Eclipse Live Administration In the event of an overall KCCG prescribing budget underspend, payments will be unlimited. In the event of an overall overspend; the payments under this scheme will be capped at £550K. In the event of a dispute – e.g. if a practice’s population had changed significantly in-year and they wished this to be taken into account – a KCCG Panel will consider representations from practices and will have the power to adjust payments due. Please see the document below for guidelines on how monies secured under the practice element of this scheme can be used/spent. Use of GPPQS Monies April 15.doc Monies secured under the locality element of this scheme must be used in line with local protocols and policies. Page 2/2