24 June 2006

The TPBC DES

This, like the other 4 new DES is messy and difficult to understand. Click here for a link to the PCC mini bullitin on the DES which nicely pulls out the guts of the national guidance.

PCC Team PBC Bulletins

The Primary care Contracting Team issues regular bulletins:

Bulletin 1 addresses some of the key issues that PCTs face in terms of preparing to implement PBC. Included in the Bulletin are links to further examples from PCTs
- Bulletin 2 covers governance issues
- Bulletin 3 multi-professional involvement
- Bulletin 4 service redesign and delivery

They are a little dry and I suggest used when you have a clear idea of what it is you want to achieve. Then use them to help decide a list of tasks and achievements needed to get where it is you want to be.

17 June 2006

What is the correct size for a General Practice of the future

A very strong paper by Professor Corrigan. How does PbC feed into this? Because talented PbC will be one of the factors that allows a practice to thrive (and grow). Click here

Workers Revolutionary Party (Again)

This time providing a counter view to the National Leaders viewpoint. Click here.

The Future of the Acute Hospital

A very well written paper that does not define the future hospital, but the principles that should guide what a hospital does, and therefore what in needs to be. Of relevence for us becouase it is the obverse of the same principles that suggest what should be provided in the community. Click here.

The future NHS; Private providers

This report from the Kings fund is, as you would expect, well written by a group that contained public sector and private sector employees. It is a discussion paper and provides food for thought for future leaders of future organisations.

Scope of Budgets

"Although PCTs can help to identify priority areas (for example where referral rates and emergency admissions are high), the scope of indicative budgets is for practices to determine. Even among the leading implementers, practices were only interested in managing the budget for a limited range of services at this point. PCTs need to have a clear strategy in place now to meet the DH’s requirement that practice budgets cover the entire scope of health services .... over a three-year period."

Auidit Commission report. For full report click here. Highly recommended no punches pulled.