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Somerset LMC Weekly Update 10th March 2017

Date sent: Friday 10 March 2017

Sent to all all Somerset GPs and Practice Managers        This and previous updates can be found here

SPQS SPQS Practices will have received notification from the CCG about the SPQS scheme for 2017-18. Although keen to continue with the scheme, we know that NHS England wanted the specification to include a greater focus on advance care planning and to align more with the focus of the STP, whilst continuing with the Quality Improvement work. The draft specification was shared with the LMC we fed-back our concerns on a number of areas. The CCG were aware that we were planning to discuss this matter at our County LMC meeting next week, and it was their intention to wait until after that meeting before sending it out. However, we understand from the CCG that the deadline of 17th March for practices to respond is set by NHS England and not flexible (as it is driven by the CQRS system). It is unlikely that the specification will be changed significantly at this stage, but there will still need to be discussion on precisely what is involved. Whilst this makes it difficult for practices to make a definite commitment straight today, we do not believe that the changes are intended to make any fundamental change in the principles of SPQS or to presage return to QOF-type data recording. We will send out a further briefing early next week before the response deadline.

Practice Support Advice Prevalence Searching and Read coding This document  and spreadsheet (please log into LMC website and search on PSU page) is the second in a planned series to help practices maximise their income by improving their data checks.It looks at four quick wins that will help increase your prevalence and help increase your potential income from SPQS. The SPQS payment is based around QOF prevalence so it is important to maintain your registers. The SPQS payment is based on 2012-13 percentage achievement of points, with the calculation corrected to reflect the relevant year’s number of available QOF points, prevalence factor and practice list size adjustment. There are factors that will change your payment each year and they are;

For example if your list size drops and the average list size rises and your prevalence stays the same or drops your income will drop.There are two domains for Depression DEP003 is currently being used to calculate the practice prevalence on CQRS and in turn your SPQS payment. It is advised at the moment that practices should ensure they review both as this is currently awaiting advice from the CCG. Both Documents are available on the PSU Area of the website

Locum Company We have heard from Colleagues in other parts of the UK that a company trading as 'Practice Medical group' have engaged Locums but have not paid the GPs for the work, the GPs concerned are taking legal advice and have contacted the Police, please be aware if they make an approach.

CQC-GP insight the CQC have confirmed that practices will start receiving this information over the next week, the GPC and LMC have major concerns on the reliability of the data that they are using, and even more so for Somerset as they will be looking at QOF. We are feeding back to both CQC and GPC. When you receive this data please ensure that you verify the report, and feedback any concerns to the CQC within 4 weeks to enquiries@cqc.org.uk.

Kind Regards

Jill

Jill Hellens

Executive Director

Somerset LMC

TEL: 01823 331428

Fax:01823 338561

www.somersetlmc.co.uk

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