practice-based commissioning


Also found in: Acronyms, Wikipedia.

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 ?
Ms Snowdon has extensnot ive NHS experience having provided management support to practice-based commissioning groups - the forerunners to GP consortiums - for the past five years.
A review of practice-based commissioning (PBC) in England published by the King's Fund has concluded that PBC has delivered little in terms of better services for patients and has been expensive for the NHS.
The scheme is part of the NHS's practice-based commissioning, where GPs decide which services they want to provide for patients and put them out to tender.
With practice-based commissioning, on deficits, you must invest to save.
From 2006 until 2009 he was chair of the Blyth Valley practice-based commissioning group and since 2007 has chaired the Northumberland clinical executive committee.
In addition, community nurses will have a role in practice-based commissioning, in requesting their own social enterprise initiatives.
* Practice-based commissioning, which he will say gives GPs an incentive to prevent unnecessary referrals to hospitals.
The second is a chronic obstructive pulmonary disease (COPD) scheme - funded via NHS North of Tyne through practice-based commissioning which puts clinicians at the heart of Primary Care Trust commissioning and allows groups of family doctors and community clinicians to develop better services for their local communities - as they will in the future.
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."