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An additional payment for high quality medical services will be made to every GP in any practice which satisfies the eligibility criteria outlined below.
To be eligible a practice should be able to:
confirm that all patients, where it is clinically appropriate, are able to obtain a consultation within 24 hours of requesting it;
show that each component of the patient record is in date order, joined with tags where appropriate and contained in an adequate file or envelope. Practices where records are normally held on computer should be able to show that they can transfer an appropriately structured record to facilitate patient transfer between practices. The benchmark for achievement is 80%.
show that each patient and their care has been reviewed at appropriate intervals and an up to date list of repeat or continuing medication and a record of current and recent drug treatments (including dosage regimes) kept within the patient record. The benchmark for achievement is 90%.
show that it achieves higher target payments for immunisation programmes and that it communicates with parents or guardians of patients who miss vaccination in order to encourage greater uptake.
show that it manages chronic diseases
for diabetes, appropriate elements of the annual check are carried out in the practice on at least 50% of patients diagnosed with non-insulin dependent diabetes mellitus and at least 80% of all patients with diagnosed diabetes mellitus receive a comprehensive annual review;
for asthma, the practice should be able to demonstrate that at least 80% of patients diagnosed with asthma have been offered supportive education programmes within the practice;
for one further type of chronic disease, the practice should show that in another area where there is a significant burden of morbidity, it has a policy of regular monitoring, managing and auditing for the patients in the practice.
show that it has an up to date age/sex register for the practice with mapping of one rnorbidity field as well as diabetes and asthma and that it is able, because it has patient registers for asthma, diabetes and one other disease, to operate a call-recall system.
show either:
the use of a formulary or
an increase in generic prescribing where this is less than 70% and that in at least four locally agreed therapeutic areas, in line with modern authoritative medical practice (which could include NSAIDs, antidepressants, beta blockers and antibacterials), the majority of prescribing falls within a locally agreed and appropriate bandwidth. If; at the time of the claim, the practice's generic prescribing is less that 50% they will have to show an increase of 10% per annum of their total prescribing until they reach 50%. All practice whose generic prescribing is between 50% and 70% should be able to show an increase of 5% per annum of their total prescribing.
Health Authorities have the right to verify whether or not practices are satisfying these conditions. All training practices will be assumed to have achieved the conditions through their inspection process. Where there is disagreement on the number of bands in the bandwidth, or their therapeutic subject or the percentage the practice has to achieve, the health authority professional adviser and LMC representatives will agree on what advice to give the health authority.
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| Book Title: Making Sense of The Red Book | ||