7/26/2019 GPCC Workshop in E Midlands 23 Nov 2010 v2 http://slidepdf.com/reader/full/gpcc-workshop-in-e-midlands-23-nov-2010-v2 1/14 WORKING DRAFT Last Modified 23 /11/2010 15:39:17 GMT Standard Time Printed 23/11/2010 14:41:03 GMT Standard Time Supporting GP onsortia !"S #$ST M%&L$!&S !o'em(er 2010 )or*s+op materia,s -!.%&#!T%$L $!& P-P%#T$ $n use of t+is materia, it+out speifi permission of Minse ompan is strit, pro+i(ited
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7/26/2019 GPCC Workshop in E Midlands 23 Nov 2010 v2
GP consortia commissioning costs are ro!ecte" to #e a#out $%& er hea"
a'ter management cost re"uction
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;/17/1;;/17/1; ;/17/1; $,, spend1
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!on6GP onsortiaommissioning osts2
< per +ead
1 $,, ommissioning spend= i8e8= e>,uding a,, pro'ision spend and a,, training spend2 ommissioning oard= Loa, $ut+orities!ote: %f GP management osts a,,oane is a,u,ated using management osts definition= t+e fo,,oing ommissioning osts ou,d ount as ?non6
management@ and (e e>,uded: pa osts for non6managers and for managers paid (e,o t+e sa,ar t+res+o,d AB<30*CD non6pa osts of GPommissioning= in,uding re,e'ant proportion of s+ared ser'ies= ,inia, go'ernane
Management osts
!on6management osts
7/26/2019 GPCC Workshop in E Midlands 23 Nov 2010 v2
Current N,- commissioning costs are alrea"y at the lo.er en" o'
international health systems
S-E#: .or non6E ountries: -#& 2010 "7 F e>penditure on +ea,t+ administration insuraneD %$ or,d fat(oo*Apopu,ationCD E data not in -#& ana,sis= so for urrent !"S= <;4 per apita mgt spend used: team ana,sis
Oerating costs as a / o' total health costs0 %112 3 managers er %41k atients that this 'un"s*
1 250* +osen as representati'e of sma,, PT8 a,u,ation assumes a'erage a,,6in pa osts of 75* / <50* for managers
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)- %! P-G#SS
7/26/2019 GPCC Workshop in E Midlands 23 Nov 2010 v2
S-E#: &" P too,*it 2010/11D &" #>position oo*s 2007/0K
Surp,us
&efiit
-urlus)"e'icit
Perent
GP ractices
Perent
6 6 6 6 6 6
Sum ofdefiits:<381(n
#stimated surp,us/defiit at GP Pratie,e'e, is (ased on fair s+areN of PT(udgets Aneeds eig+ted popu,ationC=and s+are of ommissioning spend
Praties are mu+ more susepti(,eto 'ariations in spend due to t+eirsma,, siHe= and so +a'e 'er iderange of performane Asurp,us/defiitsup to O/630 of (udgetC
Tota, defiits are <381(n
=stimate" surlus)"e'icit 'or in"ivi"ual GP
Practices A2007/0KC
=>amle? GP
Practice A
#>amp,e: GP Pratie $= it+ 10=000patients and 4 GPs= ou,d +a'e <2mdefiit: t+atNs <085m defiit/GP or<200 defiit/patient
7/26/2019 GPCC Workshop in E Midlands 23 Nov 2010 v2