practice-based commissioning


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practice-based commissioning

An evolving system which will enable individual or groups of GPs in the UK to directly commission (contract for) healthcare services using their own budgets, a process currently overseen by primary care trusts (PCTs). Under PBC, GPs and their practice staff will have access to individual practice budgets, and pay for their patients’ operations and treatments according to the national tariffs set out as part of the Payment by Results system.

PBC will also allow GPs and primary care staff to develop and fund services in their local communities as an alternative to hospital treatment for some patients. PCTs currently support this process, and on behalf of their practices provide practice budgets, clinical and financial information to help GPs and negotiate contracts with hospitals and other providers for the services required. Practices can keep up to 70% of any savings made by agreement with the local PCT, which is used to purchase time—e.g., pay for community nurse care or extended hours—or equipment—e.g., an electrocardiography unit—which will reduce patient costs by managing them outside of hospital.
References in periodicals archive ?
2004--First practice-based commissioning issued; * 2006--Restructuring of NHS through strengthening of PCTs and Strategic Health Authorities (SHAs).
He continued: "I have a message for Sir Ian Carruthers' unless Primary Care Trusts pull their socks up and start incentivising and co-operating with GPs, they haven't a snowball's chance in hell of meeting the target of universal coverage of practice-based commissioning by December.
With practice-based commissioning, on deficits, you must invest to save.
At local level, engagement in practice-based commissioning uses local knowledge and feedback on the quality of hospital services from all clinicians, to shape improvements at local level.
A spokeswoman for Northumberland, Tyne and Wear SHA said four larger PCTs would be able to "manage financial risk and to make the commissioning of specialist healthcare more efficient" while GPs "would develop practice-based commissioning in order to make health services more responsive to the needs of local people.
Taking a top award in the Primary Care and Community-Based Integration category was the West Northumberland Practice-Based Commissioning Group for its success in working with elderly people to discuss their care preferences and preferred place of death.
The results of the day will be discussed at the next North Tyneside practice-based commissioning (PBC) meeting.
Seven GP practices in the Blyth Valley practice-based commissioning (PBC) Group, which covers Cramlington, Blyth, Seaton Delaval, Seaton Sluice and Seghill, refer patients to the scheme to have assessment and treatment for problems relating to any aspect of the musculoskeletal system.
Practice-based commissioning (PBC) enables GPs to influence how care is provided.
Involvement in the scheme is voluntary, although the Department of Health expects all practices to be involved in practice-based commissioning by 2008.