Power of Peer Review Dr. Paul Oliver Chair, Clinical Lead, Nottingham North and East Clinical Commissioning Group Yale & SEPT July 2013
Power of Peer Review
Feb 24, 2016
Power of Peer Review. Dr. Paul Oliver Chair, Clinical Lead, Nottingham North and East Clinical Commissioning Group Yale & SEPT July 2013. The Problem. Stenhouse Practice overspend with a cost to NNECCG at month six of £800,000 over budget. - PowerPoint PPT Presentation
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Power of Peer Review
Dr. Paul OliverChair, Clinical Lead,
Nottingham North and EastClinical Commissioning Group
Yale & SEPT July 2013
The Problem Stenhouse Practice overspend with a cost to
NNECCG at month six of £800,000 over budget.
*NNECCG (Nottingham North and East Clinical Commissioning Group)
21 Clinics
145,000 patients
£165m annual budget
S.M.A.R.T. Objective To reduce Stenhouse overspend by 20% (of
projected) by year end at 31 3 13 and to establish systems to bring Stenhouse in budget by 31 3 15
Root Cause Analysis A+E 237k
Critical Care 527k
Day Case 576k
Emergency 2,111k (148k)
OPD 1st 514k
OPD f/u 548k
OPD procedures 451k
Alternative Interventions
Focus Peer Review (T&O and Gastroenterology)
External Scrutiny
Targeted Peer Education and Support
Comparative AnalysisIntervention Empowering Expense
Peer Review Self EncouragingBuilds on Existing Strategy
Internal use of time onlySome restructuring of the day
External Reviewer A bit ‘Big Brother’ likeCould be Disempowering
Would cost 1-2 hours per day of additional clinical time
Periodic GPwSISupport
Educational and SkillDevelopingCould be Empowering
Would cost 1-2 hours per week for specific skill expertise and internal time
Select, Implement and Create Evaluation Plan
Select a Strategy-----Focus Peer Review
Implementation Plan-----Meet Daily, Review Guidelines, Share Good Practise
Creating an Evaluation Plan-----CCG feedback monthly to practice, focus on non urgent GP driven activity, review at year end
Preliminary Results
Direct
Acces
s
Day Cas
e
OP First M
ulti Pro
fessio
nal
OP First S
ingle
Profes
sional
OP Follow-u
p Multi
Profes
sional
OP Follow-u
p Single
Profes
sional
OP NON FACE2FACE
OP Proce
dure
OP UNBUNDLED
Grand T
otal
-£50,000
£0
£50,000
£100,000
£150,000
£200,000
£250,000
Estimated post intervention saving
I am Happy Logical and easy to follow
Follows what I know from P.R.I.D.E. and 4DX
Empowering
Transferable
Delivers
Encouraging
Reflective
Thank You
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