LEICESTER, LEICESTERSHIRE AND RUTLAND PCT ... - NHS

Paper PLLR PCT Cluster Integrated Board Meeting8 September 20117 LLR Formulary adherence is included as a CQUIN for UHL and is reportedquarterly at the Clinical Quality Review Group and CCG performance isreported monthly at the Delivery Group.8 Delivery of LLR Formulary adherence savings will be further supported by theimplementation of the successful Transformation Fund proposals, which aimto embed the formulary into GP clinical systems at the point of prescribing andprovide real time prescribing information.9 All CCG Boards have agreed to implement an incentive scheme and practicesare implementing their individual practice plans with support from the CCGmedicines management teams. A performance monitoring framework is beingdeveloped to monitor the impact of individual schemes.10 Although the reduced medicines management team resource will placegreater reliance upon practices to deliver savings, CCG’s are to commissionsome additional support.11 The planned savings for this work stream are £5.306m and confidence ofachievement is high.Maternity12 This work stream relates to the pricing and coding of non-elective obstetricadmissions unrelated to birth.13 A contractual price adjustment has been agreed with UHL, the preliminarywork on best practice from other areas has been undertaken and aretrospective coding exercise has been started to code the last six monthsactivity in line with new HRG codes.14 The contractual agreement has ensured that the cost pressure of £4.6m inrespect of vanilla tariff payment for non-elective obstetric admissions has beenavoided in full.Paediatrics (Non elective care pathway)15 A local price for Children’s Assessment Unit (CAU) and the Short StayPaediatric Assessment Unit (SSPAU) has been contractually embedded withinthe UHL contract. Assuming activity levels remain the same this will achieve a£2.5m price productivity gain, or in essence cost avoidance.16 An integrated rapid assessment and follow up outreach service will beimplemented with non recurrent funding of £642, 707 approved throughTransformation Funds. This will fund additional consultants and nursepractitioners at the single front door access point and will ensure earlier seniorclinical decision making, thereby reducing unnecessary admissions to theSSPAU.Frail Older People (FOP)17 A Frail Older People (FOP) Implementation Board has been established andwill meet in September and will be chaired by GP lead, Dr Nitin Joshi.2